Health and medical information

ENDOMETRIOSIS: TREATMENT

Surgical treatment. When the gynaecologist is looking around in the pelvis with a laparoscope it is possible to treat specific spots of endometriosis with either diathermy (localised burning) or laser (another technique which does basically the same thing}. It sounds fairly unpleasant, but the woman is under an anaesthetic, so she doesn’t feel a thing. It makes sense, and it is not uncommon for the gynaecologist to do this at the initial diagnostic laparoscopy if the disease is not particularly extensive.

For more extensive disease and scarring, the gynaecologist may need to do a further operation after the laparoscopy. This might be to try to free up some of the tethered organs by cutting the scar tissue, in the hope of relieving some of the symptoms. Techniques to divide some of the nerves which carry pain messages within the pelvis may be employed by some sutgeons. It is important for the surgeon to try to prevent further scarring from the operation itself.

Microsurgery to reconstruct the fallopian tubes may be attempted if they have been affected by the disease and the woman wishes to get pregnant.

In very severe cases there may be the need for more extensive surgery. Hysterectomy and oophorectomy (removal of the uterus and ovaries) might be performed if the woman and her doctor agree this would be the most appropriate option for her. It is rarely done before exhausting other treatment options, especially if the woman hopes to get pregnant.

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