[Image-guided minimally invasive treatment options for endometriosis]
Related Experiment Video
Updated: Nov 5, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
1Institut für Radiologie, Kantonsspital Baden, 5404, Baden, Schweiz. michael.kostrzewa@ksb.ch.
Background:
Endometriosis affects approximately 10% of women of reproductive age with a mean diagnostic delay of 7-10 years. Image-guided procedures show increasingly promising results as minimally invasive alternatives to excision.
Objective:
Structured overview of image-guided minimally invasive treatment options for endometriosis with focus on percutaneous cryoablation.
Results:
Percutaneous cryoablation demonstrates the strongest evidence for extraperitoneal and intramuscular lesions and represents a valid minimally invasive alternative to excision. Three institutional cases illustrate technique and outcomes. Ethanol sclerotherapy is established for ovarian endometriomas. High-intensity focused ultrasound (HIFU) shows promising results for abdominal wall disease; radiofrequency ablation (RFA) and microwave ablation are investigational.
Conclusion:
Interventional radiology offers a growing therapeutic spectrum. Prospective randomized trials are needed for guideline integration.