Raj K. Syal, M.D., F.A.C.O.G.    |    Jenna A. Everson, M.D., F.A.C.O.G.    |    Holly Westmoreland, M.D., F.A.C.O.G.   

Surgical Endometriosis Treatment

It is always recommended to treat conservatively when addressing problems of the genitourinary system. This is usually because fertility preservation is paramount. If fertility is no longer desired, the more aggressive treatments may be considered, should the conservative approaches fail, which may include surgical endometriosis treatment.

When surgery is the next step, there are still decisions to be made due to the availability of treatment options. The method of entry and the desire of the surgeon to visualize the site and surrounding areas will dictate and narrow the choices. Conservative surgery options are weighed with desired outcome of decreased symptoms of endometriosis.

Laparoscopic procedures are preferred to open procedures for many reasons. The greatest of these is the safety factor. There is little bleeding and decreased recovery time, however, when the situation necessitates, the procedure is easily converted to a laparotomy. This is only done when the surgical site cannot be well visualized using the laparoscope alone. Your OB-GYN doctor at Woodlands OBGYN Associates will not settle for a less than thorough investigation of the area for implants of endometrial tissue outside of the uterus. It is not common but the tissue can be anywhere in the abdominal cavity, such as attached to the bladder, so it is very important to be complete in examination of the abdomen.

Endometriosis treatment, specifically a resection, which is like ablation, should only be considered if no more children are desired. This surgery is done to remove the first portion of the endometrial layer of the uterus. By doing so, there is less endometrial tissue remaining to cause symptoms.

If you are considering surgical treatment for your endometriosis treatment, please ask for more information.