Ultrasound of the female pelvis can be performed by transabdominal and / or transvaginal ultrasound. Most pelvic ultrasound patients will have a transabdominal ultrasound to give a global assessment before proceeding to a transvaginal scan.. When a transvaginal scan is required, the Sonographer or Radiologist will explain the benefits of the transvaginal ultrasound to the patient and obtain verbal consent for this examination.
Transvaginal (TV) scanning is particularly indicated for the investigation of post-menopausal bleeding, and for optimal imaging of uterine and adnexal masses detected by clinical examination.
Pelvic ultrasound is performed for:f:
- post menopausal bleeding
- fibroids
- pelvic inflammatory disease
- finding an intrauterine device
- pain. eg query ectopic
- adnexal mass
- endometriosis
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Pre Examination |
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The patient requires an appointment – please ask your patient to mention they require a ‘TV scan’ when they make their appointment as a longer examination time is required for a transvaginal scanning.
Because a patient has an intial transabdominal scan they will still require a full bladder for the appointment in most cases.
Preparation for the examination
Please ask your patient to
- have nothing to eat for six hours before the examination and
- empty their bladder one hour prior to their appointment and then immediately drink one litre (approx four glasses) of water.
If your patient requires an urgent scan please phone our practice.
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The Examination |
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The Sonographer or Radiologist will perform the examination
The appointment is 20 - 30 minutes.
The ultrasound pelvis examination can be performed two ways:
Transabdominal ultrasound (TA)
- initial imaging of the whole pelvis with a distended urinary bladder. Where images are satisfactory, transabdominal scanning may comprise the complete study.
Transvaginal ultrasound (TV)
- A slim lubricated transducer is introduced into the vagina. This scan is performed with an empty bladder when anatomic assessment is incomplete on TA scanning and / or for detailed assessment of pathology.
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Post Examination |
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After the examination, the patient is able to go to the bathroom before dressing.
The images and a report will be sent to the patient
A report will be sent to the Referrer. Urgent reports will be phoned by the Radiologist.
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