Endometriosis is a complex GYN condition that requires advanced laparoscopic management. Patient with endometriosis, may have painful and heavy menses, awful contractions, and might not even enjoy sex anymore because it’s so uncomfortable. With this condition, parts of the endometrium that are shed during period, become close to organs like your ovaries and fallopian tubes.

SYMPTOMS

  • Painful periods
  • Pain with bowel movements
  • Pain with sexual intercourse
  • Low back pain
  • Bowel or bladder symptoms
  • Few Days Before the period (for example blood in the urine or stool that only happens at the time of a menstrual cycle)
  • Infertility

If treated imperfectly, endometriosis can deteriorate, possibly causing more pain and additional harm to be surrounding organs. So, need to consult thoroughly by the specialists, and is weighed against each patient’s goals for fertility.

Surgical procedures

Endometriosis surgery aims to reduce endometriosis-associated pain by removing all visible endometriosis and any associated adhesions.

The surgical procedures that may be performed during an operative laparoscopy include:

  • removal or destruction of endometrial implants
  • removal or destruction of ovarian endometriosis (endometriomas)
  • removal of adhesions
  • removal of deep rectovaginal and rectosigmoid endometriosis
  • removal of the uterus (hysterectomy)
  • removal of one or both ovaries (oophorectomy)
  • surgery of the bowel or bladder
  • laparoscopic uterine nerve ablation (LUNA) and presacral neurectomy (PSN).

Selecting the right specialists for endometriosis removal is an essential part of managing your condition. Any course of treatment needs to consult thoroughly by the specialist and is weighed against each patient’s goals for fertility.

Laparascopy Gynaecology