Endometriosis Treatment

Endometriosis Treatment

We collaborate with hospitals and clinics that specialise in the surgical treatment of endometriosis, with a team that includes a gynaecologist, urologist, and surgeon. As surgical treatment of endometriosis is a complex procedure requiring extreme precision, these surgeries are performed laparoscopically or with the use of a robotic system.

Procedures carried out with robotic assistance allow surgeons to operate in hard-to-reach areas, ensuring precision. The tenfold magnification of the operative field allows the surgeon to remove all endometriosis-affected tissue while protecting nerves, such as those around the bladder.

Surgical Treatment of Endometriosis Using Robotics

We offer patients advanced surgical options for the treatment of endometriosis using laparoscopic techniques and robotic surgery. Due to the ergonomic and technical limitations of traditional laparoscopy, robotic surgery is used in these procedures more and more often, significantly facilitating the precise execution of complex surgeries. The robotic system is equipped with miniaturised instruments, high-resolution three-dimensional visualisation, and systems that eliminate the natural tremor of the surgeon’s hands. This makes it particularly useful for deep infiltrating endometriosis (DIE) procedures. The use of robotic technology significantly enhances the effectiveness of removing endometriosis-related lesions while ensuring the precise preservation of key nerve structures, such as those around the bladder. As a result, these procedures are not only more effective but also allow for better preservation of nerve functions, directly contributing to an improved quality of life for patients following surgery.

What Is Endometriosis?

According to estimates, one in ten British women may suffer from endometriosis, which means that up to 1.3 million women in the UK could be affected by this condition. Endometriosis is the second most common disease among young women and is also known as uterine adenomyosis or wandering endometrial tissue. This condition arises from the abnormal growth of the uterine lining (endometrium) outside the uterine cavity. Endometriotic lesions are most commonly found in the ovaries, fallopian tubes, intestines, ureters, and bladder.

There are three types of endometrioses:

  • Peritoneal endometriosis, where lesions of varying sizes develop depending on the stage of the disease.
  • Ovarian endometriosis, characterised by the formation of endometrial cysts on the ovaries.
  • Deep infiltrating endometriosis (DIE), which involves lesions located at least 5 mm below the peritoneal surface, primarily affecting the rectum, bladder, and rectovaginal space.

Endometriosis is typically diagnosed in young women between the ages of 20 and 40. However, in recent years, an increasing number of cases has been identified in adolescence, and it can also occur after menopause.

What Are the Symptoms of Endometriosis?

Endometriosis manifests in various ways and can cause multiple symptoms, making early diagnosis challenging. The most common symptoms associated with endometriosis are pain of varying intensity and location, usually occurring before or during menstruation. Women suffering from endometriosis often experience painful, prolonged, and heavy periods. Other symptoms include pain during bowel movements or after defecation, pain during intercourse, and symptoms resembling bladder infections. Painful symptoms are primarily caused by the formation of adhesions due to inflammation associated with the disease, as well as nerve infiltration and the accumulation of blood components in endometriotic lesions. Women of reproductive age with endometriosis often face difficulties in conceiving. Estimates suggest that half of the women undergoing infertility treatment also suffer from endometriosis.

How Is Endometriosis Diagnosed?

Diagnosis can be delayed by up to 8 years as many women consider menstrual pain “normal”. However, diagnosing the condition is usually straightforward.

Transvaginal Ultrasound

A key diagnostic tool for lesions and cysts.

Transrectal Ultrasound

Used when bowel involvement is suspected.

CT Colonography (CTC)

Useful in identifying bowel or rectal lesions.

MRI Scan

Provides a detailed assessment of deep lesions.

Treatment Options

Pharmacological Treatment

Includes contraceptives, progestogens, and medications that reduce oestrogen production. The aim is to slow the growth of endometrial tissue.

Surgical Treatment

If symptoms persist, surgery is recommended to remove adhesions, eliminate endometrial lesions, and restore function of pelvic organs.

Do I Need Surgery?

The Royal College of Obstetricians and Gynaecologists (RCOG) recommends surgery for patients who:

  • Experience chronic pelvic pain, dyspareunia, or painful menstruation
  • Have significantly reduced quality of life
  • Do not respond to medication
  • Have painful nodules or tumour-like lesions
  • Experience unexplained infertility

Surgical Treatment of Endometriosis

Laparoscopy is the standard technique, offering shorter recovery, less pain, and fewer complications. However, it has limitations such as restricted movement and 2D vision.

Robotic Surgery Advantages

  • 10× magnification with HD 3D view
  • Miniaturised, flexible instruments
  • Elimination of hand tremor
  • Greater safety during DIE procedures
  • More complete removal of lesions

Physiotherapy for Endometriosis

Physiotherapy addresses pelvic tension, organ mobility, muscle hypertonia, and pain. It supports recovery and improves quality of life.

What the programme Includes

  • One dietary consultation
  • Five physiotherapy sessions
  • A personalised therapy plan
  • Pain-relief therapy before menstruation
  • Full physiotherapy cycle for long-term results

Your journey step by step

Consultation

History, examination & symptoms

Diagnostics

Ultrasound, CTC, MRI

Treatment Plan

Medication or surgery

Procedure

Laparoscopic or robotic surgery

Recovery

Physiotherapy & follow-up

Recovery

Physiotherapy & follow-up

Disclaimer
*The Pax Medicus website provides information for guidance only and does not constitute medical advice, diagnosis, or treatment. Pax Medicus does not provide healthcare services and is not a substitute for consultation with a qualified medical professional. Always seek advice from your physician regarding any medical condition. Prices shown are indicative only and subject to confirmation by the healthcare provider. This is the official website of Pax Medicus; we do not operate through agents or third-party sites.

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