Endometriosis is a chronic condition affecting young girls of 15 years of age to women of 50 years of age as well. Approximately 10 percent of females are suffering from endometriosis.
Pain during menses
Pain during intercourse
Painful urination during menses
Painful defecation
Chronic lower abdomen pain going to back
Infertility
Local examination helps to diagnose deep endometriosis infiltrating into the vagina that leads to painful sex.
A very good dedicated pelvic ultrasound for endometriosis by a trained doctor is good enough to diagnose it.
MRI can be done with rectal contrast to see endometriosis in the bowel, urinary bladder, or ureter.
Mild pain can be managed with medicines that include painkillers and hormonal pills.
Severe pain, big-size ovarian cysts, and infertility need surgical correction with the help of laparoscopy.
Depending on the severity of the disease, laparoscopy is planned. A team is formed of a gynecologist laparoscopic surgeon trained in endometriosis, a urologist, and a gastro surgeon to deal with ovarian endometriosis cysts, bladder, ureteric, and bowel endometriosis as well.
The target of the surgery is to remove the maximum tissue involved with endometriosis so that the patient becomes pain-free, increases her fertility rate, and decreases the recurrence of the disease.
Experience matters a lot in dealing with deep endometriosis involving the bladder, bowel, ureter, and nerves. Hence, teamwork plays a pivotal role in the management.
Yes, when a patient comes to us who has been operated on earlier for endometriosis but is now diagnosed with grade 4 endometriosis and severe pain, laparoscopic surgery is done to get rid of the disease.
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