Radiofrequency Ablation: A Promising Treatment Method for Abdominal Wall Endometriosis
Abstract
Purpose To evaluate the application of radiofrequency ablation (RFA) as a treatment method for abdominal wall endometriosis (AWE).Materials and methods The characteristics of the AWE lesions in the patients were obtained using ultrasound (US). The patients received general and local anesthesia, and then, AWE lesions were divided into 1 cm 3 sections visually, and each of these sections underwent US-guided RFA using the moving shot technique. Follow-up included outpatient appointments, including a US examination 1, 3, and 6 months after the treatment to assess the volume of the lesions. In addition, the level of pain experienced by the patients was measured using a visual analogue scale (VAS) before and the day after the procedure, as well as at each follow-up appointment.Results Ten patients were treated with RFA. The procedural success was achieved in all of the patients. The median volume of the lesions decreased from 7.3 cm 3 (IQR = 4.39,23.75) to 2.95 cm 3 (IQR = 1.65,9.09) (P = 0.005). All patients reported reduced pain levels, and the median of their VAS score decreased from 9 (IQR = 8,9) to 0 (IQR = 0,1.25) (P = 0.004) at the end of the follow-up period. None of the patients experienced complications related to RFA treatment.Conclusion Based on the study's findings, RFA appears to be a promising minimally invasive treatment for AWE. However, larger studies with longer follow-up periods are required for a more comprehensive understanding of its efficacy and safety.Level of evidence Level 4, Case Series.
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MRI provides the highest AWE detection rate and the best anatomical delineation of endometriotic nodules.
“Bartlett et al. demonstrated that MRI provides the highest AWE detection rate and the best anatomical delineation of endometriotic nodules [40].”
From Surgical Reconstruction of Abdominal Wall Endometriosis Post-Cesarean Section: A Monocentric Experience of a Rare Pathology (2025) · cites this paper as [40]
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Fernicola, A., Calogero, A., Peluso, G., Santangelo, A., Santangelo, D., Crocetto, F., Califano, G., Sagnelli, C., Cavaliere, A., Sciarra, A., et al. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14155416 · Cited by 6 · see citing works
“Bartlett et al. demonstrated that MRI provides the highest AWE detection rate and the best anatomical delineation of endometriotic nodules [40].”
- Authors
- Mahdavi, A., Forouzannia, S. A., Goudarzi, E., Forouzannia, S. M., Rafiei, R., Yousefimoghaddam, F., Rafiei, N., & Padmehr, R.
- Affiliations
- Imam Hossein Hospital (IR)
- Shahid Beheshti University (IR)
- Iran University of Medical Sciences (IR)
- Academic Center for Education, Culture and Research (IR)
- Corresponding author
- Forouzannia, Seyed Ali
- Forouzannia, Seyed Mohammad
- ORCID
- Venue
- CardioVascular and Interventional Radiology
- Published
- 2024-05-29
- Volume
- 47
- Issue
- 7
- Pages
- 1009-1014
- ISSN
- 0174-1551 (ISSN-L)
- 1432-086X
- OpenAlex
- W4399122116
- Cited by
- 5
- References
- 25
- Citations by year
- 2026: 3 · 2025: 2
- FWCI
- 1.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- CardioVascular and Interventional Radiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Academic Center for Education, Culture and Research
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- abdominal wall endometriosis, radiofrequency ablation, ultrasound-guided ablation, lesion volume reduction, analgesia, minimally invasive treatment, endometriosis treatment
- MeSH terms
- Radiofrequency Ablation, Adult, Endometriosis, Female, Follow-Up Studies, Humans, Pain Measurement, Treatment Outcome, Ultrasonography, Interventional, Abdominal Wall
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