What are the advantages and disadvantages of surgical therapy for endometriosis?

Updated: May 10, 2021
  • Author: G Willy Davila, MD; Chief Editor: Michel E Rivlin, MD  more...
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Answer

Minimally invasive surgical therapy affords better fertility rates, but this treatment is not as effective at eliminating pain. Definitive surgical therapy (total hysterectomy with bilateral salpingo-oophorectomy [TAH-BSO] and peritoneal stripping) offers the best chance for long-term resolution of pain (up to 90%). However, reserve this option as a last resort in patients with completely incapacitating disability or those who have no desire for future childbearing.


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