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

Objective: To summarize the advantages and disadvantages of the various imaging techniques used to evaluate uterine leiomyomas preoperatively and to propose a classification system for intramural and subserosal leiomyomas that 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 degree of myometrial involvement are needed for appropriate case selection and counseling by the endoscopist. (Fertil Steril(R) 2000;73:197-204. (C) 2000 by American Society for Reproductive Medicine.)