Endometriosis

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About a disease

Description

One of the most common diseases of the female sexual system is endometriosis. It is characterized by an overgrowth of the tissue of the inner uterus of a benign nature, which occurs outside its cavity. The glandular tissue of the uterus begins to penetrate into the structures and neighboring organs to be considered: fallopian tubes, bladder and ovaries. It can affect the peritoneum, rectum and even more distant organs, such as the lungs and kidneys.

Symptoms

Depending on the form of endometrial lesion, the disease can be accompanied by various symptoms. The clinical picture of endometriosis has various manifestations, which also depend on the severity of the disease. The disease can be asymptomatic for a long time, although most patients show the following common signs:

– Painful sensations in the abdominal area. Woman begins to experience severe pain during menstruation.

– Manifestations similar to signs of organism intoxication. Endometriosis in the blood shows an increase in the level of white blood cells and ESR, which leads to nausea, vomiting, dizziness, general weakness and malaise

-Menstrual cycle shift. Endometriosis leads to a change in the nature of menstruation. They can become plentiful and long.

Diagnostics

Endometriosis is diagnosed using the following methods:

  • cervical biopsy;
  • ultrasound by transvaginal sensor;
  • color flow mapping
Treatment

Hysteroscopy-controlled scraping is an endoscopic operation to remove endometriosis foci in the uterine cavity through the vagina.

Laparoscopic excision and coagulation is the removal and coagulation of endometrioid lesions. The operation is carried out minimally invasively, endovideoscopically through small incisions on the peritoneum. Advantages: low trauma, short hospital period, reduced service life, cosmetic effect and less risk of postoperative complications.

Open laparotomy in endometriosis is a radical surgical treatment that usually involves removal of the uterus with bilateral removal of appendages, all visible endometrioid foci, revision of the pelvic and abdominal organs. As an alternative to open laparotomy, combined access (laparoscopic and vaginal) is used.

With ultrasound ablation , the endometriosis focus is remotely heated and coagulated, and the degree of heating and accuracy of the procedure are monitored using MRI. In fact, this procedure is not an operational intervention, on the same day, or the next day the patient can be discharged.

Embolization of the uterine arteries (UFE) In the process of UFE, special balls – embolae – are introduced through the catheter into the uterine arteries. They are made of a special medical polymer and have a certain size with the help of which the blood flow closes to the foci of nodal endometriosis. After UFE, the growth and size of the endometriosis node gradually begins to decrease. UFE is practically not inferior in effectiveness to surgical treatment, and at the same time has much less trauma.

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