Gynaecologist & Endoscopic Surgeon

Endometriosis FAQ

Do you use just laser surgery as you actually cut out the adhesions. Is this correct? By doing this, will you create more scar tissue that will need to be cut out at a later date?


We use electricity to create heat and therefore cut out the tissue. The effect is very similar to laser and when using the energy as we do there is minimal scarring as distinct from simple “cautery” which can result in scar tissue. Any surgery will result in some scar tissue but there is no reason this should be removed later.


Is this a procedure I will have to have every couple of years or never again because of the aggressive way you attack it?

Our results and those of similar units around the world suggest that if we can completely eradicate the disease it does not come back. The difficulty is that it can be extremely difficult to recognise and may only be microscopic and therefore the potential arises for it to recur or regrow. Despite this all the current studies are suggesting this is the way to go.


 

I will be in the 3rd week of my cycle is this ok for recovery or is there a more ideal time i.e. mid cycle?

This is OK. It is probably preferable not to operate at the time of menses but even this is generally not a major problem.


 

By having this surgery, will it only get rid of the pain or will it also balance my energy levels?

The surgery tends to relieve the pain and we have been impressed by some extremely good results where patients wake up straight after with no pain although this is unusual. Many patients comment on increasing energy levels but I am unable to generalise as to how effective this is.


 

Will it increase my chances of fertility?

Yes. Especially in the 12 months straight after surgery. You do not have to wait for the tissues to heal before attempting to conceive.


Does the oral contraceptive pill help with endometriosis?

Endometriosis is tissue that responds to the influence of hormones produced by the ovaries. Under normal circumstances ovulation is accompanied by the release of a large concentration of these hormones within the pelvis which act locally on the nearby endometriosis. If you stop ovulating, either by going through the menopause or taking the oral contraceptive pill, the high concentration of hormones active within the pelvis is substantially reduced to much lower levels.

These lower levels have less effect on the endometriosis and hence many people notice some relief from their symptoms. There is some evidence to suggest that women who use the pill for extended periods have less chance of developing endometriosis. Following from this it is reasonable to use the pill after surgery to help decrease the risk of any recurrence.

Unfortunately the pill does not remove or get rid of existing disease. The pill is therefore of no help in getting pregnant if fertility is an issue.

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1 year ago
How Does Surgical Volume Affect Gynecologic Surgery Outcomes?

More evidence that low volume surgeons have more problems: https://t.co/gw77JTNAao

Dr Kaunitz suggests an honest self-assessment of our experience level when planning for surgical care of our patients.

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