Excision of Endometriosis

What is Endometriosis?

The uterus is lined by a tissue called the endometrium, which thickens in preparation for a prospective pregnancy, and breaks down and bleeds as menstrual fluid in the absence of conception. This tissue can become displaced and grow in other places, such as the ovaries, fallopian tubes, or pelvic region leading to a painful disorder called endometriosis.

Causes of Endometriosis

The exact cause of endometriosis is not known, but it has a notable genetic component with trends in families. Defects in the immune system, hormonal imbalance, or complications from surgeries can also be causative factors.

Diagnosis of Endometriosis

Your gynecologist will ask you about your general health and symptoms, and perform a pelvic examination to feel for the presence of large cysts or scar tissue. An ultrasound scan may also be performed to detect ovarian cysts.

Symptoms of Endometriosis

Some patients with endometriosis have no symptoms and some symptoms of endometriosis may relate to other diseases.  Some frequently cited symptoms include:

  • Extremely painful periods
  • Pelvic pain between periods
  • Pain with intercourse
  • Painful bowel movements or urination
  • Blood in the urine or stool during menstruation
  • Difficulty with pregnancy

Excision of Endometriosis

Excision (removal) of endometriosis is a surgery indicated for the treatment of endometriosis where the aim is to preserve fertility. The most frequently performed procedure is minimally invasively through laparoscopy.  This procedure utilizes 2 to 3 tiny incisions using a laparoscope, a slender fiber-optic tube with a camera and light source, inserted to provide a clear view of the pelvis. Other surgical instruments are used to carefully cut and remove the implanted endometrial tissue, adhesions and ovarian cysts.

  • ACOG
  • AIUM
  • American Association of Gynecologic Laparoscopists
  • NYU langone Medical center
  • American Association for Accreditation of Ambulatory Surgery Facilities
  • UpToDate