{"id":6053,"date":"2026-09-03T13:11:12","date_gmt":"2026-09-03T13:11:12","guid":{"rendered":"https:\/\/www.impc.fr\/?p=6053"},"modified":"2026-09-03T13:29:19","modified_gmt":"2026-09-03T13:29:19","slug":"quest-ce-quune-echographie-pelvienne","status":"publish","type":"post","link":"https:\/\/www.impc.fr\/en\/quest-ce-quune-echographie-pelvienne\/","title":{"rendered":"What is a pelvic ultrasound?"},"content":{"rendered":"

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Qu\u2019est-ce qu\u2019une \u00e9chographie pelvienne ?<\/h1>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb41px||||false|false\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb41px||||false|false\u00a0\u00bb custom_margin_phone=\u00a0\u00bb41px||||false|false\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_padding=\u00a0\u00bb0px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb3_5,2_5″ use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb2″ _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb78%\u00a0\u00bb width_tablet=\u00a0\u00bb90%\u00a0\u00bb width_phone=\u00a0\u00bb97%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb custom_padding=\u00a0\u00bb33px|10px||10px|false|true\u00a0\u00bb make_fullwidth=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb3_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.8″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#000000″ text_font_size=\u00a0\u00bb16px\u00a0\u00bb header_2_font=\u00a0\u00bbMontserrat||||||||\u00a0\u00bb header_2_text_color=\u00a0\u00bb#004D77″ header_2_font_size=\u00a0\u00bb22px\u00a0\u00bb header_3_font=\u00a0\u00bbMontserrat||||||||\u00a0\u00bb header_3_text_color=\u00a0\u00bbrgba(0,0,0,0.72)\u00a0\u00bb header_4_font=\u00a0\u00bbPoppins||||on||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbrgba(96,145,150,0.8)\u00a0\u00bb header_4_font_size=\u00a0\u00bb19px\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb width_tablet=\u00a0\u00bb100%\u00a0\u00bb width_phone=\u00a0\u00bb100%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_tablet=\u00a0\u00bb125%\u00a0\u00bb max_width_phone=\u00a0\u00bb125%\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_margin=\u00a0\u00bb|0px|||false|false\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb|0px||0px|false|false\u00a0\u00bb custom_margin_phone=\u00a0\u00bb|0px||0px|false|false\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding=\u00a0\u00bb40px|51px|||false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb|51px|||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|51px|||false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb border_width_right=\u00a0\u00bb1px\u00a0\u00bb border_color_right=\u00a0\u00bb#a3a3a3″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Une <\/span>\u00e9chographie pelvienne est un examen d\u2019imagerie m\u00e9dicale qui permet d\u2019observer les organes situ\u00e9s dans le bassin<\/span><\/strong>, notamment l\u2019ut\u00e9rus, les ovaires et la vessie chez la femme. Elle peut \u00e9galement explorer la prostate et les v\u00e9sicules s\u00e9minales chez l\u2019homme. Pour cr\u00e9er les images, l\u2019\u00e9chographie utilise des ultrasons et non des rayons X. Il s\u2019agit donc d\u2019un examen non irradiant, couramment utilis\u00e9 pour rechercher ou surveiller diff\u00e9rentes anomalies du pelvis.<\/span><\/p>\n

Selon la situation, l\u2019examen peut \u00eatre r\u00e9alis\u00e9 simplement \u00e0 travers la peau du bas-ventre ou \u00eatre compl\u00e9t\u00e9 par une exploration interne. Le choix de la technique d\u00e9pend avant tout de la raison pour laquelle l\u2019\u00e9chographie a \u00e9t\u00e9 prescrite.<\/span><\/p>\n

\u00c9chographie pelvienne : c\u2019est quoi exactement ?<\/span><\/h2>\n

Pour comprendre <\/span>ce qu\u2019est une \u00e9chographie pelvienne<\/span><\/strong>, il faut d\u2019abord comprendre le principe de l\u2019\u00e9chographie. Une sonde \u00e9met des ultrasons qui traversent les tissus puis reviennent vers l\u2019appareil sous forme d\u2019\u00e9chos. Ces informations sont ensuite transform\u00e9es en images visibles en temps r\u00e9el sur un \u00e9cran.<\/span><\/p>\n

Ainsi, le radiologue peut observer la forme, la taille et l\u2019aspect de plusieurs organes sans intervention chirurgicale.<\/span><\/p>\n

Chez la femme, l\u2019examen permet principalement d\u2019\u00e9tudier l\u2019ut\u00e9rus, les ovaires et la r\u00e9gion qui les entoure. La vessie peut \u00e9galement \u00eatre visualis\u00e9e. Chez l\u2019homme, une exploration pelvienne peut notamment concerner la vessie, la prostate ou les v\u00e9sicules s\u00e9minales.<\/span><\/p>\n

L\u2019\u00e9chographie peut aussi \u00eatre associ\u00e9e \u00e0 un Doppler. Celui-ci permet d\u2019\u00e9tudier la circulation du sang dans certains vaisseaux ou certaines structures.<\/span><\/p>\n

Pourquoi faire une \u00e9chographie pelvienne ?<\/span><\/h2>\n

Une \u00e9chographie pelvienne peut \u00eatre prescrite pour de nombreuses raisons. Elle permet d\u2019explorer une douleur, des sympt\u00f4mes inhabituels ou une anomalie d\u00e9couverte lors d\u2019un examen clinique.<\/span><\/p>\n

Chez la femme, elle peut notamment \u00eatre demand\u00e9e en cas de douleurs pelviennes, de r\u00e8gles inhabituelles, de saignements, de troubles de la fertilit\u00e9 ou lorsqu\u2019une pathologie gyn\u00e9cologique est suspect\u00e9e.<\/span><\/p>\n

Elle peut \u00e9galement servir \u00e0 surveiller une anomalie d\u00e9j\u00e0 connue.<\/span><\/p>\n

Par exemple, l\u2019\u00e9chographie abdomino-pelvienne joue un r\u00f4le important dans la recherche et le suivi des <\/span>kystes ovariens<\/span><\/strong>. Elle est \u00e9galement utilis\u00e9e dans le bilan de certaines pathologies comme l\u2019endom\u00e9triose.<\/span><\/p>\n

Cependant, une image anormale ne permet pas toujours de poser imm\u00e9diatement un diagnostic d\u00e9finitif. Selon les r\u00e9sultats, le m\u00e9decin peut proposer un autre examen, comme une IRM, afin de compl\u00e9ter le bilan.<\/span><\/p>\n

Que peut d\u00e9tecter une \u00e9chographie pelvienne ?<\/span><\/h3>\n

L\u2019\u00e9chographie permet avant tout au m\u00e9decin d\u2019observer les structures du pelvis et d\u2019identifier une \u00e9ventuelle anomalie.<\/span><\/p>\n

Elle peut notamment contribuer \u00e0 rechercher :<\/span><\/p>\n

    \n
  • un kyste ovarien ;<\/span><\/li>\n
  • un fibrome ut\u00e9rin ;<\/span><\/li>\n
  • certaines anomalies de l\u2019ut\u00e9rus ou des ovaires ;<\/span><\/li>\n
  • une anomalie de l\u2019endom\u00e8tre ;<\/span><\/li>\n
  • certaines infections ou inflammations pelviennes ;<\/span><\/li>\n
  • des signes pouvant \u00e9voquer une endom\u00e9triose ;<\/span><\/li>\n
  • certaines malformations ;<\/span><\/li>\n
  • une anomalie de la vessie ;<\/span><\/li>\n
  • certaines anomalies de la prostate chez l\u2019homme.<\/span><\/li>\n<\/ul>\n

    Dans le cadre d\u2019une absence de r\u00e8gles, par exemple, l\u2019\u00e9chographie peut permettre d\u2019\u00e9valuer la structure et le volume des ovaires ainsi que l\u2019aspect de l\u2019ut\u00e9rus.<\/span><\/p>\n

    N\u00e9anmoins, ce que l\u2019examen permet de voir d\u00e9pend de l\u2019indication m\u00e9dicale et de la technique utilis\u00e9e.<\/span><\/p>\n

    Comment se d\u00e9roule une \u00e9chographie pelvienne ?<\/span><\/h2>\n

    Le <\/span>d\u00e9roulement d\u2019une \u00e9chographie pelvienne<\/span><\/strong> est g\u00e9n\u00e9ralement simple.<\/span><\/p>\n

    Pour une exploration \u00e0 travers l\u2019abdomen :<\/span><\/p>\n

      \n
    • vous vous allongez sur la table d\u2019examen ;<\/span><\/li>\n
    • le m\u00e9decin applique un gel sur le bas du ventre ;<\/span><\/li>\n
    • il d\u00e9place ensuite une sonde sur la peau ;<\/span><\/li>\n
    • les images apparaissent imm\u00e9diatement sur son \u00e9cran ;<\/span><\/li>\n
    • une l\u00e9g\u00e8re pression peut parfois \u00eatre exerc\u00e9e pour mieux visualiser certains organes.<\/span><\/li>\n<\/ul>\n

      Le gel permet aux ultrasons de circuler correctement entre la sonde et la peau.<\/span><\/p>\n

      Pendant l\u2019examen, le radiologue peut \u00e9galement vous demander de changer l\u00e9g\u00e8rement de position ou de rester immobile quelques instants.<\/span><\/p>\n

      Une \u00e9chographie abdomino-pelvienne dure en moyenne autour de <\/span>30 minutes<\/span><\/strong>, m\u00eame si la dur\u00e9e r\u00e9elle varie selon la zone \u00e0 explorer et les examens n\u00e9cessaires.<\/span><\/p>\n

      Qu\u2019est-ce qu\u2019une \u00e9chographie pelvienne interne ?<\/span><\/h2>\n

      Chez la femme, une <\/span>\u00e9chographie pelvienne interne<\/span><\/strong>, \u00e9galement appel\u00e9e \u00e9chographie endovaginale ou transvaginale, peut compl\u00e9ter l\u2019examen r\u00e9alis\u00e9 sur le ventre.<\/span><\/p>\n

      Une petite sonde prot\u00e9g\u00e9e est alors introduite doucement dans le vagin. Comme elle se trouve plus pr\u00e8s de l\u2019ut\u00e9rus et des ovaires, elle peut fournir des images plus d\u00e9taill\u00e9es de certaines structures.<\/span><\/p>\n

      Cette technique est notamment utile lorsqu\u2019une exploration plus pr\u00e9cise des organes gyn\u00e9cologiques est n\u00e9cessaire.<\/span><\/p>\n

      Avant l\u2019examen, le professionnel de sant\u00e9 doit expliquer son d\u00e9roulement et recueillir votre consentement. Vous pouvez \u00e9galement demander \u00e0 interrompre l\u2019examen \u00e0 tout moment.<\/span><\/p>\n

      Au sein du Centre de la Femme IMPC, l\u2019exploration abdominale peut ainsi \u00eatre compl\u00e9t\u00e9e, lorsqu\u2019elle est indiqu\u00e9e et avec l\u2019accord de la patiente, par une exploration endovaginale.<\/span><\/p>\n

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      Prenez rendez-vous pour un \u00e9chographie dans nos centres<\/p>\n

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      Prise de rendez-vous \u00e9chographie – Paris 75009<\/p>\n

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      Prise de rendez-vous \u00e9chographie – Paris 75015<\/p>\n

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      Prise de rendez-vous \u00e9chographie – Paris 75009 Drouot<\/p>\n

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      Comment se pr\u00e9parer \u00e0 une \u00e9chographie pelvienne ?<\/span><\/h2>\n

      La pr\u00e9paration d\u00e9pend principalement de la technique pr\u00e9vue.<\/span><\/p>\n

      Pour une <\/span>\u00e9chographie pelvienne r\u00e9alis\u00e9e sur le ventre<\/span><\/strong>, il est souvent n\u00e9cessaire d\u2019avoir la vessie pleine. En effet, le liquide pr\u00e9sent dans la vessie facilite le passage des ultrasons et am\u00e9liore la visualisation de certains organes pelviens.<\/span><\/p>\n

      L\u2019Assurance Maladie recommande g\u00e9n\u00e9ralement de ne pas uriner pendant les trois heures pr\u00e9c\u00e9dant une \u00e9chographie pelvienne transcutan\u00e9e. Si vous avez urin\u00e9, il peut \u00eatre demand\u00e9 de boire plusieurs verres d\u2019eau avant l\u2019examen.<\/span><\/p>\n

      \u00c0 l\u2019inverse, pour une \u00e9chographie endovaginale, la vessie doit g\u00e9n\u00e9ralement \u00eatre vid\u00e9e avant l\u2019examen.<\/span><\/p>\n

      Dans tous les cas, suivez en priorit\u00e9 les consignes communiqu\u00e9es par votre centre d\u2019imagerie.<\/span><\/p>\n

      Faut-il \u00eatre \u00e0 jeun pour une \u00e9chographie pelvienne ?<\/span><\/h2>\n

      Une \u00e9chographie strictement pelvienne ne n\u00e9cessite g\u00e9n\u00e9ralement pas d\u2019\u00eatre \u00e0 jeun. La principale pr\u00e9paration demand\u00e9e pour une exploration pelvienne transcutan\u00e9e concerne plut\u00f4t le remplissage de la vessie.<\/span><\/p>\n

      Cependant, si votre ordonnance pr\u00e9voit une <\/span>\u00e9chographie abdomino-pelvienne<\/span><\/strong>, les consignes peuvent \u00eatre diff\u00e9rentes. Une p\u00e9riode sans manger peut alors \u00eatre demand\u00e9e pour faciliter l\u2019exploration de certains organes abdominaux.<\/span><\/p>\n

      C\u2019est pourquoi il est important de v\u00e9rifier pr\u00e9cis\u00e9ment l\u2019intitul\u00e9 de l\u2019examen prescrit.<\/span><\/p>\n

      L\u2019\u00e9chographie pelvienne est-elle douloureuse ?<\/span><\/h3>\n

      L\u2019\u00e9chographie r\u00e9alis\u00e9e sur le ventre est normalement indolore. Vous pouvez simplement ressentir le froid du gel ou une l\u00e9g\u00e8re pression de la sonde.<\/span><\/p>\n

      La vessie pleine peut toutefois provoquer une sensation d\u2019inconfort pendant quelques minutes.<\/span><\/p>\n

      L\u2019\u00e9chographie endovaginale peut, quant \u00e0 elle, \u00eatre ressentie comme plus intime ou l\u00e9g\u00e8rement inconfortable. N\u00e9anmoins, son introduction n\u2019est normalement pas douloureuse. Le professionnel doit rester attentif \u00e0 votre ressenti pendant toute la dur\u00e9e de l\u2019examen.<\/span><\/p>\n

      Ainsi, n\u2019h\u00e9sitez jamais \u00e0 signaler une douleur ou une g\u00eane.<\/span><\/p>\n

      Quels sont les risques et contre-indications ?<\/span><\/h3>\n

      L\u2019un des principaux avantages de l\u2019\u00e9chographie est qu\u2019elle <\/span>n\u2019utilise pas de rayons X<\/span><\/strong>. Il n\u2019y a donc pas de risque li\u00e9 \u00e0 une exposition aux rayonnements ionisants.<\/span><\/p>\n

      L\u2019Assurance Maladie indique \u00e9galement qu\u2019aucune complication n\u2019est li\u00e9e \u00e0 la r\u00e9alisation habituelle d\u2019une \u00e9chographie abdomino-pelvienne transcutan\u00e9e, transvaginale ou transrectale.<\/span><\/p>\n

      Pour une \u00e9chographie endovaginale, il faut n\u00e9anmoins signaler une \u00e9ventuelle allergie au latex afin qu\u2019une protection adapt\u00e9e puisse \u00eatre utilis\u00e9e.<\/span><\/p>\n

      Confort et accompagnement pendant l\u2019examen<\/span><\/h3>\n

      Une \u00e9chographie pelvienne touche \u00e0 une zone intime du corps. Il est donc normal de se poser des questions ou d\u2019appr\u00e9hender certaines \u00e9tapes, notamment lorsqu\u2019une exploration endovaginale est envisag\u00e9e.<\/span><\/p>\n

      L\u2019explication de l\u2019examen fait partie de la prise en charge. Avant de commencer, vous pouvez poser vos questions, signaler une inqui\u00e9tude ou demander des pr\u00e9cisions sur la technique utilis\u00e9e.<\/span><\/p>\n

      Vous avez \u00e9galement le droit d\u2019\u00eatre accompagn\u00e9 par une personne de votre choix lors de l\u2019examen, en le signalant lors de la prise de rendez-vous.<\/span><\/p>\n

      Cette communication permet de rendre l\u2019examen plus confortable et de respecter le rythme de chaque patient.<\/span><\/p>\n

      R\u00e9aliser une \u00e9chographie pelvienne chez IMPC<\/span><\/h3>\n

      Les centres d\u2019imagerie IMPC proposent la r\u00e9alisation d\u2019\u00e9chographies pelviennes \u00e0 Paris, avec notamment des radiologues sp\u00e9cialis\u00e9s en imagerie gyn\u00e9cologique. Le groupe dispose \u00e9galement d\u2019un Centre de la Femme d\u00e9di\u00e9 \u00e0 l\u2019exploration de pathologies gyn\u00e9cologiques.<\/span><\/p>\n

      Lors de votre rendez-vous, pensez \u00e0 apporter votre ordonnance ainsi que vos anciens examens d\u2019imagerie s\u2019ils concernent la m\u00eame r\u00e9gion. Ils peuvent \u00eatre utiles au radiologue pour comparer les r\u00e9sultats.<\/span><\/p>\n

      Vous pouvez ensuite prendre rendez-vous en ligne dans un centre IMPC proposant l\u2019\u00e9chographie pelvienne ou contacter directement le centre afin de conna\u00eetre les consignes de pr\u00e9paration adapt\u00e9es \u00e0 votre examen.<\/span><\/p>\n

      [\/et_pb_text][et_pb_image src=\u00a0\u00bbhttps:\/\/www.impc.fr\/wp-content\/uploads\/2020\/08\/parisimpc.png\u00a0\u00bb title_text=\u00a0\u00bbparisimpc\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

      L\u2019\u00e9chographie pelvienne est un examen d\u2019imagerie m\u00e9dicale simple et non irradiant qui permet d\u2019explorer les organes du bassin, notamment l\u2019ut\u00e9rus, les ovaires, la vessie ou la prostate. D\u00e9couvrez dans quels cas elle est prescrite, comment elle se d\u00e9roule, comment bien s\u2019y pr\u00e9parer et ce qu\u2019elle peut mettre en \u00e9vidence.<\/p>","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"1080","footnotes":""},"categories":[270],"tags":[],"class_list":["post-6053","post","type-post","status-publish","format-standard","hentry","category-echographie"],"yoast_head":"\nQu\u2019est-ce qu\u2019une \u00e9chographie pelvienne ? - Groupe IMPC - Imagerie M\u00e9dicale<\/title>\n<meta name=\"description\" content=\"Qu\u2019est-ce qu\u2019une \u00e9chographie pelvienne ? 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