Problems with endometriosis diagnostics

"Menstru­ation must be painful" is what young women often hear from both their parents and doctors. Apart from being prescribed painkil­lers and hormones the patient stays alone with her suffe­ring, not knowing what causes her ailments and what their conse­qu­ences may lead to. Such approach is the reason for dramatic stati­stics: the proper diagnosis of endome­triosis occurs on average 10 years after the appearance of its’ first symptoms! In fact, it carries a drama for many women. After many years of silent develop­ment, the disease trans­formed into advanced stages. Often during the first laparo­scopy we encounter endome­trial cysts (leading to the reduc­tion of ovarian reserve), adhesions, obstructed fallo­pian tubes, infil­trates on bladder or intestine.

So far the only accurate diagno­stic method of this disease was classic laparo­scopy, requiring anesthesia and usually a few days of hospital stay. It also left scars. In such perspec­tive it is not surpri­sing that both doctors and women affected by en­do­me­triosis were postpo­ning the decision to undergo such surgery.

TVL - Revolution in diagnostics of endometriosis

TVL (eng. trans­va­ginal laparo­scopy) is a tech­nique that revolu­tio­nized diagno­sing of endome­trio­sis. It is a short, 30-mi­nute long surgery, which requires short general or local anaesthesia (local anesthesia of the cervix combined with the use of nitrous oxide, i.e. laughing gas). After­wards, patients does not need to be hospi­ta­li­zed. The proce­dure is performed by trans­va­ginal access without leaving any scars in the abdominal area. Trans­va­ginal laparo­scopy is performed in an aqueous (not gas) environ­ment.. Thanks to this there are no shoulder pains and uncom­for­table abdominal distension.

In the case of patients planning pregnancy, a full diagnosis is possi­ble, inclu­ding hyste­ro­scopy (utero­scopy) and tubal patency. In the case of endome­trio­sis, it is possible to simul­ta­ne­ously remove the lesions with the use of a laser. All proce­dures can be performed on an outpa­tient basis.

Full diagnostic laparoscopy

remove_circle
General anaesthesia

Reruires general anaesthesia

remove_circle

Three small scares

Classic laparo­scopy requires intro­duc­tion of 3 instru­ments through the abdominal wall, leaving three scars: one in the navel and two on the sides of the abdomen.

remove_circle

Several days of hospital say

Most of hospi­tals recom­mend a few days of hospitalisation.

remove_circle

Worse visibility

Flatte­ning of changes caused by the use of gas together with light reflec­tions result in poorer visibi­lity during the surgery.

Diagnostic transvaginal laparoscopy (TVL)

add_circle

No scars

During trans­va­ginal laparo­scopy the camera is inserted into abdomen through the poste­rior wall of vagina. The surgery leaves no scars.

add_circle

Only several hours of hospital stay

The surgery itself takes 30 minutes. Several hours after the surgery the patient is able go back home.

add_circle

Better visibility

The proce­dures are performed in aqueous environ­ment with much lower pressure than in the case of classic laparo­scopy. Endome­trial changes are not flattered what makes them better visible.

The diagnostics process at Miracolo

  1. Phone consultation. By clicking on the link below you can sign up for a phone consultation. You will receive a detailed questionnaire regarding your ailments and health condition.
  2. Surgery qualification. Qualification for the procedure is based on a thorough interview, documentation of ultrasound examination and any descriptions of the operations carried out in the past. However, at times additional consultation or additional tests are necessary (eg. magnetic resonance imaging), of which you will be informed during the consultation.
  3. Date of the procedure. We will arrange a convenient surgery date in Warsaw or Dortmund.
  4. Laboratory results. You will be asked to perform several laboratory tests before the surgery.
  5. The surgery. On the day of the procedure our doctor performs a gynecological examination with ultrasound, followed by a surgical procedures. A few hours after the procedure the patient can go back home.
  6. Further treatment. Care after the surgery can be taken over by your own doctor. If endometriosis is confirmed during the surgery, we will help you to specify further treatment. You can also go through our nutritional therapy.
Fig. A classic image of endometriosis.
Fig. Unusual form of endometriosis - flotation of subtle adhesions on the surface of the ovaries or fallopian tubes - a type of endometrial change almost imperceptible during classic laparoscopy

Wondering if you also have endometriosis?

The sooner you diagnose this disease, the more likely you are to cure it completely. It means not only a better quality of life due to the lack of menstrual ailments, but also a restoration of your natural fertility.