Endometriosis is a chronic inflammatory disorder in which endometrial tissue grows outside the uterus in the pelvic cavity. The condition is relatively common among women with infertility and pelvic pain. While medications may lessen endometriosis symptoms, the condition is best treated surgically via a minimally invasive laparoscopic surgery in which endometriosis is removed.
The most common kind of endometriosis surgery uses a method called fulguration, in which the endometriosis lesions are burned with a cautery device. This method of treatment could be compared to melting the tip of an iceberg, since much of the time, endometriosis is left under the surface of pelvic tissues. As a result, women who have an endometriosis fulguration procedure have a much higher chance of their endometriosis returning within 1-2 years after surgery.
A much more effective way of treating endometriosis is using a technique called excision, in which all endometriosis implants (and associated scar tissue and inflammation) are completely removed. This method of treating endometriosis results in a much lower chance of endometriosis returning after surgery (about 10-20%) and also results in better pain resolution compared with fulguration.
While endometriosis excision and fulguration are both considered “endometriosis surgery,” they are not equivalent. Technique matters. Fulguration only partially treats the disease and often leaves pelvic tissues burned or damaged; excision seeks to completely eliminate the disease and provides women with a better chance of being restored to optimal reproductive health. Far fewer surgeons have the training and expertise to perform endometriosis excision, which is why many women aren’t aware of the different methods of treating endometriosis.
The doctors at Veritas Fertility and Surgery only perform excision when treating endometriosis, and this helps his patients have better outcomes and lower chances of recurrence.