This interesting pathology is from a 22 year old girl who was given the option of hysterectomy for treatment by her previous doctor. We saw her and proceeded with robotic excision of endometriosis as she already had a diagnosis of endometriosis and was only 22!
We found adhesions or (scar tissue) which were all treated robotically and endometriosis in the uterosacral and periureteral areas which have not been treated. We completely resected the periureteral and uterosacral areas as well as other suspicious areas of damaged peritoneum. With periureteral endometriosis (area around the tube that goes from the kidney to the bladder) being the most innervated tissue in the lower pelvis, endometriosis will cause intense pain here. Now that we have robotically resected this area, I expect her to be much improved after a cycle of treatment and preserve her fertility (paramount at age 22) and her hormonal status avoiding a hysterectomy (which would have made her menopausal).
This is a very interesting case because of her age and that the only option given to her by her previous doctor was a life-changing hysterectomy.
CLICK HERE to review the pathology report. Contact us using our live chat to learn more about robotic excision of endometriosis.
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