Ultrasound-guided aspiration and ethanol sclerotherapy for treating endometrial cysts

G Gatta, Gianluca Gatta, V Parlato, Parlato V, Vincenzo Parlato, G Di Grezia, Graziella Di Grezia, Porto A, A. Porto, Salvatore Cappabianca, S Cappabianca, Roberto Grassi, R Grassi, Antonio Rotondò, A Rotondo
La Radiologia medica · 2010 · vol. 115(8) , pp. 1330–1339 · doi:10.1007/s11547-010-0586-0 · PMID:20852954 · W1523612011
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Ultrasound-guided aspiration and 95% ethanol sclerotherapy were performed on 50 patients with endometrial cysts, showing success in all cases with an 8% recurrence rate after 12 months.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 · read from full text ⓘ

This study evaluated ultrasound-guided aspiration followed by ethanol sclerotherapy (95% ethanol) for endometrial ovarian cysts (endometriotic cysts), enrolling 50 consecutive patients with ultrasound-diagnosed cysts who were pregnant, had high anesthesia risk, had adhesions, or refused surgery. A total of 54 cysts were treated using transabdominal aspiration in 40 and transvaginal aspiration in 14, with follow-up imaging at 12 hours, 24 hours, 15 days, 3, 6, and 12 months; the procedure was successful in all patients. At 12 months, 4 patients (8%) had recurrence, and 3 of these underwent a second aspiration/sclerotherapy session (the remaining 1 proceeded to surgery). This paper is centrally about endometriosis — it focuses on ultrasound-guided aspiration and ethanol sclerotherapy for endometriotic (endometrial) ovarian cysts.

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Abstract

PurposeThe authors sought to evaluate the effectiveness of ultrasound (US)-guided aspiration and ethanol sclerotherapy in treating endometrial cysts and adopt this procedure as an alternative to surgery.Materials and methodsFifty consecutive patients with an average age of 25.2 years [standard deviation (SD) 6.5; range 16-40 years) and US diagnosis of endometrial cyst who were pregnant or presenting with high anaesthesia risk, adhesions or who refused surgery underwent US-guided aspiration of a total of 54 endometrial cysts (40 with transabdominal approach and the remaining 14 with transvaginal approach) and ethanol sclerotherapy.ResultsThe procedure was successful in all patients. Follow-up imaging was carried out at 12 h, 24 h, 15 days, 3 months, 6 months and 12 months. After 12 months, four patients (8%) showed recurrence, three of whom opted for a second session of US-guided aspiration and ethanol sclerotherapy.ConclusionsUS-guided aspiration and sclerotherapy with 95% ethanol provides a valid alternative to surgery in treating endometrial cysts.
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Abstract

Purpose The authors sought to evaluate the effectiveness of ultrasound (US)-guided aspiration and ethanol sclerotherapy in treating endometrial cysts and adopt this procedure as an alternative to surgery.

Materials and methods

Fifty consecutive patients with an average age of 25.2 years [standard deviation (SD) 6.5; range 16–40 years) and US diagnosis of endometrial cyst who were pregnant or presenting with high anaesthesia risk, adhesions or who refused surgery underwent US-guided aspiration of a total of 54 endometrial cysts (40 with transabdominal approach and the remaining 14 with transvaginal approach) and ethanol sclerotherapy.

Results

The procedure was successful in all patients. Follow-up imaging was carried out at 12 h, 24 h, 15 days, 3 months, 6 months and 12 months. After 12 months, four patients (8%) showed recurrence, three of whom opted for a second session of US-guided aspiration and ethanol sclerotherapy.

Conclusions

US-guided aspiration and sclerotherapy with 95% ethanol provides a valid alternative to surgery in treating endometrial cysts. Riassunto Obiettivo Scopo del nostro lavoro è stato valutare l’efficacia dell’aspirazione e dell’alcolizzazione ecoguidata delle cisti endometriosiche dell’ovaio e proporre questa procedura quale alternativa all’intervento chirurgico. Materiali e metodi Cinquanta pazienti consecutivi di età media di 25,2 anni (deviazione standard [DS] 6,5; range 16–40 anni) con diagnosi ecografica di cisti endometriosica, in caso di gravidanza, aderenze, elevato rischio anestesiologico e rifiuto dell’intervento chirurgico, sono state sottoposte ad aspirazione ed alcolizzazione ecoguidata di 54 cisti endometriosiche (40 con approccio transaddominale; 14 con approccio transvaginale). Risultati La procedura è stata effettuata con successo in tutte le pazienti. Sono stati eseguti controlli ecografici a 12, 24 ore, 15 giorni, 3, 6, 12 mesi. Dopo 12 mesi, 4 pazienti (8%) hanno presentato recidiva di patologia; 3 si sono sottoposte nuovamente ad aspirazione ed alcolizzazione, 1 ad intervento chirurgico. Conclusioni L’aspirazione e l’alcolizzazione con etanolo 95° delle cisti endometriosiche rappresenta una valida alternativa all’intervento chirurgico. Similar content being viewed by others References/Bibliografia Woodward PJ, Sohaey R, Mezzetti TP (2001) Endometriosis: radiologicpathologic correlation. Radiographics 21:193–216 Arumgam K, Lim JM (1997) Menstrual characteristics associated with endometriosis. Br J Obstet Gynaecol 104:948–950 Schenken RS (1999) Endometriosis. In: Scott JR, Di Saia PJ, Hammond CB, Spellacy WN (eds) Danforth’s obstetrics and gynecology. Lippincott Williams & Wilkins, Philadelphia, pp 669–676 Eskanazi B, Warner M (1997) Epidemiology of endometriosis. Obstet Gynecol Clin North Am 24:235–258 Langerbrekke A, Johannessen HO, Ovigstad E (2008) Surgical treatment of endometriosi. 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Radiology 210:739–745 Volpi E, De Grandis T, Zuccaro G et al (1995) Role of transvaginal sonography in the detection of endometriomata. J Clin Ultrasound 23:163–167 Jain KA (1994) Prospective evaluation of adnexal masses with endovaginal gray-scale and duplex and color Doppler US: correlation with pathologic findings. Radiology 191:63–67 Kafali H, Yurtseven S, Atmaca F, Ozardali I (2003) Management of nonneoplastic ovarian cysts with sclerotehrapy. Int J Gynaecol Obstet 81:41–45 Giorlandino C, Taramanni C, Muzii L et al (1993) Ultrasound-guided aspiration of ovarian endometriotic cysts. Int J Gynaecol Obstet 43:41–44 Mittal S, Kumar S, Kumar A, Verma A (1999) Ultrasound guided aspiration of endometrioma— a new therapeutic modality to improve reproductive outcome. Int J Gynaecol Obstet 65:17–23 Chang CC, Lee HF, Tsai HD, Lo HY (1997) Sclerotherapy — an adiuvant therapy to endometriosis. Int J Obstet 59:31–34 Noma Y, Yoshida N (2001) Efficacy of ethanol sclerotherapy for ovarian endometriomas. Int J Gynaecol Obstet 72:35–39 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Gatta, G., Parlato, V., Di Grezia, G. et al. Ultrasound-guided aspiration and ethanol sclerotherapy for treating endometrial cysts. Radiol med 115, 1330–1339 (2010). https://doi.org/10.1007/s11547-010-0586-0 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s11547-010-0586-0

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Condition tags

endometriosis

MeSH descriptors

Cysts Endometriosis Sclerotherapy Ultrasonography, Interventional Adolescent Adult Cysts Cysts Endometriosis Endometriosis Ethanol Ethanol Female Humans Sclerosing Solutions Sclerosing Solutions Sclerotherapy Treatment Outcome

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