An innovative treatment of endometriosic cysts: radiofrequency thermal-ablation by transvaginal route under ultrasound guidance.

Education and training, Technical aspects, Surgery, Ablation procedures, Ultrasound, Pelvis, Interventional non-vascular, Genital / Reproductive system female Authors: G. Dedone1, G. Turtulici2, E. Silvestri1; 1Genoa/IT, 2Genova (GE)/IT DOI: 10.26044/ecr2019/C-1275 Learning objectives To describe an alternative and new procedure to treat endometriosic cysts accessible by transvaginal route with radiofrequency thermoablation and contextual injection of dextrose solution in order to guarantee heat conduction and convection necessary to perform an effective and safe intervention.

Endometriosis is found in 10% of women of childbearing age. It is a chronic and recurrent benign disease, characterized by the proliferation of endometrial tissue outside the uterine cavity underestrogen stimulation. Acute and chronic inflammatory processes involve multiple organs, not just pelvic ones. This pathology has a significant impact on the quality of life. The most common symptoms are: dysmenorrhea, dyspareunia, chronic pelvic pain, dysuria, dischezia. It also may has a potential negative impact on fertility [1]. Depending on the site, we can classify endometriosis... Findings and procedure details The treatment object has been proposed to patients of childbearing age with endometriotic cysts accessible by transvaginal route and wishing to preserve the ovary. The treatment was performed throughout its duration under transvaginal ultrasound guidance, allowing a real time control of ablation, increasing the overall safety of the procedure. Procedure step by step: Performing spinal or general anesthesia and premedication with antibiotic therapy; Correct positioning of the supine patient in a gynecological position (Fig.2); Preparation of the sterile field and disinfection of the transvaginal path;...

In our experience this procedure has proved to be a valid alternative in the treatment of endometriotic ovarian cysts accessible by transvaginal route, as it is effective, safe and well tolerated by patients. Personal information Dr.ssa Giorgia Dedone Department of Health Sciences (DISSAL) Section of Radiology, University of Study of Genoa. e-mail: [email protected]

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