Endoluminal sonography, is a sensitive and non-invasive method for preoperative assessment of uterine neoplasms, when carried out by expert practitioners, endoluminal sonography shows good accuracy in the local staging of endometrial and cervical carcinoma. Seventy percent of the studied cases (47 cases with endometrial and cervical carcinoma) were correctly staged by endoluminal sonography with an accuracy of 70%, in comparison with the surgical histopathology in early cancer or examination under anesthesia results for advanced carcinoma. For the description of the infiltration of other adjacent organs, such as the bladder, intestine and peritoneal layers its accuracy was low. Further more inability to detect possible associate pelvic lymphadenopathy. Dynamic post contrast MR imaging was shown to be reliable for preoperative staging of primary uterine carcinoma (endometrial/ cervical) with presumed overall accuracy of 87 %. Eleven cases presented by recurrent uterine carcinoma were studied in our study to evaluate the ability of endoluminal ultrasound and dynamic post contrast MRI in scanning post operative local tumor recurrence. Both modalities had correctly diagnosed 8 cases with almost comparable accuracy of 72% regarding the pathology. Ultrasound using endoluminal probes was found to be the suggested mean of early detection of uterine carcinomas. MR imaging with its superior soft-tissue resolution is the single best modality for the preoperative staging of uterine carcinomas.It helps to decide operability, the type of operation and aids in the selection of patients who need a special referral to a gynaecologist oncologist.