Endometriosis Excision Surgery

Excision involves cutting out the full thickness of the endometriosis lesion, whereas ablation uses heat or laser energy to burn the surface of the deposit. Excision is considered the gold standard as it removes the disease more completely, provides tissue for diagnosis, and is associated with better long-term outcomes.

Endometriosis can recur after surgery, although complete excision significantly reduces the likelihood compared to ablation or incomplete removal. Medical treatment may be recommended after surgery in some cases to help prevent recurrence. Prof Mahmood will discuss a long-term management plan with you.

In selected patients, excision of endometriosis can improve natural fertility rates, particularly where the disease is affecting the ovaries, fallopian tubes, or pelvic anatomy. Prof Mahmood will discuss whether surgery is likely to benefit your fertility based on the specific nature of your disease.

Recovery varies depending on the extent of the surgery. For a straightforward laparoscopic excision, most patients return to normal activities within two to four weeks. Complex procedures involving bowel or bladder surgery may require a longer recovery of four to eight weeks.

If there is suspected bowel involvement, you may be asked to follow a bowel preparation regimen before surgery. This helps to empty the bowel and reduce the risk of complications during the procedure. Prof Mahmood will advise you if this is required.

Yes. Endometriosis excision is most commonly performed using laparoscopic (keyhole) or robotic-assisted techniques. These minimally invasive approaches result in smaller incisions, less pain, and faster recovery compared to open surgery.