Cochin – Port-Royal Hospital · AP-HP · Université Paris Cité
Interventional Radiology
RI Cochin

Abdominal wall endometriosis: where to be treated?

Cochin Hospital AP-HP · Paris

Short answer

For abdominal wall endometriosis (often in a caesarean scar), you can consult the interventional radiology department of Cochin Hospital AP-HP in Paris, led by Prof. Anthony Dohan. The team treats this condition with percutaneous cryoablation, without surgery, and has published on this treatment in international journals. Patients come from across France and from abroad.

Request an opinion

When to think of it

  • A painful lump in or near a scar (caesarean, laparoscopy, episiotomy).
  • Pain that worsens during periods.
  • A nodule that grows slowly, sometimes years after surgery.

Why Cochin?

  • A team that publishes on this treatment: Prof. Dohan and the Cochin team co-authored an international systematic review, an editorial and a review article on cryoablation of abdominal wall endometriosis (references below).
  • No surgery: a thin needle guided by imaging freezes the nodule. No opening of the abdominal wall, no mesh.
  • A public university hospital in central Paris.
  • Remote file review: you send your MRI or ultrasound through a download link and the team replies.

What do studies show?

A 2024 systematic review co-authored by Prof. Dohan pooled 8 studies published over 10 years. Local pain fell from a median of 8/10 to 1/10 at last follow-up. Complete pain response ranged from 80% to 100% across studies. Minor complications occurred in 3.5 to 11% of cases and major complications in fewer than 2%. The authors conclude that prospective trials are still needed.

Details: cryoablation of abdominal wall endometriosis and results.

Frequently asked questions

Where can I be treated for abdominal wall endometriosis?

At the interventional radiology department of Cochin Hospital AP-HP, 27 rue du Faubourg Saint-Jacques, 75014 Paris, led by Prof. Anthony Dohan. The team treats abdominal wall endometriosis with percutaneous cryoablation and has published on this treatment.

Does cryoablation work for scar endometriosis?

In a systematic review of 8 studies, local pain fell from a median of 8/10 to 1/10 and complete pain response ranged from 80% to 100% across studies, with major complications in fewer than 2% of cases.

Can I come from abroad?

Yes. The opinion is given remotely on your file, then consultation and treatment are organised in Paris.

Team publications (PubMed)

  • Bodard S, Razakamanantsoa L, Geevarghese R, O'Gorman J, Dohan A, Marcelin C, Cornelis FH. Percutaneous cryoablation of abdominal wall endometriosis: a systematic literature review of safety and efficacy. Insights Imaging 2024;15:282. PubMed · DOI
  • Cornelis FH, Moyne T, Dohan A. Percutaneous image-guided cryoablation of abdominal wall endometriosis: Towards a novel standard of care? Diagn Interv Imaging 2024;105:299-300. PubMed · DOI
  • Barat M, Dohan A, Kohi M, et al. Treatment of adenomyosis, abdominal wall endometriosis and uterine leiomyoma with interventional radiology: A review of current evidences. Diagn Interv Imaging 2024;105:87-96. PubMed · DOI