Deep Tissue Restoration: Excision of Advanced Endometriosis What is Stage 3 and 4 Endometriosis Excision? Stage 3 (Moderate) and Stage 4 (Severe) endometriosis involve deep-seated lesions, extensive scar tissue (adhesions), and often the presence of "chocolate cysts" (endometriomas) on the ovaries. In Stage 4, the disease may cause "frozen pelvis," where organs like the uterus, ovaries, and bowel are fused together. The Excision method is the gold standard for treating advanced stages. Unlike "ablation" (which only burns the surface), excision involves the meticulous surgical removal of the entire root of the endometriosis from the underlying healthy tissue. This is typically performed via Laparoscopic or Robotic surgery, allowing the surgeon to navigate the delicate spaces between the bladder, ureters, and bowel with high-definition magnification. Why is this Procedure Personally Vital for You? Advanced endometriosis is a systemic disease that requires more than just hormonal management; it requires mechanical clearance. This pathway is personally vital for you if: You Face Deep Infiltrating Endometriosis (DIE): If the disease has moved beyond the surface and is affecting the ligaments, bladder, or bowel, excision is the only way to physically remove the painful nodules. Organ Function is Compromised: Stage 4 disease can "kink" the fallopian tubes or press against the ureters. Excision restores the natural mobility and function of your pelvic organs. You Suffer from Debilitating, Chronic Pain: By removing the nerve-irritating lesions rather than just cauterizing them, excision offers a significantly higher chance of long-term pain relief and a lower rate of recurrence. You are Navigating Infertility: Removing extensive adhesions and endometriomas can clear the "toxic" inflammatory environment in the pelvis, significantly improving the chances of natural or assisted conception. The Path to Pelvic Health and Stability The goal of advanced excision is to perform a "peritoneal stripping" of the disease while stabilizing the integrity of your reproductive and digestive tracts. This pathway is designed to: Provide Multidisciplinary Surgical Excellence: For Stage 4 cases involving the bowel or bladder, our gynaecologists work alongside colorectal or urological surgeons to ensure every lesion is removed safely. Ensure Clinical Readiness through Rigorous Screening: To map the depth of infiltration—especially near the bowel and ureters—we require a full medical history, diagnostic X-rays (specifically a chest X-ray and detailed Pelvic MRI/Endometriosis Protocol Ultrasound), and comprehensive blood tests (including inflammatory markers like CA-125 and kidney function panels). A Focused Recovery and Stabilization Window: Because advanced excision involves "releasing" organs that were fused together, the internal healing process is significant. We focus on a 2–3 week recovery and stabilization period. This window is essential for the pelvic tissues to heal without forming new adhesions, for your bowel and bladder function to stabilize, and for our medical board to confirm that your systemic inflammation is effectively managed. All details are subject to doctor evaluation for the final treatment plan.