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Endometriosis and
Deep Infiltrative Endometriosis
Surgery

women experiencing pain due to endometriosis
Associate Professor Dr. Burak Tatar, a gynecological oncology surgeon, provides pre-operative information.

Endometriosis is a disease in which tissue similar to the lining of the uterus grows outside the uterus, often leading to problems such as chronic pelvic pain, painful menstruation, and infertility.
In advanced cases, a form called deep infiltrative endometriosis can affect neighboring organs such as the intestines, bladder, or ureters. In this case, surgical treatment should be performed by an experienced gynecological oncology surgeon.

Symptoms of Endometriosis

  • Severe menstrual pain (dysmenorrhea)

  • Pain during sexual intercourse (dyspareunia)

  • Infertility

  • Chronic abdominal and groin pain

  • Pain while defecating or urinating

Diagnostic Methods

Clinical examination, ultrasonography, and, if necessary, magnetic resonance imaging (MRI) are used in the diagnosis of endometriosis.
Definitive diagnosis and staging are made by directly visualizing the lesions during laparoscopic surgery.

Laparoscopic Surgical Treatment

Thanks to the laparoscopic method in endometriosis surgery:

  • Less pain and faster recovery are achieved.

  • Small incisions provide an aesthetic advantage.

  • Preserving the reproductive organs makes it possible to maintain fertility.
    In cases of deep infiltrative lesions, involvement of the bowel, bladder, or ureter can be removed using specialized techniques.

Postoperative Period

In the early post-operative period, the patient returns to normal life within a few days.
If necessary, hormonal treatment can reduce the risk of recurrence.
The follow-up plan is individualized according to the patient's symptoms and surgical findings.

Frequently Asked Questions (FAQ)

Can endometriosis recur?
Yes, recurrence is possible, especially in lesions that cannot be completely removed. Follow-up and, if necessary, hormonal support therapy are important.

Does the chance of pregnancy increase after surgery?
Yes. Surgical correction of the anatomical structure, opening the fallopian tubes, and preserving ovarian reserve increases pregnancy rates.

Is endometriosis surgery risky?
Surgery can be complex in cases involving bowel and ureter involvement. Therefore, it should be performed by an experienced gynecologic oncologist.

© 2026 by Burak Tatar

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