Dr. Steven R. Goldstein, What are PelvicAdhesions
Dr Steven R Goldstein is an obgyn in Manhattan, regarded as one of the world’s most highly regarded individuals in the field of gynecologic ultrasound.
Pelvic Adhesions are scar tissue that may cause internal organs to stick together. Women with pelvic adhesions may experience significant pelvic pain, or painful intercourse or ovulation. Sometimes infertility is also a problem.
These adhesions may not be visible on the regular ultrasounds or sonograms used by so many gynecologists. Most imagers will take a myriad of pictures, mostly still snapshots, to illustrate the anatomy of the patient. But how can you evaluate a patient’s pain only with an anatomic image? You cannot
This is where dynamic ultrasonography, which Dr Goldstein, a Gynecologist in Manhattan, has written about extensively, comes into play. Patients with pelvic adhesions and other gynecologic conditions require dynamic assessment with ultrasonography in order to be able to properly diagnose their pelvic pain.
Dr Ilan Timor-Tritsch in his book Transvaginal Sonography, states that “diagnosis of pelvic adhesions becomes possible by the sliding organ sign”. The transducer tip is pointed at the uterus, ovaries, pelvis or any pelvic finding and a gentle push pull movement of several centimeters is started.
Ifnoadhesionsarepresent,theorganswillmovefreelyinthepelvis.Thisdisplacement of organs is perceived on the screen as a sliding movement. If structures are adherent, they will move tandem with each other, allowing the operator to properly diagnose whether pelvic adhesions are present.
While this may all seem very “technical” to you, the bottom line is that pelvic pain cannot be properly diagnosed with only still images from sonograms or ultrasounds. Dynamic ultrasonography is required. Dr Goldstein, an obgyn in Manhattan, performs this procedure himself so that he can personally see the organs and feel the movement, when the patient experiences pain and so on.
If you are experiencing pelvic pain and have been told you need “exploratory surgery” to find the cause, first opt for “dynamic ultrasonography” offered by Dr Goldstein, a leading Gynecologist in Manhattan and former Director of Gynecologic Ultrasound at NYU Langone Medical center.