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 Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey with gastroenterology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
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.
I'd been to three other doctors...
I'd been to three other doctors for this nagging pain and fatigue. Everyone said it was stress. Dr. Latha at MGM was the first one who actually sat and listened, really listened, to everything I was saying. She ordered a specific test the others hadn't, and it turned out to be something quite rare. She explained it all to me in plain Tamil, drew diagrams on a notepad. I was scared, but she laid out a clear plan. It's been a long road, but I finally feel like we're getting somewhere.
Gastroenterologists for Bowel Endometriosis
Explore experienced gastroenterologists who regularly perform bowel endometriosis and provide pre- and post-operative care in Turkey.
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Liv Hospital Ankara
- 10 Years Experience
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- 10 Years Experience
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Liv Hospital Ankara
- 10 Years Experience
- Gastroenterologist
Liv Hospital Ankara