Role of vaginal sonography and hysterosonography in the endoscopic treatment of uterine myomas

Objective: To summarize the advantages and disadvantages of the various ima ging techniques used to evaluate uterine leiomyomas preoperatively and to p ropose a classification system for intramural and subserosal leiomyomas tha t may better serve the endoscopist in surgical treatment. Design: A MEDLINE search of the available literature was performed. Conclusion(s): Selective use of the various imaging techniques is required based on the clinical situation. Classification systems that describe the d egree of myometrial involvement are needed for appropriate case selection a nd counseling by the endoscopist. (Fertil Steril(R) 2000;73:197-204. (C) 20 00 by American Society for Reproductive Medicine.)