Endometriosis Management 
Treatment Q & A
by Yvonne Wolny, MD, FACOG

 

What is Endometriosis?

Endometriosis is a chronic condition that causes discomfort throughout the abdomen and pelvis. It occurs with the presence of endometrial tissue, or tissue which lines the uterus, in regions located outside the uterus. The tissue is usually found in the fallopian tubes, ovaries, outer surface of the uterus, ligaments that support the uterus, and lining of the pelvic cavity (peritoneum). It can also be found growing on the cervix, vulva, bladder, vagina, and bowel as well as within abdominal surgical scars in some instances. This tissue grows into lesions that respond to the woman’s menstrual cycle. This means that each month the endometriosis builds up, breaks down, and is shed. This tissue has no way of exiting the body like that in the uterus is designed to. This can cause internal bleeding, inflammation, and typically pain. Occasionally, when the bleeding is internal to the ovarian tissue, it may lead to blood collection within the ovary also called "endometriomas". 

It can also lead to adhesions, bowel problems, infertility, and the formation of scar tissue.

What are the Symptoms Associated with Endometriosis?

Symptoms can include:
Pain with intercourse
Painful urination or bowel movements during menstruation
Gastrointestinal upsets such as nausea
Excessive pain before and during menstruation
Infertility
Fatigue

Women with endometriosis also usually have:
Frequent yeast infections
Allergies
Chemical sensitivities
What is Robotic Endometriosis Treatment?
 

 

How is Endometriosis Treated with Robotic Technology?

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Robotic-assisted, laparoscopic surgery uses a 3-D high-definition camera and surgeon-guided robotic arms which allows for precise excision of endometriosis. Excision of endometriosis is the best treatment for endometriosis and laparoscopic surgery is minimally invasive. Ideally, all of the endometrial lesions will be excised. Excision of endometriosis is the only treatment known which can cure the disease and thus improve quality of life. This helps to relieve symptoms by eliminating the tissue which is causing the bleeding and discomfort. Patients heal quickly from this procedure and there is minimal scarring. The robotic arm can translate the surgeon's movements into small actions and thus provides advanced precision and dexterity when operating.