Vaginal leiomyoma: Advantages of clinical sonovaginography and ultrasound dynamic evaluation of uterine cervix-related lesions

Evaluation of vaginal leiomyoma by dynamic transvaginal ultrasound improves the diagnosis, with the impact on surgical planning, and surgical outcomes.Sonovaginography using three-dimensional ultrasound allows the assessment of spatial relationship between the cervix and the tumor. (A) Three-dimensional (3D) image of the leiomyoma from sonovaginoscopy with the vagina filled with gel (and air bubbles). (B) The absence of connection between the cervix and the vaginal leiomyoma revealed by 3D reconstruction of the sonovaginoscopy.image