Care pathway · Surgical approach decision / Gynecology / Gynecologic oncology · for licensed clinicians

Endometrial Cancer · Surgical Staging + Fertility-Sparing

Surgical staging = hysterectomy + BSO + cytology ± sentinel node (better than systematic dissection), early minimally invasive; G1/IA without myometrial invasion young may have progestin fertility-sparing; high-risk add adjuvant.

Based on: ESGO-ESTRO-ESP / NCCN · nodes are our own synthesis of the guideline's decision logic, not the guideline verbatim
Clinical takeaway

High-risk/advanced → staging + adjuvant: High-risk/advanced (deep myometrial, high-grade, serous/clear cell, cervical or extrauterine involvement) → surgical staging (with omentect…

Step-by-step decision

Choose step by step as prompted; reaching an endpoint gives the management recommendation. You can go back a step or restart anytime.

Step 1 · Stage/grade + fertility wish
Grade/myometrial invasion/spread? Fertility-sparing?

Full pathway

  1. [Decision] Stage/grade + fertility wish
    Grade/myometrial invasion/spread? Fertility-sparing?
    • Localized, planning surgery (any grade) → Surgical staging
    • G1 endometrioid, IA without myometrial invasion, young strongly wanting fertility preservation → G1/IA no invasion → progestin fertility-sparing
    • High-risk/advanced (deep myometrial/high-grade/serous-clear cell/cervical or extrauterine involvement) → High-risk/advanced → staging + adjuvant
  2. [End] Surgical staging
    Surgical staging = total hysterectomy + bilateral salpingo-oophorectomy + peritoneal cytology ± nodal assessment (sentinel lymph node mapping is better than systematic dissection); early disease prefers minimally invasive (laparoscopic/robotic); adjuvant therapy by molecular classification (POLE/MMR-d/p53/NSMP) and pathology.
  3. [End] G1/IA no invasion → progestin fertility-sparing
    G1 endometrioid, IA without myometrial invasion, young strongly wanting fertility preservation → progestin (LNG-IUS/high-dose oral progestin) + close monitoring (D&C every 3-6 months); hysterectomy after completing childbearing; no response/progression → surgery.
  4. [End] High-risk/advanced → staging + adjuvant
    High-risk/advanced (deep myometrial, high-grade, serous/clear cell, cervical or extrauterine involvement) → surgical staging (with omentectomy/cytoreduction) + adjuvant (chemotherapy ± radiotherapy); multidisciplinary.

Source guidelines & references

  • Endometrial cancer management (ESGO/ESTRO/ESP; NCCN; molecular classification POLE/MMR/p53)

This pathway is our own synthesis of the decision logic in the guidelines above (not the guideline verbatim); thresholds and workflows change as guidelines update — in practice follow the latest guideline, your institution's protocol and the individual patient.

⚠️ This pathway is for clinical reference and teaching by licensed clinicians as decision support; it does not replace clinical judgement or individualized care. In emergencies, follow resuscitation protocols first.

Other pathways

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PathwayNeurology / EmergencyAdult Bacterial Meningitis — Empiric Management PathwayNeurology / Infectious disease / EmergencyAcute Heart Failure — Management PathwayCardiology / EmergencyCOPD Exacerbation (AECOPD) — Management PathwayRespiratory / EmergencyAcute Pancreatitis — Management PathwayGastroenterology / EmergencyHypertensive Emergency — Management PathwayCardiology / EmergencyNSTE-ACS — Risk Stratification & Timing of Invasive StrategyCardiology / EmergencyHyponatremia — Management PathwayNephrology / Endocrinology / EmergencyHyperosmolar Hyperglycemic State (HHS) — Management PathwayEndocrinology / Emergency / Critical careAcetaminophen (Paracetamol) Poisoning — Management PathwayEmergency / ToxicologyLower-Limb Deep Vein Thrombosis (DVT) — Diagnostic PathwayVascular / Emergency / Internal medicineSupraventricular Tachycardia — Emergency ManagementCardiology / EmergencySymptomatic Bradycardia — Management PathwayCardiology / Emergency / Critical careWide-QRS Tachycardia (VT) — Management PathwayCardiology / Emergency / Critical careCardiac Tamponade — Management PathwayCardiology / Emergency / Critical careAcute Pericarditis — Management PathwayCardiology / EmergencyAcute Aortic Dissection — Management PathwayCardiology / Emergency / Thoracic surgeryAcute Respiratory Distress Syndrome (ARDS) — PathwayCritical care / Respiratory / EmergencyCardiogenic Shock — Management PathwayCardiology / Critical care / EmergencyTIA · ABCD2 Risk Stratification PathwayNeurology / EmergencySubarachnoid Hemorrhage (SAH) — Diagnostic & Management PathwayNeurology / Emergency / NeurosurgerySpontaneous Intracerebral Hemorrhage — Management PathwayNeurology / Emergency / NeurosurgeryCerebral Venous Sinus Thrombosis (CVST) — Management PathwayNeurology / Emergency / RadiologyAcute Vertigo (HINTS) — Management PathwayNeurology / Emergency / ENTSyncope Risk Stratification — Management PathwayEmergency / Cardiology / NeurologyHypoglycemia — Management PathwayEndocrinology / Emergency / General practiceHypokalemia — Management PathwayNephrology / Cardiology / EmergencyThyroid Storm — Management PathwayEndocrinology / Emergency / Critical careAdrenal Crisis — Management PathwayEndocrinology / Emergency / Critical careHypercalcemia (Hypercalcemic Crisis) — Management PathwayEndocrinology / Emergency / OncologyHypernatremia — Management PathwayNephrology / Endocrinology / EmergencyRhabdomyolysis — Management PathwayNephrology / Emergency / Critical careAcute Cholangitis — Management PathwayGastroenterology / Hepatobiliary / EmergencySpontaneous Bacterial Peritonitis (SBP) — PathwayGastroenterology / Hepatology / EmergencyHepatic Encephalopathy — Management PathwayGastroenterology / Hepatology / EmergencyCarbon Monoxide Poisoning — Management PathwayEmergency / Toxicology / Hyperbaric medicineOpioid Overdose — Management PathwayEmergency / ToxicologyOrganophosphate Pesticide Poisoning — Management PathwayEmergency / Toxicology / Critical careSalicylate (Aspirin) Poisoning — Management PathwayEmergency / ToxicologyTricyclic Antidepressant Poisoning — Management PathwayEmergency / Toxicology / Critical careCalcium-Channel / Beta-Blocker Poisoning — PathwayEmergency / Toxicology / Critical careDigoxin Toxicity — Management PathwayCardiology / Emergency / ToxicologySerotonin Syndrome — Management PathwayEmergency / Toxicology / PsychiatryNeuroleptic Malignant Syndrome (NMS) — PathwayEmergency / Psychiatry / Critical careAlcohol Withdrawal / Delirium Tremens — Management PathwayEmergency / Critical care / AddictionBenzodiazepine (Sedative-Hypnotic) Overdose — PathwayEmergency / ToxicologyAcute Alcohol & Toxic-Alcohol Poisoning — PathwayEmergency / ToxicologyLithium Toxicity — Management PathwayEmergency / Toxicology / PsychiatryIron Poisoning — Management PathwayEmergency / Toxicology / PediatricsMethemoglobinemia — Management PathwayEmergency / Toxicology / Critical careMethanol / Ethylene Glycol Poisoning — Management PathwayEmergency / Toxicology / Critical careSympathomimetic Toxicity (Cocaine/Amphetamines) — PathwayEmergency / Toxicology / Critical careAnticholinergic (Antimuscarinic) Toxicity — PathwayEmergency / ToxicologyCyanide Poisoning — Management PathwayEmergency / Toxicology / Critical careIsoniazid (INH) Poisoning — Management PathwayEmergency / Toxicology / Infectious diseaseParaquat Poisoning — Management PathwayEmergency / Toxicology / Critical careVenomous Snakebite — Management PathwayEmergency / ToxicologyCaustic (Strong Acid/Alkali) Ingestion — Management PathwayEmergency / Toxicology / GastroenterologyAcute Transfusion Reaction — Management PathwayTransfusion medicine / Emergency / Critical carePneumothorax — Management PathwayRespiratory / Emergency / Thoracic surgeryHeat Stroke (Severe Heat Illness) — Management PathwayEmergency / Critical careAcute Mesenteric Ischemia — Management PathwayGastroenterology / Vascular / SurgeryAcute Limb Ischemia — Management PathwayVascular / EmergencyAcute Pulmonary Embolism — Risk Stratification & Treatment PathwayRespiratory / Cardiology / EmergencyTumor Lysis Syndrome (TLS) — Management PathwayHematology-oncology / Emergency / NephrologyInfective Endocarditis — Diagnostic PathwayInfectious disease / CardiologyCauda Equina Syndrome — Management PathwaySpine surgery / Neurology / EmergencyMalaria — Management PathwayInfectious disease / EmergencyAcute Altitude Illness — Management PathwayEmergency / Environmental injuryEsophageal Variceal Bleeding — Management PathwayGastroenterology / Hepatology / EmergencySeptic Arthritis — Management PathwayInfectious disease / Orthopedics / EmergencyMetastatic Spinal Cord Compression (MSCC) — PathwayOncology / Neurology / OrthopedicsMassive Hemoptysis — Management PathwayRespiratory / Emergency / Interventional radiologyEclampsia / Severe Pre-eclampsia — Management PathwayObstetrics / EmergencyPostpartum Hemorrhage (PPH) — Management PathwayObstetrics / EmergencyHELLP Syndrome — Management PathwayObstetrics / Maternal-fetal medicine / Critical carePlacental Abruption — Management PathwayObstetrics / EmergencyAmniotic Fluid Embolism (AFE) — Recognition & ManagementObstetrics / Anesthesia / Critical careEctopic Pregnancy — Diagnosis & Management PathwayObstetrics & gynecology / EmergencyAcute Appendicitis · Alvarado Score PathwaySurgery / EmergencyAcute Cholecystitis — Management PathwaySurgery / Hepatobiliary / EmergencyBowel Obstruction — Management PathwaySurgery / EmergencyAcute Diverticulitis — Management PathwayGeneral surgery / Gastroenterology / EmergencyTesticular Torsion — Management PathwayUrology / EmergencyOvarian / Adnexal Torsion — Management PathwayObstetrics & gynecology / EmergencyRenal Colic / Ureteric Stone — Management PathwayUrology / EmergencyRuptured Abdominal Aortic Aneurysm — Management PathwayVascular surgery / Emergency / Critical careCroup (Acute Laryngotracheitis) — Management PathwayPediatrics / EmergencyBronchiolitis — Management PathwayPediatrics / EmergencyKawasaki Disease — Diagnosis & Treatment PathwayPediatrics / CardiologyPediatric Diabetic Ketoacidosis (DKA) — PathwayPediatrics / Endocrinology / EmergencyPediatric Febrile Seizure — Management PathwayPediatrics / EmergencyIntussusception (Pediatric) — Management PathwayPediatrics / Pediatric surgery / EmergencyClostridioides difficile Colitis (CDI) — PathwayInfectious disease / Gastroenterology / Critical careAcute Pyelonephritis — Management PathwayInfectious disease / Urology / EmergencyHerpes Simplex Encephalitis — Management PathwayInfectious disease / Neurology / EmergencyNecrotizing Fasciitis — Management PathwaySurgery / Infectious disease / Critical careThrombotic Thrombocytopenic Purpura (TTP) — PathwayHematology / Emergency / Critical careDisseminated Intravascular Coagulation (DIC) — PathwayHematology / Critical care / EmergencyGuillain-Barré Syndrome (GBS) — PathwayNeurology / Critical care / EmergencyMyasthenic Crisis — Management PathwayNeurology / Critical care / EmergencyFebrile Neutropenia — Management PathwayHematology-oncology / Infectious disease / EmergencyToxic Shock Syndrome — Management PathwayInfectious disease / Critical care / EmergencySpinal Epidural Abscess — Management PathwayNeurosurgery / Infectious disease / EmergencyGiant Cell Arteritis (Temporal Arteritis) — PathwayRheumatology / Ophthalmology / NeurologyWernicke Encephalopathy — Management PathwayNeurology / Emergency / NutritionMyxedema Coma — Management PathwayEndocrinology / Emergency / Critical carePheochromocytoma Crisis — Management PathwayEndocrinology / Emergency / Critical careMajor Burns (Parkland) — Management PathwayEmergency / Burns / Critical careDrowning — Management PathwayEmergency / Critical care / PediatricsAccidental Hypothermia — Management PathwayEmergency / Environmental injury / Critical careAcute Angle-Closure Glaucoma — Management PathwayOphthalmology / EmergencyCentral Retinal Artery Occlusion (CRAO) — PathwayOphthalmology / Neurology / EmergencyAcute Liver Failure — Management PathwayGastroenterology / Hepatology / Critical careSpontaneous Esophageal Rupture (Boerhaave) — PathwayEsophageal surgery / Emergency / Critical careToxic Megacolon — Management PathwayGastroenterology / Colorectal surgery / Critical careCervical Spine Clearance (NEXUS/Canadian) — PathwayEmergency / Trauma / RadiologyHead Injury CT Decision (Canadian CT Head Rule)Emergency / NeurosurgeryTetanus Post-Exposure Prophylaxis — PathwayEmergency / Prevention / General practiceRefeeding Syndrome — Management PathwayNutrition / Critical care / Internal medicinePleural Effusion (Light's Criteria) — PathwayRespiratory / EmergencyEpistaxis — Management PathwayENT / EmergencyPeritonsillar Abscess (Quinsy) — PathwayENT / EmergencyOrbital Cellulitis (Postseptal) — PathwayOphthalmology / ENT / PediatricsAcute Epiglottitis (Airway) — Management PathwayENT / Emergency / AirwayPriapism — Management PathwayUrology / EmergencyAcute Urinary Retention — Management PathwayUrology / EmergencySigmoid Volvulus — Management PathwayColorectal surgery / EmergencyElectrical Injury — Management PathwayEmergency / Burns / Critical careAcute Appendicitis · Conservative vs Surgery + ApproachSurgical approach decision / General surgery / EmergencyGallstones/Cholecystitis · Observe vs Surgery + ApproachSurgical approach decision / General surgery / HepatobiliaryInguinal Hernia · Observe vs Repair + ApproachSurgical approach decision / General surgeryUterine Fibroids · Observe/Medical vs Surgery + ApproachSurgical approach decision / GynecologyAdnexal Mass · Surveillance vs Surgery + ApproachSurgical approach decision / GynecologyThyroid Nodule · Surveillance vs Surgery + ApproachSurgical approach decision / Thyroid surgery / EndocrinologyUrinary Stones · Stone Passage vs Lithotripsy/Removal + ApproachSurgical approach decision / UrologyBenign Prostatic Hyperplasia · Medical vs Surgery + ApproachSurgical approach decision / UrologyLumbar Disc Herniation · Conservative vs Minimally Invasive vs FusionSurgical approach decision / Orthopedics / SpineHip/Knee Osteoarthritis · Conservative vs Joint Replacement + ApproachSurgical approach decision / Orthopedics / ArthroplastyPulmonary Nodule · Surveillance vs Wedge/Lobectomy + ApproachSurgical approach decision / Thoracic surgery / RadiologyCarotid Stenosis · Medical vs CEA vs StentingSurgical approach decision / Vascular surgery / NeurologyAbdominal Aortic Aneurysm · Surveillance vs Open vs EVARSurgical approach decision / Vascular surgeryEarly Breast Cancer · Breast Conservation vs Mastectomy + AxillaSurgical approach decision / Breast surgeryEarly Gastric Cancer/Tumor · ESD vs GastrectomySurgical approach decision / GI endoscopy / GI surgeryColorectal Polyp/Early Cancer · Endoscopic Resection vs SurgerySurgical approach decision / GI endoscopy / GI surgeryHemorrhoids · Conservative vs Banding vs SurgerySurgical approach decision / Colorectal surgeryLower-Limb Varicose Veins · Conservative vs Thermal Ablation vs StrippingSurgical approach decision / Vascular surgeryPrimary Hyperparathyroidism · Observe vs ParathyroidectomySurgical approach decision / Endocrine surgeryPelvic Organ Prolapse · Conservative vs Surgery + ApproachSurgical approach decision / Gynecology / Pelvic floorStress Urinary Incontinence · Conservative vs SlingSurgical approach decision / Urology / Pelvic floorAcute Diverticulitis · Conservative vs SurgerySurgical approach decision / General surgery / EmergencyCommon Bile Duct Stones · ERCP vs Laparoscopic Bile Duct ExplorationSurgical approach decision / Hepatobiliary surgery / GI endoscopyHepatocellular Carcinoma · Resection/Ablation/Transplant (BCLC)Surgical approach decision / Hepatobiliary surgery / OncologyRotator Cuff Tear · Conservative vs RepairSurgical approach decision / Orthopedics / Sports medicineACL Injury · Conservative vs ReconstructionSurgical approach decision / Orthopedics / Sports medicineCarpal Tunnel Syndrome · Conservative vs ReleaseSurgical approach decision / Orthopedics / Hand surgeryLumbar Spinal Stenosis · Conservative vs Decompression ± FusionSurgical approach decision / Orthopedics / SpineCataract · Observe vs SurgerySurgical approach decision / OphthalmologyCryptorchidism · Observe vs OrchidopexySurgical approach decision / Pediatric surgery / UrologyCongenital Hypertrophic Pyloric Stenosis · Correct First, then PyloromyotomySurgical approach decision / Pediatric surgeryPituitary Tumor · Medical vs Transsphenoidal vs CraniotomySurgical approach decision / Neurosurgery / EndocrinologyMeningioma · Observe vs Resection vs SRSSurgical approach decision / Neurosurgery / OncologyIntracranial Aneurysm · Observe vs Clipping vs CoilingSurgical approach decision / Neurosurgery / InterventionalAortic Stenosis · SAVR vs TAVRSurgical approach decision / Cardiac surgery / CardiologyCoronary Revascularization · CABG vs PCISurgical approach decision / Cardiac surgery / CardiologyMitral Regurgitation · Repair vs ReplacementSurgical approach decision / Cardiac surgery / CardiologyVentral/Incisional Hernia · Repair ApproachSurgical approach decision / General surgery / Plastic surgeryKeloid/Hypertrophic Scar · Conservative vs Excision + AdjuvantSurgical approach decision / Plastic surgery / DermatologyTonsils · Observe vs TonsillectomySurgical approach decision / ENTChronic Rhinosinusitis · Medical vs FESSSurgical approach decision / ENTThyroglossal Duct Cyst · Sistrunk ProcedureSurgical approach decision / ENT / Pediatric surgeryImpacted Wisdom Tooth · Retain vs ExtractionSurgical approach decision / Oral and maxillofacial surgeryEctopic Pregnancy · Expectant vs MTX vs SurgerySurgical approach decision / Gynecology / EmergencyOvarian Torsion · Preserve vs RemoveSurgical approach decision / Gynecology / EmergencyEndometriosis · Medical vs LaparoscopySurgical approach decision / GynecologyTrial of Labor After Cesarean (TOLAC/VBAC)Surgical approach decision / ObstetricsCervical Insufficiency · Cerclage IndicationsSurgical approach decision / ObstetricsRenal Tumor (Localized) · Surveillance/Ablation/Partial vs RadicalSurgical approach decision / Urology / OncologyLocalized Prostate Cancer · Surveillance vs Prostatectomy vs RadiotherapySurgical approach decision / Urology / OncologyBladder Cancer · TURBT vs Radical CystectomySurgical approach decision / Urology / OncologyPancreatic Cancer · Resectability + ApproachSurgical approach decision / Hepato-pancreato-biliary surgery / OncologyGallbladder Polyp · Surveillance vs CholecystectomySurgical approach decision / Hepatobiliary surgerySpontaneous Pneumothorax · Observe/Drain vs SurgerySurgical approach decision / Thoracic surgery / EmergencyLower-Limb Atherosclerotic Occlusion · Medical vs Endovascular vs BypassSurgical approach decision / Vascular surgeryAdrenal Tumor/Pheochromocytoma · Observe vs ResectionSurgical approach decision / Endocrine surgeryAnal Fistula · Fistulotomy vs Sphincter-Sparing ProcedureSurgical approach decision / Colorectal surgeryTrigeminal Neuralgia · Medical vs MVD vs AblationSurgical approach decision / NeurosurgeryGlaucoma · Medical vs Laser vs SurgerySurgical approach decision / OphthalmologyHip Fracture · Internal Fixation vs ArthroplastySurgical approach decision / Orthopedics / TraumaSplenectomy Indications · Observe/Embolize vs SplenectomySurgical approach decision / General surgeryRectal Cancer · Local Excision vs TMESurgical approach decision / Colorectal surgery / OncologyEsophageal Cancer · Endoscopic vs EsophagectomySurgical approach decision / Thoracic surgery / OncologyRetinal Detachment · Laser vs Scleral Buckle vs VitrectomySurgical approach decision / OphthalmologyObstructive Sleep Apnea · CPAP vs SurgerySurgical approach decision / ENT / Sleep medicinePediatric Hydrocele · Observe vs SurgerySurgical approach decision / Pediatric surgery / UrologyPediatric Intussusception · Enema Reduction vs SurgerySurgical approach decision / Pediatric surgery / EmergencyBurns · Excision and Grafting + EscharotomySurgical approach decision / Burns and plastic surgery / EmergencyCervical Spondylosis · Anterior vs PosteriorSurgical approach decision / Orthopedics / SpineVaricocele · Observe vs RepairSurgical approach decision / UrologyUreteropelvic Junction Obstruction · Observe vs PyeloplastySurgical approach decision / UrologyHydrosalpinx / Tubal InfertilitySurgical approach decision / Gynecology / Reproductive medicineAdenomyosis · Medical vs Uterus-Sparing vs HysterectomySurgical approach decision / GynecologyCutaneous Melanoma · Margins + Sentinel NodeSurgical approach decision / Plastic surgery / OncologyPressure Ulcer · Stage-Based Conservative vs Flap ReconstructionSurgical approach decision / Plastic surgery / Wound careAtrial Fibrillation · Medical vs Catheter Ablation vs Surgical MazeSurgical approach decision / Cardiac surgery / CardiologyCongenital ASD/VSD · Device Closure vs SurgerySurgical approach decision / Cardiac surgery / Congenital heartHepatic Cystic Echinococcosis · Observe vs PAIR vs SurgerySurgical approach decision / Hepatobiliary surgeryHepatic Hemangioma · Observe vs ResectionSurgical approach decision / Hepatobiliary surgeryOvarian Cancer · Staging/Cytoreduction · Primary vs Neoadjuvant + Fertility-SparingSurgical approach decision / Gynecology / Gynecologic oncologyCervical Cancer · By FIGO Stage + ApproachSurgical approach decision / Gynecology / Gynecologic oncologyVulvar Cancer · Local Excision/Vulvectomy + Inguinal NodesSurgical approach decision / Gynecology / Gynecologic oncologyGestational Trophoblastic Disease · Evacuation vs Chemotherapy vs HysterectomySurgical approach decision / Gynecology / Gynecologic oncologyBorderline Ovarian Tumor · Fertility-Sparing vs StagingSurgical approach decision / Gynecology / Gynecologic oncologyOvarian Germ Cell Tumor · Fertility-Sparing Surgery + ChemotherapySurgical approach decision / Gynecology / Gynecologic oncologyOvarian Sex Cord-Stromal Tumor · SurgerySurgical approach decision / Gynecology / Gynecologic oncologyRecurrent Ovarian Cancer · Secondary Cytoreduction vs Systemic TherapySurgical approach decision / Gynecology / Gynecologic oncologyCervical Intraepithelial Neoplasia (CIN) · Surveillance vs ExcisionSurgical approach decision / Gynecology / Gynecologic oncologyUterine Sarcoma · Surgery (Distinct from Fibroid)Surgical approach decision / Gynecology / Gynecologic oncologyGlioma · Maximal Safe Resection vs BiopsySurgical approach decision / Neurosurgery / OncologyBrain Metastases · Surgery vs SRS vs Whole-Brain RadiotherapySurgical approach decision / Neurosurgery / OncologyChronic Subdural Hematoma · Observe vs Burr-Hole DrainageSurgical approach decision / NeurosurgerySpontaneous Intracerebral Hemorrhage · Medical vs Surgical EvacuationSurgical approach decision / Neurosurgery / EmergencyHydrocephalus · Shunt vs ETVSurgical approach decision / NeurosurgeryVestibular Schwannoma (Acoustic Neuroma) · Observe vs SRS vs SurgerySurgical approach decision / NeurosurgeryBrain Arteriovenous Malformation · Surgery/Embolization/RadiosurgerySurgical approach decision / NeurosurgeryOveractive Bladder/Urge Incontinence · Stepped TherapySurgical approach decision / Urology / Pelvic floorFecal Incontinence · Conservative vs Sphincteroplasty vs Sacral NeuromodulationSurgical approach decision / Colorectal surgery / Pelvic floorRectocele/Obstructed Defecation · Conservative vs RepairSurgical approach decision / Colorectal surgery / Pelvic floorVesicovaginal Fistula · Conservative vs Transvaginal vs Transabdominal RepairSurgical approach decision / Urology / Pelvic floorRectovaginal Fistula · Repair + ApproachSurgical approach decision / Colorectal surgery / Pelvic floorVaginal Vault Prolapse (Post-Hysterectomy Apical) · Reconstructive ApproachSurgical approach decision / Gynecology / Pelvic floorPelvic Mesh Complications · ManagementSurgical approach decision / Gynecology / Pelvic floorObstetric Third/Fourth-Degree Perineal Tear (OASIS) · Graded RepairSurgical approach decision / Obstetrics / Pelvic floorAcute Epidural Hematoma · Surgical Evacuation vs ObservationSurgical approach decision / Neurosurgery / TraumaAcute Subdural Hematoma · Surgical Evacuation vs ObservationSurgical approach decision / Neurosurgery / TraumaRefractory Intracranial Hypertension · Decompressive Craniectomy IndicationsSurgical approach decision / Neurosurgery / Trauma / Critical careHydrocephalus · ETV vs Ventriculoperitoneal ShuntSurgical approach decision / NeurosurgeryChiari I Malformation · Posterior Fossa Decompression IndicationsSurgical approach decision / Neurosurgery / SpineBrain Arteriovenous Malformation (AVM) · Spetzler-Martin Grade and TreatmentSurgical approach decision / Neurosurgery / InterventionalDeep Brain Stimulation (DBS) · Indications and TargetsSurgical approach decision / Neurosurgery / FunctionalCraniopharyngioma · Approach and Extent of ResectionSurgical approach decision / Neurosurgery / EndocrinologyBrain Abscess · Medical vs Aspiration vs ExcisionSurgical approach decision / Neurosurgery / InfectionEndometrial Hyperplasia · Progestin vs HysterectomySurgical approach decision / GynecologyEarly Pregnancy Loss · Expectant vs Medical vs SurgicalSurgical approach decision / Gynecology / EmergencyBenign Hysterectomy · Route SelectionSurgical approach decision / GynecologyMenopausal Hormone Therapy (MHT) · Indications and RegimenSurgical approach decision / Gynecology / EndocrinologyOvarian Endometrioma (Chocolate Cyst) · Cystectomy vs AblationSurgical approach decision / Gynecology / Reproductive medicineAbnormal Uterine Bleeding (AUB · PALM-COEIN) · TriageSurgical approach decision / GynecologyCesarean Scar Pregnancy (CSP) · ManagementSurgical approach decision / Gynecology / EmergencyBartholin Cyst/Abscess · ManagementSurgical approach decision / GynecologyIntrauterine Adhesions (Asherman) · Hysteroscopic AdhesiolysisSurgical approach decision / Gynecology / Reproductive medicinePediatric Dehydration Graded Fluid PathwayPediatrics / EmergencyRabies Post-Exposure Prophylaxis (PEP) PathwayEmergency / Infectious disease / PreventionAcute Compartment Syndrome PathwayOrthopedics / Trauma / EmergencyHeparin-Induced Thrombocytopenia (HIT) PathwayHematology / Critical care / CardiovascularNeonatal Jaundice Management PathwayNeonatology / PediatricsMushroom (Amatoxin) Poisoning PathwayEmergency / Toxicology / HepatologyPelvic Inflammatory Disease (PID) PathwayGynecology / EmergencyPreterm Labor / Premature Rupture of Membranes (PPROM) PathwayObstetrics / Maternal-fetal medicineLocal Anesthetic Systemic Toxicity (LAST) PathwayAnesthesia / Emergency / Critical carePituitary Apoplexy PathwayEndocrinology / Neurosurgery / OphthalmologyFournier Gangrene PathwayUrology / General surgery / Critical careButton Battery Ingestion (Pediatric) PathwayPediatrics / ENT / EmergencyChemical Eye Burn PathwayOphthalmology / EmergencyAcute Colonic Pseudo-Obstruction (Ogilvie) PathwayGastroenterology / Colorectal surgery / Critical careO-RADS Ultrasound · Adnexal Mass Risk StratificationImaging / Gynecology / UltrasoundO-RADS MRI · Adnexal Mass AssessmentImaging / Gynecology / MRIPostmenopausal Bleeding · Endometrial Imaging AssessmentImaging / Gynecology / UltrasoundCervical Cancer MRI Staging (FIGO 2018)Imaging / Gynecologic oncology / MRIEndometrial Cancer MRI Staging (FIGO 2023)Imaging / Gynecologic oncology / MRIAdenomyosis Imaging DiagnosisImaging / Gynecology / UltrasoundUterine Fibroid FIGO Classification + Sarcoma DifferentiationImaging / Gynecology / MRIDeep Endometriosis Imaging (#Enzian)Imaging / Gynecology / MRIUterine Anomaly Classification (ASRM 2021)Imaging / Reproductive medicine / MRIPlacenta Accreta Spectrum (PAS) ImagingImaging / Obstetrics / Maternal-fetal medicineMolar Pregnancy / Gestational Trophoblastic Disease ImagingImaging / Gynecologic oncology / ObstetricsPolycystic Ovarian Morphology (PCOM) UltrasoundImaging / Reproductive endocrinology / UltrasoundTubo-Ovarian Abscess (TOA) ImagingImaging / Gynecology / EmergencyEndometrial Polyp / Intracavitary Lesion ImagingImaging / Gynecology / UltrasoundOvarian Cancer Imaging Staging and ResectabilityImaging / Gynecologic oncology / CTCesarean Scar Pregnancy (CSP) Ultrasound DiagnosisImaging / Obstetrics / UltrasoundCesarean Scar Niche (Isthmocele) ImagingImaging / Gynecology / UltrasoundHydrosalpinx Imaging DiagnosisImaging / Gynecology / UltrasoundAdnexal Torsion Imaging DiagnosisImaging / Gynecology / UltrasoundRetained Products of Conception (RPOC) ImagingImaging / Obstetrics / UltrasoundUterine Arteriovenous Malformation / Enhanced Myometrial Vascularity (EMV)Imaging / Gynecology / InterventionalOvarian Hyperstimulation Syndrome (OHSS) Imaging GradingImaging / Reproductive medicine / UltrasoundVulvar/Vaginal Cancer MRI StagingImaging / Gynecologic oncology / MRIPelvic Congestion Syndrome (PCS) ImagingImaging / Gynecology / InterventionalEarly Pregnancy Viability Assessment (SRU 2013)Imaging / Obstetrics and gynecology / UltrasoundEctopic Pregnancy Ultrasound DiagnosisImaging / Obstetrics and gynecology / UltrasoundIntrauterine Adhesions (Asherman) Imaging DiagnosisImaging / Gynecology / Reproductive medicineHysterosalpingography (HSG) Tubal Patency AssessmentImaging / Gynecology / Reproductive medicineGestational Trophoblastic Neoplasia (GTN) Staging and RiskImaging / Gynecologic oncologyCervical Length · Cervical Insufficiency Transvaginal UltrasoundImaging / Obstetrics / UltrasoundOvarian Vein Thrombosis (Postpartum) ImagingImaging / Obstetrics / VascularFetal Ventriculomegaly MRIImaging / Fetal medicine / Prenatal diagnosisFetal Agenesis of the Corpus Callosum MRIImaging / Fetal medicine / Prenatal diagnosisFetal Posterior Fossa Malformation MRI (Dandy-Walker Continuum)Imaging / Fetal medicine / Prenatal diagnosisCongenital Diaphragmatic Hernia (CDH) Fetal MRIImaging / Fetal medicine / Pediatric surgeryCongenital Pulmonary Airway Malformation (CPAM) Fetal · CVRImaging / Fetal medicine / Pediatric surgeryOpen Spina Bifida · Fetal Surgery Candidacy (MOMS)Imaging / Fetal medicine / Pediatric neurosurgeryDynamic Pelvic Floor MRI · Pelvic Organ Prolapse (HMO)Imaging / Gynecology / Pelvic floorCongenital Cytomegalovirus (CMV) Brain MRIImaging / Fetal medicine / Prenatal diagnosisSacrococcygeal Teratoma (Altman) Fetal MRIImaging / Fetal medicine / Pediatric surgeryFetal Neck Mass · EXIT AssessmentImaging / Fetal medicine / ENTHoloprosencephaly (HPE) Fetal MRIImaging / Fetal medicine / Prenatal diagnosisPulmonary Sequestration (BPS) Fetal MRIImaging / Fetal medicine / Pediatric surgeryFetal Lower Urinary Tract Obstruction (LUTO)Imaging / Fetal medicine / Pediatric urologyFetal Hydrops (Immune/Non-immune) Diagnostic WorkflowImaging / Fetal medicine / Maternal-fetal medicineTwin-Twin Transfusion Syndrome (TTTS · Quintero)Imaging / Fetal medicine / Maternal-fetal medicineFetal Abdominal Wall Defect (Gastroschisis vs Omphalocele)Imaging / Fetal medicine / Pediatric surgeryCongenital High Airway Obstruction (CHAOS)Imaging / Fetal medicine / ENTFetal Pleural Effusion / ChylothoraxImaging / Fetal medicine / Pediatric surgeryVein of Galen Aneurysmal Malformation (VGAM) Fetal MRIImaging / Fetal medicine / NeurointerventionFetal Malformation of Cortical Development (MCD) MRIImaging / Fetal medicine / Prenatal diagnosisFetal Microcephaly Diagnostic WorkflowImaging / Fetal medicine / Prenatal diagnosisFetal Aqueductal Stenosis (Obstructive Hydrocephalus)Imaging / Fetal medicine / Pediatric neurosurgeryFetal Intracranial Hemorrhage (IVH Grading)Imaging / Fetal medicine / Prenatal diagnosisFetal Encephalocele / Cranium BifidumImaging / Fetal medicine / Pediatric neurosurgeryFetal Tuberous Sclerosis (Rhabdomyomas + Brain Nodules)Imaging / Fetal medicine / Pediatric cardiologyFetal Abdominal Cyst Differential DiagnosisImaging / Fetal medicine / Pediatric surgeryFetal Gastrointestinal Obstruction Imaging DifferentiationImaging / Fetal medicine / Pediatric surgeryFetal Esophageal Atresia ± TEFImaging / Fetal medicine / Pediatric surgeryFetal Renal Anomaly (Cystic/Dysplastic)Imaging / Fetal medicine / Pediatric urologyFetal Skeletal Dysplasia (Lethality Prediction)Imaging / Fetal medicine / Clinical geneticsFetal Arachnoid Cyst / Midline CystImaging / Fetal medicine / Pediatric neurosurgeryFetal Hydronephrosis (UTD Classification)Imaging / Fetal medicine / Pediatric urologyFetal Adrenal/Retroperitoneal Mass DifferentiationImaging / Fetal medicine / Pediatric surgeryFetal Growth Restriction (FGR · Doppler)Imaging / Fetal medicine / Maternal-fetal medicineFetal Anemia (MCA-PSV)Imaging / Fetal medicine / Maternal-fetal medicineTwin Anemia-Polycythemia Sequence (TAPS)Imaging / Fetal medicine / Maternal-fetal medicineTwin Reversed Arterial Perfusion (TRAP · Acardiac Twin)Imaging / Fetal medicine / Maternal-fetal medicineFetal Goiter (Hypothyroid/Hyperthyroid)Imaging / Fetal medicine / Maternal-fetal medicine