ReviewJournal of the Korean Society of Radiology2026
Techniques and Clinical Outcomes of Catheter-Directed Sclerotherapy Using Ethanol for Ovarian Endometriomas.
Review in Journal of the Korean Society of Radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Although medical therapies and surgical cystectomy are common treatments for ovarian endometriomas, recurrence and ovarian reserve decline remain concerns. Catheter-directed sclerotherapy is a promising alternative because the use of large-bore catheter allows improved cyst content aspiration, making sclerotherapy more effective. The procedure is typically performed transvaginally, and transabdominal access is considered when transvaginal access is not applicable. According to previous reports, this technique demonstrates high technical success and results in a meaningful reduction in cyst volume and better preservation of the ovarian reserve compared with surgery. Recurrence rates also tend to be lower. This pictorial essay presents the catheter-directed sclerotherapy technique and typical cases using this technique, both transvaginally and transabdominally.
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