In This Section
- da Vinci Surgery - Gynecologic Conditions
- Heavy Menstrual Bleeding
Endometriosis Specialists in Omaha, NE
It is normal for a woman to feel some discomfort or cramping during their period, but if a woman's period pain is extreme and much worse than usual, you may be experiencing endometriosis. The Women’s health specialists at Associates in Women's Health in Omaha, NE provide advanced treatment options to women with this painful condition.
What is endometriosis?
Endometriosis is a disorder in which a woman's endometrium, the tissue that lines the uterus, grows in other parts of the pelvic region, such as the tissue that lines the pelvis, ovaries, or Fallopian tubes.
During a woman's cycle, the endometrial tissue thickens, breaks down, and bleeds. When it has grown in other areas of the pelvis, the blood has nowhere to go, causing extreme pain. The excess tissue may also lead to cysts and scarring that may affect a woman's fertility.
Gynecologists aren’t certain of the exact cause of endometriosis, but risk factors include:
- Family history, especially mother or sister
- Getting a period at an early age
- Menstrual cycles lasting fewer than 27 days
- Not having children
- High exposure to estrogen
- Alcohol consumption
- Being Underweight
What are the symptoms of endometriosis?
In addition to pelvic pain, common symptoms of endometriosis include:
- Periods that are long and painful
- Increased bleeding during menstruation
- Painful intercourse
- Discomfort during bowel movement and urination
- Others include an increase in fatigue, along with bloating, diarrhea, constipation, or nausea
How is endometriosis diagnosed?
In addition to health history of symptoms and a pelvic exam, our gynecologists may need to conduct testing to diagnose endometriosis, such as:
- Ultrasound - The ultrasound is a noninvasive test that uses sound waves to generate an image of the uterus that may help our team in Omaha see the endometrial tissue.
- Laparoscopy - The laparoscopy is a surgical procedure in which our Omaha endometriosis specialists use a laparoscope to view the reproductive organs through a small incision in the abdomen.
How is endometriosis treated?
Associates in Women's Healthcare treats endometriosis with medication or surgery. We discusses all options with the patient and decide together how best to manage the disorder and its symptoms.
Medication options for endometriosis include:
- Pain medication
- Hormone therapy
Surgical procedures vary and depend on a woman's pregnancy plans. Our team may be able to take a conservative approach and remove as much of the endometrial tissue as possible through laparoscopic surgery without affecting the reproductive organs.
In severe cases of endometriosis, our board certified gynecologists may need to perform a total hysterectomy, which is the removal of the uterus, ovaries, and Fallopian tubes.
da Vinci ® Endometriosis Resection
Endometriosis happens when tissue that lines the inside of your uterus (endometrium) grows into areas outside the uterus. It can cause mild to severe pain, among other symptoms.
Know Your Options
If your doctor suggests surgery, there are two main options: open surgery through one large incision (cut) and minimally invasive surgery through a few small incisions. Minimally invasive surgery can be done using traditional laparoscopy or da Vinci Surgery (da Vinci Endometriosis Resection or da Vinci Hysterectomy).
Why da Vinci Surgery?
The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons:
- 3D HD view inside your body
- Wristed instruments that bend and rotate far greater than the human hand
- Enhanced vision, precision and control
Early Clinical Data Suggests:
da Vinci Endometriosis Resection may offer the following potential benefits:
- Ability for surgeon to complete difficult dissections (separating of tissue)1,2,3
- Low rate of complications1,3,4,5
- Low blood loss3, 5, 7, 8 & low chance for transfusion3,5
- Low rate of switching to open surgery (through large incision)1,3,6,7
The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.
Risks & Considerations Related to Endometriosis Resection (endometriosis surgery to remove implants): injury to the bowel, bladder (organ that holds urine) or ureters (ureters drain urine from the kidney into the bladder).
- Collinet P, Leguevaque P, Neme RM, Cela V, Barton-Smith P, Hébert T, Hanssens S, Nishi H, Nisolle M. "Robot-assisted laparoscopy for deep infiltrating endometriosis: international multicentric retrospective study." Surgical Endoscopy 28.8 (2014):2474-2479. Epub.
- Nezhat, Camran, Anna M. Modest, and Louise P. King. "The Role of the Robot in Treating Urinary Tract Endometriosis." Current Opinion in Obstetrics and Gynecology 25.4 (2013): 308-11. Print.
- Siesto, Gabriele, Nicoletta Ieda, Riccardo Rosati, and Domenico Vitobello. "Robotic Surgery for Deep Endometriosis: A Paradigm Shift." The International Journal of Medical Robotics and Computer Assisted Surgery 10 (2013): 140-46. Print.
- Bedaiwy, Mohamed A., Mohamed Abdel Y. Rahman, Mark Chapman, Heidi Frasure, Sangeeta Mahajan, Vivian E. Von Gruenigen, William Hurd, and Kristine Zanotti. "Robotic-Assisted Hysterectomy for the Management of Severe Endometriosis: A Retrospective Review of Short-Term Surgical Outcomes." JSLS, Journal of the Society of Laparoendoscopic Surgeons 17.1 (2013): 95-99. Print.
- Ercoli, A., M. D'asta, A. Fagotti, F. Fanfani, F. Romano, G. Baldazzi, M. G. Salerno, and G. Scambia. "Robotic Treatment of Colorectal Endometriosis: Technique, Feasibility and Short-term Results." Human Reproduction 27.3 (2012): 722-26. Print.
- Dulemba, John F., Cyndi Pelzel, and Helen B. Hubert. "Retrospective Analysis of Robot-assisted versus Standard Laparoscopy in the Treatment of Pelvic Pain Indicative of Endometriosis." Journal of Robotic Surgery 7.2 (2013): 163-69. Print.
- Nezhat, C. L., M.; Kotikela, S.; Veeraswamy, A.; Saadat, L.; Hajhosseini, B. (2010). "Robotic versus standard laparoscopy for the treatment of endometriosis." Fertility and Sterility. (2010)
- Nezhat, CR; Stevens, A; Balassiano, E; and Rose Soliemannjad. "Robotic-Assisted Laparoscopy vs Conventional Laparoscopy for the Treatment of Advanced Stage Endometriosis." JMIG 22.1 (2015): 40-44
PN 1002175 Rev F 10/2016
Important Safety Information
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. Please also refer to http://www.daVinciSurgery.com/Safety for Important Safety Information.
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If you have questions about the da Vinci® Surgical System or about surgical procedures conducted with the da Vinci Surgical System, consult a surgeon that has experience with the da Vinci Surgical System. A list of surgeons that have experience with the da Vinci Surgical System can be found in the Surgeon Locator.
Our physicians have extensive training in performing robotic gynecology surgery for endometriosis in and around Omaha, Nebraska. To request an appointment give us a call as 402-697-7200 or visit our online patient portal.