Delayed diagnosis can cause patients to have to live with severe pain that can disrupt their quality of life for years, and moreover, it can cause infertility problems. In the case of ‘deep endometriosis’, which can involve many organs and has progressed more than 5 mm from the peritoneum, serious permanent damage to the organs may occur if the treatment is delayed.
DEEP ENDOMETRIOSIS CAN CAUSE SIGNIFICANT DISEASES!
Acıbadem Altunizade Hospital Gynecology and Obstetrics Specialist Prof. Dr. Noting that early diagnosis has a key role in obtaining successful results from deep endometriosis treatment, Taner Usta said, “Early diagnosis can save the patient from loss of function in organs and more severe surgeries. With treatment, it is possible to get rid of pain and lead a normal life. Thanks to the improvement of the patient’s pain and loss of function, his work, private and social life is positively affected.
CAN CAUSE PERMANENT DAMAGE TO ORGANS
According to the regions of endometriosis in the body; It can be classified as peritoneal endometriosis, endometrioma, abdominal wall endometriosis and deep endometriosis. Endemotriosis that has progressed more than 5 mm from the peritoneum is defined as ‘deep endometriosis’. Deep endometriosis is seen in organs such as the large intestine (especially the rectum, which is the last part of the large intestine), appendix, urinary bladder and ureter (tubes that carry urine from the kidney to the bladder), sciatic nerve, diaphragm and lung.
Gynecology and Obstetrics Specialist Prof. Dr. Taner Usta warned that deep endometriosis, which occurs in 10-20 percent of endometriosis patients, can cause severe pain as well as significant damage to the organs involved, especially the intestines, ovaries and kidneys, and said, “The problems vary according to the involved organ. For example, in intestinal involvement, while the abdomen swells like pregnant, severe pain may develop during defecation.
If the sciatic nerve is involved, difficulty in walking and low foot problems may occur. While groin pain and bloody urine problems are experienced in bladder endometriosis, severe right shoulder pain is seen in diaphragm endometriosis. When the treatment is delayed, such important problems can become permanent and seriously reduce the quality of life of the patient.
THESE THREE SIGNALS ARE VERY IMPORTANT
The most common symptom of deep endometriosis, namely the primary symptom, is intense pelvic pain (hip-waist) experienced especially during menstrual periods. However, since the pain that develops during the menstrual period is seen as a normal situation by the patients, it is often neglected and it is delayed to consult a physician.
Gynecology and Obstetrics Specialist Prof. Dr. Stating that the symptoms of deep endometriosis should not be neglected for early diagnosis, Taner Usta said, “Particularly painful menstruation, painful defecation during menstruation and painful sexual intercourse are the three important symptoms of deep endometriosis. Without neglecting these problems, an endometriosis treatment center should be consulted,” she says.
SURGERY IS CRITICAL IMPORTANT
Treatment protocol of endometriosis; It is determined according to the level of the disease, the problems it causes, and whether the patient wants to have a child. The disease is treated with medication, surgery, or a combination of both methods.
Gynecology and Obstetrics Specialist Prof. Dr. Taner Usta, emphasizing that even if drug treatment is applied in deep endometriosis, it is necessary to resort to surgical methods in order to remove obstructions and adhesions in the organs, and continues: “In addition to the endometriosis surgeon, colorectal surgeon, urologist, and in some rare cases, thoracic surgeons and neurosurgeons are extremely important. is important. According to the organ involved, the branch dealing with that organ and the endometriosis surgeon jointly manage the treatment. Lesions are completely removed, regardless of any tissue or organ, without leaving any diseased tissue behind. It is extremely important to be managed by a team experienced in endometriosis in the endometriosis treatment center for early diagnosis and successful treatment.”
CLOSED METHOD INCREASES SUCCESS
In the treatment of deep endometriosis, laparoscopic or robotic surgery, which are closed methods, is generally preferred because of the important advantages it provides. The most important benefit of closed surgery is that it allows the general surgeon, urologist and obstetrician and gynecologist to work together from the same entrance during the operation. Gynecology and Obstetrics Specialist Prof. Dr. Taner Usta pointed out that thanks to the closed method, problems related to the intestines, uterus, ovaries, kidneys or urinary bladder can be intervened from the same incision site, and said, “In addition, thanks to the clearer view of the body anatomy in closed surgery, more successful results are obtained from the surgery, with less pain and less bleeding. “Patients can return to their daily lives faster.”
CHOCOLATE CYST SYMPTOMS
If you have 5 of the symptoms below, deep endometriosis may be the cause of your problem!
- Constant pain in the pelvic region (hip-low back)
- excessive bleeding during menstruation
- Severe pain during menstruation
- Intermediate spotting bleeding
- Difficulty defecating, severe pain, constipation and gas problems
- painful intercourse
- Abdominal bloating
- Pain and burning when urinating, bloody urine
- Having migraine problems, especially during the menstrual period
- inability to get pregnant
- feeling tired all the time