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Endometriosis Specialist Care in Limerick, Ireland

Expert diagnosis and advanced robotic-assisted treatment for women with endometriosis and pelvic pain. BIARGS & SERGS certified surgeon with over 300 robotic procedures.

At a Glance: Endometriosis

Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the womb, most commonly affecting the ovaries, pelvic lining, bowel, and bladder.

  • Chronic pelvic pain
  • Painful periods (dysmenorrhoea)
  • Pain during intercourse
  • Bowel or bladder symptoms
  • Fertility difficulties

What Is Endometriosis

Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the womb, most commonly affecting the ovaries, pelvic lining, bowel, and bladder.

  • Chronic pelvic pain
  • Painful periods (dysmenorrhoea)
  • Pain during intercourse
  • Bowel or bladder symptoms
  • Fertility difficulties

Why Diagnosis Is Often Delayed

Despite being common, endometriosis is often underdiagnosed or diagnosed late, leading to prolonged symptoms and reduced quality of life. Many women are told that severe period pain is "normal," which can delay appropriate referral and treatment.

  • Careful clinical assessment
  • Specialist imaging
  • Minimally invasive surgery (laparoscopy)

Prof Mahmood's Approach

Prof Uzma Mahmood provides a comprehensive and personalised approach to endometriosis care.

  • Detailed symptom assessment
  • Correlation with imaging findings
  • Individualised treatment planning
  • Focus on long-term symptom control

Treatment Is Tailored to Each Patient

Treatment is tailored to each patient depending on:

  • Severity of symptoms
  • Extent of disease
  • Fertility goals
  • Previous treatments

Types of Endometriosis Treated

Prof Mahmood manages all forms of endometriosis, including:

Superficial Endometriosis

Small deposits on the pelvic lining.

Ovarian Endometriomas

Cysts affecting the ovaries.

Deep Infiltrating Endometriosis

More complex disease involving:

  • Bowel
  • Bladder
  • Ureters
  • Pelvic sidewall

Advanced Surgical Management

When surgery is required, Prof Mahmood specialises in minimally invasive and robotic-assisted techniques. These cases often require advanced surgical expertise and multidisciplinary care.

  • Excision of endometriosis
  • Adhesiolysis
  • Treatment of bowel or bladder involvement
  • Fertility-preserving procedures

Aims of Surgery

The aim is to:

  • Remove disease effectively
  • Preserve organ function
  • Improve pain and quality of life

Non-Surgical Management

Not all patients require surgery. A balanced approach ensures that treatment is appropriate and not unnecessarily invasive.

  • Hormonal treatments
  • Pain management strategies
  • Lifestyle and supportive measures

Multidisciplinary Care

For complex cases, care may involve collaboration with specialists to ensure comprehensive and safe management of advanced disease.

  • Colorectal surgeons
  • Urologists
  • Pain specialists
  • Fertility specialists

When Should You Seek Help

You should consider specialist review if you experience any of the following. Early intervention can prevent progression and improve outcomes.

  • Severe or worsening period pain
  • Pain affecting daily life or work
  • Pain with bowel or bladder function
  • Difficulty conceiving
  • Persistent pelvic pain despite treatment

Frequently Asked Questions

Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the womb. It commonly affects the ovaries, pelvic lining, bowel, and bladder, causing symptoms such as chronic pelvic pain, painful periods, and fertility difficulties.

Diagnosis typically involves a careful clinical assessment, specialist imaging, and in many cases, minimally invasive surgery (laparoscopy). Endometriosis may not always be visible on standard scans, which is why specialist evaluation is important.

Yes. Not all patients require surgery. Non-surgical management options include hormonal treatments, pain management strategies, and lifestyle and supportive measures. The most appropriate approach depends on the severity of symptoms and the individual patient's goals.

Prof Mahmood manages all forms of endometriosis, including superficial endometriosis, ovarian endometriomas, and deep infiltrating endometriosis involving the bowel, bladder, ureters, and pelvic sidewall.

Endometriosis can affect fertility in some women. Prof Mahmood offers fertility-preserving surgical techniques and works closely with fertility specialists to ensure the best possible outcomes for patients who wish to conceive.

Recovery depends on the extent of surgery. Minimally invasive and robotic-assisted techniques typically allow for a faster recovery, smaller incisions, and less postoperative pain compared with open surgery. Most patients can return to normal activities within two to four weeks.

Deep infiltrating endometriosis (DIE) is the most severe form of endometriosis, where disease penetrates more than 5mm below the peritoneal surface. It can involve the bowel, bladder, ureters, and pelvic sidewall. Prof Mahmood holds a Level 2 Certification in Neuropelveology and specialises in the surgical management of deep infiltrating disease using robotic-assisted techniques.

Robotic surgery provides enhanced 3D visualisation and greater instrument flexibility compared to standard laparoscopy, making it particularly advantageous for complex deep infiltrating endometriosis. Prof Mahmood is trained and certified in both techniques (BIARGS and SERGS) and will recommend the most appropriate approach for each patient.

Most private health insurers in Ireland, including VHI, Laya Healthcare, and Irish Life Health, provide cover for gynaecological surgery including endometriosis excision. Coverage levels depend on your specific plan. The practice team can advise on insurance queries when you book a consultation.

You can be referred by your GP or another consultant, or you can self-refer for a private consultation at Bon Secours Hospital Limerick. Use the Contact page on this website to request an appointment or call the booking line directly.

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Early specialist assessment can make a significant difference. If you are experiencing symptoms, contact us today.

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