Endometriosis Surgery in Navi Mumbai

Endometriosis Surgery in Navi Mumbai

Endometriosis is a condition in which tissue similar to the lining of the uterus grows outside it most often on the ovaries, fallopian tubes, and pelvic lining, but in more advanced (deep infiltrating) disease it can also involve the bowel, bladder, ureters, or the tissue between the vagina and rectum. It can cause pain, inflammation, scarring, and fertility-related difficulty, and symptoms often persist for years before the condition is properly diagnosed. Dr. Prashant Bhamare, Director & HOD - Obstetrics & Gynaecology at Fortis Hiranandani Hospital, Vashi, provides evaluation and treatment planning for endometriosis, including excision surgery.

Symptoms

Symptom severity varies widely and does not always match the extent of disease found at surgery some women with extensive endometriosis have mild symptoms, while others with limited disease have severe pain. Common symptoms include severe menstrual cramps, chronic pelvic pain, pain during sex, pain with bowel movements or urination during periods, heavy bleeding, and difficulty conceiving. Period pain that is progressively worsening, disabling, or accompanied by pelvic pain or fertility concerns warrants assessment for underlying causes, including endometriosis; it should not be dismissed as "normal period pain" without evaluation.

How Endometriosis Is Diagnosed?

Diagnosis usually starts with a detailed history and pelvic examination, followed by imaging typically ultrasound, with MRI in selected cases for deeper disease. Bowel preparation before these scans is often advised for endometriosis and other complex pelvic pathologies, since a clear bowel reduces air and stool artefact and allows better visualisation of pelvic structures. 

A specific ultrasound technique sometimes called endometriosis mapping can assess how organs move against each other in real time, which can add information that a single static MRI image cannot. Laparoscopy is not required simply to confirm a diagnosis that clinical assessment and imaging already suggest it is used when surgical treatment is indicated, and at that point it also provides definitive histological confirmation.

Why Excision Surgery?

When surgery is indicated, endometriosis tissue can be treated in one of two main ways: excision (cutting out the disease down to healthy tissue) or ablation (destroying the visible surface of the tissue with heat or energy, without removing it). Excision has several advantages that make it the preferred approach in most cases: it removes the disease to its full depth rather than only its visible surface, provides tissue for histological confirmation of the diagnosis, and because it removes rather than burns the tissue is associated with fewer of the scarred, adhesion-prone defects that ablation can leave behind. 

Ablation may still be reasonable for very superficial disease in some cases, and the appropriate technique depends on where the disease is and how deep it extends, assessed at the time of surgery. 

The magnified laparoscopic view is a particular advantage in excision, allowing more precise identification of disease extent and surgical margins than the naked eye achieves especially valuable in deep infiltrating disease and other anatomically difficult presentations.

Endometriosis and Fertility

Endometriosis can affect fertility, particularly where it causes adhesions, ovarian cysts, inflammation, or distortion of pelvic anatomy. Women with endometriosis who are trying to conceive should discuss timely fertility assessment with their gynaecologist. Surgery is not guaranteed to improve fertility, and in some cases particularly surgery involving the ovaries it can affect ovarian reserve (the remaining supply of eggs); any potential effect on fertility and ovarian reserve should be discussed before treatment, as it varies from case to case.

Staging

Endometriosis is staged from I (minimal) to IV (severe) based on the extent, depth, and location of disease found at surgery but stage does not reliably predict symptom severity or pain, and a lower stage does not mean the condition is not worth treating if it is affecting quality of life.

Treatment Approach

Treatment is individualized and may include pain relief, hormonal medication to suppress the condition's activity, or surgery most often laparoscopic excision. The right combination depends on symptom severity, extent and location of disease, fertility plans, and how the patient has responded to treatment already tried. There is no single treatment that fits every case.

Endometriosis Care at Fortis Hiranandani Hospital, Vashi

Fortis Hiranandani Hospital, Vashi provides endometriosis evaluation, including imaging, symptom assessment, and laparoscopic excision surgery when indicated, for patients from Vashi, Navi Mumbai, Panvel, Ulwe, Uran, Raigad and nearby areas.

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Fortis Hiranandani Hospital Vashi, Navi Mumbai

Address: Mini Sea Shore Road, Sector 10, Vashi, Navi Mumbai, Maharashtra - 400703

Ph. 02268846142