At Assuta Hospital, patients receive multidisciplinary treatment for endometriosis, with collaboration among experts including gynecologists who specialize in ultrasounds, fertility, and surgery; MRI-specialist radiologists; general surgeons; urologists; and specialists in the whole-patient approach to medicine.

 

About the endometrium and endometriosis

Endometriosis is a gynecological disease that occurs in about one in ten women.

The endometrium is the innermost lining of the uterus.

Cells of the endometrium respond to the hormone estrogen, which the ovaries secrete periodically. These cells take root outside the uterus; over time, they thrive as long as the ovaries are active.

Periodically, the endometrial cells will bleed during menstruation. The bleeding irritates various tissues in the abdomen and pelvic cavity, and the area can become inflamed and painful. In addition, scarring and adhesions form between these endometrial cells and the pelvic organs, specifically, the ovaries, uterus, fallopian tubes, colon, pelvic walls and, at times, the urinary system.

Disease manifestation can be very varied; it includes pain during menstruation, chronic pelvic pain, pain during intercourse, fertility problems, and other symptoms.

 

Surgical treatment of endometriosis

Advanced-stage endometriosis, characterized by lesions on the pelvic wall, colon, rectum, urinary system, and nerves, typically requires surgery – in most situations, robot-assisted surgery. With robotic surgery, which is usually minimally invasive, the surgeon uses the “robot” to manipulate specialized surgical instruments, viewing the organs with a 3D camera.

This flexible technology eases operation execution, allowing the surgeon to perform precise movements – for accurate, safe, and effective outcomes, compared with standard laparoscopic surgery.