Endometriosis Excision
Stop Managing Your Endometriosis. Start Treating It at the Root.
If you are reading this, you likely already know the frustration of endometriosis. You may have endured years of debilitating pelvic pain, dismissive diagnoses, or surgeries that only provided temporary relief.
You are not imagining the pain, and you are not out of options. At Transform Health, we specialize in the gold standard of endometriosis treatment: Excisional Surgery.
Why Your Past Surgeries May Have Failed: Excision vs. Ablation
A critical misunderstanding in endometriosis care is how the disease is surgically removed. If you have had surgery before but your pain returned, it is likely because your surgeon used ablation.
- Ablative Surgery (The Surface Approach): Ablation uses heat or lasers to burn the surface of the endometriosis lesions. However, endometriosis is an inflammatory disease that grows beneath the surface of the tissue. Burning the top leaves the “root” of the disease intact, often leading to rapid recurrence and trapped inflammation.
- Excisional Surgery (The Gold Standard): Excision is the meticulous process of cutting out the endometriosis tissue in its entirety—root and all—while preserving the surrounding healthy organs. This requires advanced, highly specialized surgical skill, but it offers the lowest rates of recurrence and the highest chance of long-term pain relief.
Think of it like a weed in a garden: if you only burn off the leaves, the weed grows back. You have to carefully dig out the root.
Trust Your Care to a Leading Excision Specialist
Excisional surgery is complex. It requires a surgeon who intimately understands the anatomy of the pelvis and the varied, hidden ways endometriosis presents.
Richard Rosenfield, MD, is recognized as a leading expert in minimally invasive gynecologic surgery. With extensive experience in advanced laparoscopic excision, Dr. Rosenfield and his team are dedicated to thoroughly eradicating the disease, restoring your quality of life, and protecting your fertility.
This is the most crucial distinction in endometriosis care. Ablation (or fulguration) uses heat to burn away the surface of the endometriosis lesion. However, endometriosis grows deep into the tissue. Burning the surface leaves the root behind, often resulting in returning pain and trapped inflammation. Excisional surgery meticulously cuts out the entire lesion—root and all—providing the highest chance for long-term pain relief.
Because Dr. Rosenfield utilizes advanced, minimally invasive laparoscopic techniques, recovery is significantly faster than traditional open surgery. Most patients go home the same day or after a one-night stay. You can generally expect to return to light, daily activities within 1 to 2 weeks, with a full recovery typically taking 4 to 6 weeks. We provide a customized recovery protocol to ensure you heal safely and comfortably.
While there is currently no absolute cure for endometriosis, expert excisional surgery offers the lowest recurrence rates of any surgical treatment. By completely removing the diseased tissue rather than just treating the surface, most patients experience profound, long-lasting relief.
Yes. Endometriosis can severely impact fertility by creating scar tissue, altering pelvic anatomy, and causing a highly inflammatory environment that is hostile to pregnancy. By expertly removing the disease and restoring your normal pelvic anatomy, excisional surgery can significantly improve your chances of conceiving.
Endometriosis is a highly complex disease. It can hide deep in the pelvis, on the bowels, or on the bladder, and it takes many different visual forms. A general gynecologist may miss atypical disease or lack the specialized surgical training required to safely cut it off of delicate organs. As an excision specialist, Dr. Rosenfield has the advanced training and daily experience necessary to identify and eradicate the disease entirely.
Take the First Step Toward a Pain-Free Life
You deserve a life not dictated by endometriosis. Whether you are seeking your first diagnosis or are looking for expert revision surgery after a failed ablation, Dr. Rosenfield is here to help.
Ready to reclaim your life?
Meet Dr. Rosenfield and the Care Team
Dr. Richard Rosenfield, an internationally recognized gynecologic surgeon with more than 25 years of experience.