Moro F, Paris V, Montik N, et al. - Via performing a multicenter prospective study, researchers sought to determine the prevalence of urinary tract involvement diagnosed on transvaginal ultrasound examination in women gynecological cancers. In addition, they evaluated the diagnostic performance of transvaginal ultrasound in detecting ureteral and bladder involvement. Among a total of 569 enrolled patients, 547 had diagnosis of malignancy. A diagnosis of urinary tract infiltration was made in 56/547 (10.2%) at ultrasound examination. For all ultrasound parameters, ultrasound examination showed high specificity (> 99.0%) and high NPV (> 97.0%); sensitivity was good for bladder wall infiltration (83.3%) and for vesico-uterine septum infiltration (80.8%), and low for right (69.23%) and left (65.4%) ureter infiltration. Findings suggest a key role of pelvic urinary tract assessment during transvaginal ultrasound examination, in order to plan the management of patients with gynecologic cancers.