Analysis of the results of high resolution transvaginal US-tomography in 32 women with malignant bladder and rectal tumors made it possible to assess the potentialities of this new method for the diagnosis of a degree of local spreading of these tumors. As compared to transabdominal echography UST proved to be more informative in tumors of the cervix, basis and anterior wall of the bladder and in calcifications on the tumor surface which were detected in 3 patients. Transvaginal US-tomography with a contrast study of the rectal walls provided good diagnostic information on a degree of local spreading of malignant rectal tumors. The transvaginal approach showed its advantages in noticeable tumor stenosis of the rectum. Tumor assessment in 3 women with stenosis was made possible owing to this method.