Endometriosis Surgery Q&A

Why might I need surgery for endometriosis?

Surgery may be recommended when endometriosis causes chronic pelvic pain, bowel or bladder symptoms, infertility concerns, or when symptoms do not improve with medical management. In cases where endometriosis involves the bowel, appendix, or other abdominal organs, a general surgeon plays a key role in safely removing disease, alongside a gynecologic surgeon, while preserving organ function. The goal of surgery is to excise endometriosis lesions and relieve symptoms while minimizing the risk of recurrence.

What are the symptoms of endometriosis?
Symptoms vary and may include pelvic or abdominal pain, painful menstrual cycles, pain with bowel movements, bloating, fatigue, or changes in bowel habits. Some patients may also experience pain during intercourse or difficulty becoming pregnant. Because symptoms can overlap with other conditions, a comprehensive evaluation is important.

How is endometriosis diagnosed and treated?

Diagnosis often begins with a detailed medical history, physical examination, and imaging such as ultrasound or MRI. Definitive diagnosis and treatment are typically achieved through minimally invasive surgery. Dr. Marcus works closely with gynecologists and other specialists to develop a personalized treatment plan. When surgery is indicated, he focuses on precise excision of endometriosis affecting the bowel or abdominal organs, using minimally invasive techniques whenever possible.

What is the role of minimally invasive or robotic surgery in endometriosis treatment?

Minimally invasive and robotic-assisted surgery allow Dr. Marcus to address complex endometriosis through small incisions with enhanced visualization and precision. These techniques are especially valuable when endometriosis involves delicate or hard-to-reach areas such as the bowel. Benefits may include less postoperative pain, shorter hospital stays, faster recovery, and reduced scarring, helping patients return to daily activities sooner.