Endometriosis: when is surgery needed?

Endometriosis: when is surgery needed?


Find out when the disease, which affects one in ten Brazilian women (according to SBE), requires surgery to improve women’s quality of life

“We need to talk about endometriosis”. This was the phrase chosen by anita to open a discussion in yours profile on twitter. The singer told through a publication, made last Thursday 7, about her long journey to obtain a correct diagnosis of the disease, which will be treated with Surgical intervention.





Endometriosis: when is surgery needed?

More than nine years ago, the condition caused it severe pain after sexual contact. However, Anitta’s condition was usually associated by the medical team with a bacterial infection. It was only after the (belated) request for an MRI that endometriosis was discovered.

“Research. Endometriosis is very common among women. It has different side effects and in every body in some sense. They can extend to the bladder and cause excruciating pain when urinating. There are several treatments and mine will have to be surgery. “

When is surgery for endometriosis indicated?

As in Anitta’s case, the disease causes chronic pain in 57 percent of patients, according to the Brazilian Association of Minimally Invasive Endometriosis and Gynecology (SBE). This is because it is marked with presence of endometrium (tissue inside the uterus) in inappropriate places – such as the ovaries, the back or front of the female organ, the bladder, among others.

Since endometriosis is directly related to the endometrial tissue, which sheds during menstrual flow, the basic treatment for endometriosis is usually to stop menstruation, but there are specific situations where surgery is the most appropriate way to address the condition. .

It is recommended that every woman with endometriosis not menstruate unless she is trying to conceive.. Therefore, conventional treatment is carried out with different contraceptives. The indication for surgery will be given only to the patient who, despite having tried the use of drugs for at least 6-12 months, has not had an improvement in the condition and continues to suffer with many pains, symptoms and worsening of quality of life “, explains. Igor Padovesi, gynecologist at the University of Sao Paulo and Albert Einstein Hospital and specialist in endometriosis surgery.

In addition to cases accompanied by pain during intercourse, pain in the pelvis and severe menstrual cramps (which do not improve with clinical treatment), surgery may also be the best option when endometrial tissue infiltrates unusual locationsfor example, the urinary tract and specific points of the intestine.

“There are these specific conditions that the procedure can be done – even in women who have no pain – but discomfort is really the main indicator,” the gynecologist completes.

How endometriosis surgery is performed

Today, the most common is that surgery for endometriosis is performed in a minimally invasive way, using laparoscopy. “Surgery for this disease is necessarily laparoscopic, meaning we use a camera to drive [que entra através umbigo], and the operation is performed with small incisions. Therefore, the patient’s recovery will be much better and we will be able to access the points where the endometriotic tissue attaches “, explains Igor.

In most cases, surgical treatment seeks to remove all diseases and adhesions from the endometrial tissue. However, according to SBE, when the condition has recurred multiple times – and there is no desire for pregnancy on the part of the patient – it is also possible to perform the removal of the uterus and ovaries, in order to preserve the woman’s quality of life.

The importance of imaging

Despite everything, the case of Anitta is not uncommon. The singer has spent more than nine years with several health workers who did not suspect the presence of the disease and did not even require an image examination, which is more relevant to having the diagnosis of endometriosis.

For this reason, Igor points out that the ideal is that the surgery and treatment for the disease are well indicated and mainly performed by specialists experienced in the condition.

“It is important to emphasize that women with suspected endometriosis perceive the symptoms and seek professionals specialized in endometriosis, who know how to make the correct diagnosis of the disease and refer to the appropriate treatment,” he concludes.

Source: Terra

You may also like