appearances and it is not uncommon for specialist endometriosis surgeons to detect disease which has not been diagnosed at previous surgery by non-specialist gynaecologists .
Sometimes a specialist radiologist can pick up features of endometriosis which may help in treatment planning . These are dynamic pelvic ultrasound and MRI scan . Sometimes you may need a colonoscopy ( examination of inside of the bowel ), or cystoscopy ( examination of inside of the bladder ).
surgeons working in multidisciplinary teams including Endometriosis surgeons , radiologists , colorectal ( bowel ) surgeons , urologists , pain consultants , psychosexual therapist , and endometriosis specialist nurses . These work together in an Endometriosis centre deciding with each woman the best treatment for her .
Hysterectomy may occasionally be considered when families are complete and in cases of adenomyosis when endometriosis is involving the muscle of the womb . Most of the time this is however not the first recommended option as the disease is outside of the uterus ( womb ).
Is there a link between endometriosis and cancer ? Currently significant immunological and genetic research studies are being undertaken to answer this question . Although there is no direct proven link that endometriosis causes cancer , there is a rare known entity of ovarian cancer ( Endometrioid adenocarcinoma ) which is known to occur in endometriosis tissue .
Where can I get help ? Endometriosis severely affects a woman ’ s quality of life often from a young age . Diagnosis and management of endometriosis is best performed by a specialist team with individualised patient centred care .
MRI ( magnetic resonance imaging ) for deep endometriosis showing deep endometriosis involving ovary , uterus and surrounding tissue close to pelvic nerves .
Treatment Treatment options will depend on your symptoms and are broadly divided into four groups :
• Hormone treatment or hormones to cause temporary menopause
• Pain management
• Fertility treatment
• Surgical excision
Every woman is different and individualised care is extremely important .
If surgery is required , then excision ( removal ) rather than ablation ( burning ) is recognised as the best surgical treatment . This is also recommended to be performed by highly trained endometriosis
Mr David Rowlands and Miss Nahid Gul have developed the Mersey and Cheshire Endometriosis service based at Spire Murrayfield Hospital Wirral with the multidisciplinary team of endometriosis specialist nurse , radiologist who specialises in pelvic gynaecological imaging , colorectal surgeon , urologist , pain specialist with links to expert psychosexual counsellor and physiotherapy .
To book an appointment please Contact Spire Murrayfield on 0151 648 7000 . Our booking team will be more than happy to arrange a specialist appointment for you .
If you would like to read more about diagnosis and treatment of endometriosis , further information is available on the following websites :
https :// www . spirehealthcare . com / conditions / endometriosis / https :// www . endometriosis-uk . org / https :// www . bsge . org . uk / endometriosis-centres / wirrallife . com 69