Transvaginal ethanol sclerotherapy for an endometrioma in 10 steps

ObjectiveTo describe a minimally invasive 10-step technique of ethanol sclerotherapy for the treatment an endometrioma.DesignStep-by-step video demonstration technique.SettingUniversity tertiary care hospital.Patient(s)Women with endometriomas defined as persistent endometriotic ovarian cysts between 25 and 100 mm diameter, confirmed by magnetic resonance imaging.Intervention(s)Endometriomas occur in 17%–44% patients endometriosis, who generally complain about pelvic pain or infertility. This may be offered to preserve fertility. The local institutional review board stated that approval was not required because describes clinical case. In our center, all severe endometriosis cases are discussed during multidisciplinary meeting.Main Outcome Measure(s)This presents procedure divided into following 10 steps: planning surgery; materials; ultrasound examination; transvaginal puncture endometrioma; aspiration cyst; cytology flushing cyst saline solution; injection 96% ethanol; minutes’ exposure ethanol.Result(s)We presented steps make easier adopt reduce learning curve. alternative cystectomy.Conclusion(s)Ethanol is rapid outpatient procedure, requiring little equipment low cost. To endometrioma. Step-by-step technique. University hospital. Women imaging. Endometriomas meeting. ethanol. We cystectomy. Ethanol