Lotus Endometriosis Institute has published a guide on endometriosis excision surgery, explaining how the procedure differs from ablation and what the evidence says about its outcomes, including recurrence rates for both pain and endometriomas.
-- Lotus Endometriosis Institute has published a guide on endometriosis excision surgery, walking patients through how the procedure works, when it tends to be recommended, and what recovery generally involves. The institute describes excision as the gold standard surgical approach for many patients with the condition, distinguishing it from ablation, which treats the surface of a lesion rather than removing it from the root.
More information is available at https://lotusendo.com/procedures/endometriosis-excision-surgery
The distinction the guide draws between excision and ablation is supported by a 2024 Cochrane systematic review of surgical treatment for ovarian endometriomas, which found that dysmenorrhea, meaning severe menstrual cramps and pelvic pain, recurred in about 49 percent of patients after ablative surgery compared with 10 to 34 percent after excisional surgery. The review also found that endometrioma recurrence occurred in approximately 37 percent of ablation patients compared with 5 to 17 percent of excision patients within the two-year timeframe.
Excision surgery aims to remove endometriosis lesions down to healthy tissue beneath them, rather than treating only the visible surface, Lotus Endometriosis Institute said. The guide notes that the procedure also allows the removed tissue to be examined pathologically to confirm the diagnosis, which can then inform later treatment decisions rather than relying on visual assessment alone. The guide is also clear about what excision does not guarantee: complete or permanent symptom elimination. Other contributors to pelvic pain, including pelvic floor dysfunction, nerve sensitization, and adenomyosis, may require separate treatment, the institute noted. This is why Lotus Endometriosis Institute takes a broader approach to patient care, pairing surgery with services such as pain management and integrative medicine.
The guide further notes that excision outcomes depend heavily on surgical experience, since endometriosis lesions can be subtle or located near structures such as the ureters, bowel, bladder, or pelvic nerves, where precision affects both symptom relief and organ preservation. Lotus Endometriosis Institute is led by Dr. Steven Vasilev, who was working in advanced excision and complex-case surgical care before minimally invasive gynecologic surgery became a recognized subspecialty.
Patients considering excision surgery, including those with persistent symptoms after prior surgery, can read the full guide or schedule a consultation with the Lotus Endometriosis Institute at https://lotusendo.com/
Contact Info:
Name: Dr. Steven Vasilev
Email: Send Email
Organization: Lotus Endometriosis Institute
Address: 154 Traffic Way, Arroyo Grande, CA 93420, United States
Website: https://lotusendo.com
Source: PressCable
Release ID: 89208611
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