Does endometriosis require surgery?

Patient's question:

Hello, I am 32 years old, and it has been four years since my Cesarean section. This year, I noticed a lump on the right side of the incision. The doctor has now diagnosed it as endometriosis and performed a color Doppler ultrasound, which showed: "Scanning the clinically apparent mass on the lower abdominal wall revealed a hypoechoic nodule measuring approximately 18.711.214.5mm, with clear margins and fine small echo spots inside. No blood flow signals were detected by color Doppler. The posterior echo of the nodule did not show attenuation." I have just read a lot of information online and suspect it might be incisional endometriosis of the abdominal wall. The doctor now recommends surgical removal. I am hesitant because I am worried that it will definitely cause some impact on my work and life after the surgery.

Doctor's answer:

Hello, endometriosis should be treated with individualized surgical procedures based on each patient's specific condition. Whether laparoscopic surgery or open surgery depends on the operator's experience and skills, rather than solely on the stage of the patient's disease. Surgical treatment for endometriosis typically has three approaches: fertility-sparing surgery, ovarian function-sparing surgery, and radical surgery. Endometriosis can lead to infertility and, in some cases, may even cause malignancy, so surgical treatment is recommended.

📌 Related Posts