Endometriosis surgery

Endometriosis surgery

Surgical treatment of endometriosis lesions by laparoscopy, to relieve pain and improve fertility.

What is it?

Endometriosis is a common condition in which tissue similar to the uterine lining develops outside the uterus, causing intense period pain, chronic pelvic pain, pain during intercourse and sometimes difficulty conceiving. When medical treatments are not enough, surgery can bring lasting relief. The procedure is performed by laparoscopy: through small incisions, the surgeon explores the entire pelvic cavity, identifies the endometriosis lesions and treats them by removing or destroying them, while preserving the organs as much as possible, in particular the ovaries in women wishing to become pregnant. Laparoscopy also has diagnostic value: it confirms the disease, assesses its extent and helps adapt the treatment strategy. The decision to operate is always weighed together with the patient, according to the intensity of the symptoms, plans for pregnancy and the treatments already tried. At Clinique Pasteur Tunis, the management of endometriosis brings together the gynecological surgeon and, as needed, other specialists at the clinic. The goal is twofold: to relieve pain durably and to preserve or improve fertility, with attentive support before and after the procedure.
Endometriosis surgery

When is it indicated?

Intense period pain resistant to medical treatment

When periods remain very painful despite medication, surgery removes the lesions responsible, for lasting relief.

Disabling chronic pelvic pain

Almost constant pain in the lower abdomen may be linked to endometriosis; its surgical treatment markedly improves quality of life.

Pain during intercourse

Endometriosis can make intimacy painful; removing the lesions responsible helps restore a serene life as a couple.

Ovarian endometrioma (endometriosis cyst)

This is an endometriosis cyst that has developed on the ovary; surgery removes it delicately while preserving the ovary as much as possible.

Infertility associated with endometriosis

When endometriosis makes it harder to conceive, surgery can improve the chances of pregnancy, whether naturally or with medical assistance.

Diagnostic confirmation when imaging is not sufficient

When imaging examinations are inconclusive, laparoscopy confirms the disease and treats it at the same time.

Preparation

1Specialized imaging work-up (pelvic ultrasound, MRI) to map the lesions
2Pre-operative consultations with the surgeon and the anesthesiologist
3Discussion of pregnancy plans to adapt the surgical strategy
4Fast for 6 hours before the procedure
5Report all current medications

Procedure

1

Admission on the day of the procedure

2

General anesthesia

3

Exploratory laparoscopy of the entire pelvis

4

Treatment of the lesions: excision or destruction depending on their location

5

Treatment of ovarian endometriosis cysts while preserving the ovary

6

Final check and closure of the small incisions

7

Monitoring in the recovery room, then return to the room

Duration

1 to 3 hours depending on the extent of the lesions

Aftercare & Recovery

Recovery after laparoscopy is generally straightforward: patients are up early, the stay is short and normal activities resume gradually within one to two weeks. Pain relief sets in over the weeks following the procedure. If pregnancy is desired, the gynecologist works with the patient to define the best timetable and appropriate support after surgery.

Risks and side effects

Laparoscopy limits post-operative pain and scarring
Rare complications specific to pelvic surgery are possible and are prevented by the team's expertise
Endometriosis can evolve over time; regular follow-up is organized after the procedure

These risks remain rare. Your surgeon will inform you in detail before the procedure.

Request a Quote

Contact us to schedule a consultation or receive a personalized quote.

Request a Quote +216 36 402 000

At a glance

Duration: 1 to 3 hours depending on the extent of the lesions
Preparation: Required
Dedicated specialist team