The assessment of association between endometrioma size and other endometriosis compartments according to #ENZIAN classification

Smaller endometriomas (O1/2) are associated with more extensive pelvic disease, including higher rates of adenomyosis, rectal involvement, and pelvic adhesions, whereas larger endometriomas (O3) may represent a more localized disease phenotype. These findings support the use of the #ENZIAN classification for more accurate preoperative assessment and individualized surgical planning.

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Publication Details

Journal
Archives of Gynecology and Obstetrics
Published
2026-02-13
DOI
https://doi.org/10.1007/s00404-026-08354-x
Primary Topic
Endometriosis Research and Treatment
Type
article
Field-Weighted Citation Impact
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article

The assessment of association between endometrioma size and other endometriosis compartments according to #ENZIAN classification

Ahmet Namazov, I. Sh. Mahalov, Sven Schiermeier, J Keckstein et al.
Archives of Gynecology and Obstetrics
Endometriosis Research and Treatment
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The assessment of association between endometrioma size and other endometriosis compartments according to #ENZIAN classification

Ahmet Namazov, I. Sh. Mahalov, Sven Schiermeier, J Keckstein, O. Gemer, T. Römer, Elvin Piriyev, Flora Huseynova, Gad Liberty
article en

Abstract

Smaller endometriomas (O1/2) are associated with more extensive pelvic disease, including higher rates of adenomyosis, rectal involvement, and pelvic adhesions, whereas larger endometriomas (O3) may represent a more localized disease phenotype. These findings support the use of the #ENZIAN classification for more accurate preoperative assessment and individualized surgical planning.

Archives of Gynecology and ObstetricsVol. 313(1)
Ben-Gurion University of the Negev (IL), Witten/Herdecke University (DE), University of Cologne (DE), Universität Ulm (DE), Barzilai Medical Center (IL), Endometriosis UK (GB), Evangelisches Klinikum Köln Weyertal (DE), University Hospital Cologne (DE)
Gender equality
Openalex Percentile: Top 58%
Endometriosis Research and Treatment
DOIOpen Access PDFOpenAlex
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