title: [Transvaginal sclerosing therapy of cystic ovarian lesions with alcohol].
abstract: OBJECTIVE
  Description of puncture technique for conservative treatment of cystic ovarian lesions.
  
  
  METHODS
  The cyst should be unilocular, sonolucent, with a smooth inner wall of the capsule, without septa and neovascularisation on transvaginal colour Doppler. Serum CA-125 levels must be lower than 35 U/ml. The capsule of the cyst was punctured with a 18 gauge needle, sonographically guided with a 5 MHz transvaginal probe. After complete emptying of the cyst, (cytological examination of the cystic fluid was negative), we injected an amount of sterile 96 % alcohol equalling 50 % of the volume of the cyst. The alcohol remained in the cyst for 5 minutes and was then aspirated completely.
  
  
  RESULTS
  152 patients aged 18 to 60 with an ovarian cyst volume between 40 and 140 ml were treated. Five of the patients (3.3 %) had intensive pelvic pain and therefore received intravenous analgesics. After three months, relapse appeared in 8 patients (5.3 %), in most of whom the volume of the cyst had been more than 100 ml.
  
  
  CONCLUSIONS
  The proposed puncture technique is simple and easily performed. Treatment with 96 % alcohol showed good results. In cases where the cyst volume exceeds 100 ml, we advise surgical treatment by laparoscopy or laparotomy.
authors.affiliation: Frauenklinik "Merkur", Zagreb, Kroatien.
authors.forename: V
authors.initials: V
authors.lastname: Kukura
authors.forename: T
authors.initials: T
authors.lastname: Canić
authors.forename: Z
authors.initials: Z
authors.lastname: Duić
authors.forename: M
authors.initials: M
authors.lastname: Podgajski
authors.forename: I
authors.initials: I
authors.lastname: Drinković
mesh_terms: D000282:Administration, Intravaginal; D000328:Adult; D000431:Ethanol / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007267:Injections; D008875:Middle Aged; D010048:Ovarian Cysts / Q000000981:diagnostic imaging* / Q000628:therapy*; D017698:Postmenopause; D012189:Retrospective Studies; D012597:Sclerosing Solutions / Q000008:administration & dosage / Q000627:therapeutic use*; D018615:Ultrasonography, Doppler, Color
chemical_list: D012597:Sclerosing Solutions; D000431:Ethanol
vernacular_title: Die transvaginale Behandlung von Ovarialzysten mittels Alkoholsklerosierung.