The utility of transrectal ultrasound in adolescents when transabdominal or transvaginal ultrasound is not feasible

Abstract

İstanbul Bilim Üniversitesi, Tıp Fakültesi.Study Objective: To present the indications and diagnosis in adolescents undergoing transrectal ultrasound (RU). Design: Retrospective chart review. Participants: Adolescents presenting to gynecology clinic between January 1, 2005 and December 31, 2012. Main Outcome Measures: Detection of RU, transvaginal, and transabdominal (AU) ultrasound indications, and final diagnosis. Results: The main indications for RU were menstrual abnormalities, pelvic pain-dysmenorrhea, and vulvovaginitis. When compared according to final diagnosis adolescents with vulvovaginitis (13.9%) and amenorrhea (8.3%) were evaluated more with RU. Conclusion: RU is highly acceptable and it provides images superior to AU. It can be used in adolescents to visualize the pelvic organs and to exclude genital abnormalities and mass lesions