About Bowel Endometriosis
Key Highlights
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Provides significant relief from chronic pelvic pain and painful bowel movements (dyschezia).Can resolve gastrointestinal symptoms like bloating, constipation, and rectal bleeding linked to the menstrual cycle.Helps prevent serious complications such as bowel obstruction or stenosis.Often performed using minimally invasive laparoscopic techniques, leading to smaller scars and potentially faster recovery.Aims to improve overall quality of life and fertility outcomes in some patients.
Who is this surgery for?
- Severe, cyclical pelvic pain that radiates to the rectum, especially during menstruation.
- Painful bowel movements (dyschezia), diarrhea, or constipation that worsens around the menstrual period.
- Rectal bleeding or blood in the stool that coincides with menstruation.
- Diagnosis of deep infiltrating endometriosis (DIE) affecting the bowel via MRI or transvaginal ultrasound.
- Symptoms unresponsive to hormonal therapies (like birth control pills or GnRH agonists).
- Suspected or partial bowel obstruction due to endometrial implants.
- Infertility workup where bowel endometriosis is identified as a contributing factor.
How to prepare
- Complete a thorough diagnostic workup, including colonoscopy, pelvic MRI, or transvaginal ultrasound to map the lesions.
- Consultation with a multidisciplinary team, which may include a gynecologist and colorectal surgeon.
- Bowel preparation (similar to a colonoscopy) to empty the intestines, typically starting 1-2 days before surgery.
- Fasting for 8-12 hours prior to the procedure as per anesthesia guidelines.
- Discontinuation of certain medications, like blood thinners, as advised by the doctor.
- Pre-operative tests including blood work, ECG, and chest X-ray to ensure fitness for surgery.
- Discussion of anesthesia options and signing of informed consent forms.
Risks & possible complications
- General surgical risks: Reaction to anesthesia, bleeding, or infection at the incision sites.
- Bowel-specific risks: Temporary or permanent change in bowel habits (constipation/diarrhea).
- Risk of bowel injury, leakage (anastomotic leak), or fistula formation, potentially requiring a temporary stoma.
- Damage to nearby structures like nerves (leading to bladder dysfunction) or ureters.
- Recurrence of endometriosis symptoms over time.
- Adhesion (scar tissue) formation inside the abdomen, which can cause future pain or obstruction.
- Rare risk of deep vein thrombosis (DVT) or pulmonary embolism.
Recovery & hospital stay
- Hospital stay is typically required for monitoring bowel function and pain management.
- Initial diet will be clear liquids, advancing to soft foods as bowel function returns (passing gas or stool).
- Pain is managed with prescribed medications; avoid NSAIDs initially if there was significant bowel surgery.
- Avoid heavy lifting, strenuous exercise, and sexual intercourse for 4-6 weeks as advised.
- Gradually increase physical activity with short walks to promote circulation and prevent blood clots.
- Watch for warning signs like fever, severe abdominal pain, redness/drainage at incisions, or inability to pass stool/gas, and contact your doctor immediately.
- Follow-up appointments are crucial to monitor healing and discuss long-term management, which may include hormonal therapy to suppress recurrence.
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Typical hospital stay: 3-7 days
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Expected recovery time: 4-6 weeks
Frequently Asked Questions
If you are considering bowel endometriosis in India, these questions and answers can help you make a confident, informed decision.
Popular choices for bowel endometriosis in India include Kamineni Hospital, Tadigadapa, SIMS Hospital Vadapalani, KMC Hospital Mangalore, Manipal Hospital Baner, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform bowel endometriosis. MediFyr helps you compare gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for bowel endometriosis compare across other countries where we have data.
Top hospitals for Bowel Endometriosis in India
These partner hospitals in India have dedicated gastroenterology teams and experience managing patients undergoing bowel endometriosis.
Vivaan Das, a 28-year-old software engineer,...
Vivaan Das, a 28-year-old software engineer, had always been active and health-conscious. For over two years, he experienced a confusing and debilitating cycle of symptoms: severe, cramping abdominal pain that seemed tied to his meals, alternating bouts of constipation and diarrhea, and occasional rectal bleeding. Initially dismissed as severe IBS or stress-related, his symptoms progressively worsened, leaving him anxious about eating and often unable to complete his workday. After multiple visits to his GP and a gastroenterologist, a colonoscopy revealed suspicious lesions. His gastroenterologist, suspecting deep infiltrating endometriosis, a condition Vivaan, as a man, was shocked to learn could affect him, recommended a laparoscopic bowel resection to remove the endometriotic nodules invading his sigmoid colon. The surgery was complex but successful. Post-procedure, Vivaan faced a challenging but managed recovery with a temporary stoma, which was reversed after three months. Emotionally, his journey was one of profound isolation and frustration before diagnosis, feeling his pain was not believed. After surgery, as his digestive function normalized and the pain subsided, he felt a powerful sense of validation and relief, though he continues to process the rarity of his diagnosis and advocates for greater awareness of extra-pelvic endometriosis.
Gastroenterologists for Bowel Endometriosis
Explore experienced gastroenterologists who regularly perform bowel endometriosis and provide pre- and post-operative care in India.
- 25 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai
- 34 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai
- 20 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Gastroenterologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 11 Years Experience
- Gastroenterologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 11 Years Experience
- Gastroenterologist
Kamineni Hospital LB Nagar, Hyderabad
- 8 Years Experience
- Gastroenterologist
Kamineni Hospital LB Nagar, Hyderabad
- 14 Years Experience
- Gastroenterologist
Manipal Hospital Gurgaon, Gurgaon
- 18 Years Experience
- Gastroenterologist
- 49 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 35 Years Experience
- Gastroenterologist
- 32 Years Experience
- Gastroenterologist
- 30 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 30 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 21 Years Experience
- Gastroenterologist
- 21 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 10 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 9 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai