ENDOMETRIOSIS

Endometriosis

The MRI examination in endometriosis is dedicated to the preoperative evaluation of deep endometriosis and complements the clinical and ultrasound examination.

A qualitative examination must provide the surgeon with the most detailed map of the lesions. This process begins with good communication between the gynecologist and the imaging specialist and continues with a more detailed discussion between the imaging specialist and the patient.

Knowing the patient’s symptoms is useful in guiding the examination protocol.

Intravaginal and intrarectal gel instillation expand the cavities, thus determining a better visualization of the walls and possible endometriosis nodules, with the possibility of evaluating the depth of the infiltration zone. Through the contrast provided by the gel, a better delimitation of the peritoneal recesses (recto-vaginal and vesicovaginal recesses) is obtained. In addition, the presence of the gel reduces peristalsis artifacts.

The MRI examination with a protocol dedicated to the diagnosis of endometriosis is not limited to the instillation of gel in the vaginal and rectal cavities. It is an examination that must be adapted to each patient, depending on the location of the suspected lesions following the clinical examination and history.

In our clinic, the investigation is always carried out in the presence of the examining doctor with special training, being modified in real time to obtain the best visualization of the endometriosis lesions. Having a special concern for the comfort of our patients, we managed to design a protocol that offers us a superior image quality in a very reduced examination time.

At the end of the examination, our patients benefit from a consultation with a specially trained radiologist, during which detailed explanations are provided based on the images obtained.

We are aware of the complexity of this pathology and the often long journey of patients towards diagnosis and treatment, both of those who come to us from Romania and from other countries of the world. That is why, in the MedicalES clinic, with the support of the entire team, we try to offer the patient a pleasant experience, which combines professionalism, comfort, and kindness.

The gel installation does not hurt. The process can create discomfort at most, which will diminish as the body gets used to the presence of the gel.

Of course! The purpose of gel instillation is to evaluate as precisely as possible the degree of infiltration of endometriosis nodules. However, a highly experienced radiologist familiar with the disease can identify endometriosis lesions without using the gel. Thus, although we recommend this procedure for a qualitative examination, patients can also opt for a pelvic MRI without gel.

One day before the examination, patients must avoid foods that cause bloating. On the day of the examination, the patients aren’t allowed to eat 3 hours before, but can drink liquids (not carbonated drinks). 1 hour and a half before leaving for the clinic, perform the microcinema. Patients are recommended a No-Spa before arriving at the clinic. If there are known allergies or possible adverse effects, it is not administered.

Any suspected anatomical segment can be investigated.

Dr. Stanciulescu has an almost 100% success rate of MRI interventions performed by patients who declare themselves claustrophobic. The entire environment of the room where the investigation is carried out is pleasant, welcoming, and specially designed for the patients to feel as comfortable as possible. The ceiling is decorated with images that are visible from the device, and the large opening of the magnet reduces the patient’s stress.

In addition, the patients benefit from the full attention of the staff, throughout the investigation. From the control room, the technician will periodically communicate with the patient, and Dr. Stanciulescu will monitor the entire procedure. The patients have a device that they can press at any time, which will signal the operator that the investigation must be stopped. Thus, they are in control, being able to decide at any moment to stop the procedure. Although this means that the process will have to be repeated, or that it cannot be carried out, the patients need to know that they are never alone or abandoned.

We offer patients the opportunity to listen to music. The headphones especially made to be used during the investigation fade the noise produced by the device, and the volume of the music can be adjusted, at the request of the patient.

Moreover, patients are allowed to be accompanied by a person in the room where the investigation is taking place.

Our staff is empathetic, and patient, they understand the difficulties faced by patients with endometriosis and do everything possible to support them emotionally.