Chronic Pelvic Pain Due to Endometriosis

Dr Jenny Cook  |  Gynaecologist & Advanced Laparoscopic Surgeon

Total Laparoscopic Hysterectomy - Endometriosis

Symptoms

A 43 year old woman had experienced debilitating chronic pelvic pain since a caesarean section 10 years prior.

Diagnosis

She recalls that the bladder was very scarred and adherent to the uterus because of endometriosis. The pain was associated with bladder symptoms including frequency and dysuria. The pain was very severe with a full bladder. She was experiencing frequent UTIs. She had also developed heavy irregular bleeding.

Procedure

We decided to do a Total Laparoscopcopic Hysterectomy.

Outcome

She recovered well and was completely pain free. Her bladder symptoms resolved.

The laparoscopic view of the uterus.
The laparoscopic view of the uterus.
Significant scarring noted over the bladder.
Significant scarring noted over the bladder.
Careful mobilisation of the bladder from the anterior cervix and uterus.
Careful mobilisation of the bladder from the anterior cervix and uterus.
The ovaries are conserved.
The ovaries are conserved.
The uterus and cervix are detached from the vaginal cuff.
The uterus and cervix are detached from the vaginal cuff.
The vaginal vault is closed. A normal pelvis at the end of the hysterectomy.
The vaginal vault is closed. A normal pelvis at the end of the hysterectomy.
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