The effects of ethanol sclerotherapy on pain and quality of life in patients with endometrial cysts.

Izabela Dymanowska, Karolina Frankowska, Monika Abramiuk, Malgorzata Charytanowicz, Barbara Terpilowska, Grzegorz Polak
{"title":"The effects of ethanol sclerotherapy on pain and quality of life in patients with endometrial cysts.","authors":"Izabela Dymanowska, Karolina Frankowska, Monika Abramiuk, Malgorzata Charytanowicz, Barbara Terpilowska, Grzegorz Polak","doi":"10.5603/gpl.100816","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Endometriosis is a prevalent chronic gynecological condition resulting in infertility, and severe pain that strongly deteriorates patients' quality of life. In addition to surgery and pharmacotherapy, there are also other methods of endometriosis management, such as sclerotherapy, which is used in patients with endometrial cysts. So far, there is a shortage of knowledge regarding sclerotherapy's influence on pain symptoms and quality of life. Therefore, the main objective of our study was to assess the effects of sclerotherapy on pain relief and quality of life.</p><p><strong>Material and methods: </strong>Study participants consisted of patients with ovarian endometriomas who have undergone ultrasound-guided transvaginal sclerotherapy with the use of high-percentage ethanol. Patients had no history of chronic diseases, besides endometriosis. They completed self-constructed both pre-procedural and post-procedural questionnaires between 3 and 6 months after sclerotherapy.</p><p><strong>Results: </strong>Our study included 59 patients. Sclerotherapy resulted in a significant alleviation of pain regardless of primary cyst volume, history of endometriosis surgery, post-procedural hormonal treatment, and elapsed time between two questionnaires collection. There was a significant decreasing in Visual Analog Scale (VAS) scores measured for pain during menstruation, sexual intercourse, and chronic pelvic pain after sclerotherapy. Moreover, this procedure resulted in significant improvement in life quality. Most patients reported that they would recommend this treatment method to other patients.</p><p><strong>Conclusions: </strong>Sclerotherapy is characterized by a great ability to alleviate pain and improve quality of life.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ginekologia polska","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5603/gpl.100816","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Objectives: Endometriosis is a prevalent chronic gynecological condition resulting in infertility, and severe pain that strongly deteriorates patients' quality of life. In addition to surgery and pharmacotherapy, there are also other methods of endometriosis management, such as sclerotherapy, which is used in patients with endometrial cysts. So far, there is a shortage of knowledge regarding sclerotherapy's influence on pain symptoms and quality of life. Therefore, the main objective of our study was to assess the effects of sclerotherapy on pain relief and quality of life.

Material and methods: Study participants consisted of patients with ovarian endometriomas who have undergone ultrasound-guided transvaginal sclerotherapy with the use of high-percentage ethanol. Patients had no history of chronic diseases, besides endometriosis. They completed self-constructed both pre-procedural and post-procedural questionnaires between 3 and 6 months after sclerotherapy.

Results: Our study included 59 patients. Sclerotherapy resulted in a significant alleviation of pain regardless of primary cyst volume, history of endometriosis surgery, post-procedural hormonal treatment, and elapsed time between two questionnaires collection. There was a significant decreasing in Visual Analog Scale (VAS) scores measured for pain during menstruation, sexual intercourse, and chronic pelvic pain after sclerotherapy. Moreover, this procedure resulted in significant improvement in life quality. Most patients reported that they would recommend this treatment method to other patients.

Conclusions: Sclerotherapy is characterized by a great ability to alleviate pain and improve quality of life.

乙醇硬化疗法对子宫内膜囊肿患者疼痛和生活质量的影响。
目的:子宫内膜异位症是一种常见的慢性妇科疾病,可导致不孕和严重的疼痛,严重影响患者的生活质量。除了手术和药物治疗外,还有其他治疗子宫内膜异位症的方法,如硬化疗法,用于子宫内膜囊肿患者。到目前为止,关于硬化疗法对疼痛症状和生活质量的影响的知识还很缺乏。因此,我们研究的主要目的是评估硬化疗法对疼痛缓解和生活质量的影响。材料和方法:研究参与者包括接受超声引导下使用高比例乙醇经阴道硬化治疗的卵巢子宫内膜瘤患者。除子宫内膜异位症外,无其他慢性疾病史。他们在硬化治疗后3至6个月完成了术前和术后自行编制的问卷调查。结果:本研究纳入59例患者。无论原发囊肿体积、子宫内膜异位症手术史、术后激素治疗以及两次问卷收集之间的间隔时间如何,硬化疗法都能显著减轻疼痛。在视觉模拟量表(VAS)中测量月经疼痛、性交疼痛和硬化治疗后慢性盆腔疼痛的评分显著下降。此外,该手术还显著改善了患者的生活质量。大多数患者报告说他们会向其他患者推荐这种治疗方法。结论:硬化疗法具有显著的减轻疼痛和提高生活质量的特点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信