Is there a test to identify and diagnose endometriosis?
General Obstetrician-gynecologists (OB-GYNs) are the main kind of medical professionals that frequently deal with endometriosis and see patients that might have symptoms that suggest endo.
Endometriosis can be presumed, based upon symptoms of pelvic pain and also findings during health examinations. Periodically, using a rectovaginal test (one finger in the vagina and one finger in the rectum), the medical professional can really feel nodules (endometrial implants) behind the uterus and also along the tendons that attach to the pelvic wall surface. At other times, no nodules are really felt. However, the assessment itself triggers uncommon discomfort or pain.
Neither the signs nor the physical assessments can be relied upon to effectively establish the medical diagnosis of endometriosis. Imaging studies, such as ultrasound, can be handy in ruling out other pelvic diseases and might suggest the existence of endometriosis in the vaginal as well as bladder locations. However, they can not reliably identify endometriosis. For an accurate medical diagnosis, a direct aesthetic examination inside of the hips and abdominal area, as well as tissue biopsy of the implants are essential.
Consequently, the only conclusive approach for identifying endometriosis is medical. This calls for either laparoscopy or laparotomy (opening up the abdomen utilizing a huge laceration). One step better is robotically assisted laparoscopy, using 3-D to see better and instruments that are very dextrous, like tiny human hands holding micro-scissors and graspers.
Minimally invasive surgery, including laparoscopy and robotically assisted laparoscopy, is one of the most usual procedures most frequently is used for the diagnosis of endometriosis. This is a small surgery performed under basic anesthetic, or in some cases under local anesthetic. It is normally executed as an outpatient procedure (the individual does not stay in the center overnight). Laparoscopy is executed by very first pumping up the stomach cavity with co2 through a little cut in the navel. A slim, tubular visual assessment tool (laparoscope) is then inserted into the inflated abdominal cavity to examine the abdominal area as well as pelvis. Endometrial implants can then be directly seen and biopsied, and preferably removed through endo-excision surgery. This requires special expertise from the surgeon and most general Ob-Gyn doctors are just not there with that level of skill.
Using laparoscopy, biopsies (removal of small tissue examples for evaluation under a microscopic lense) can likewise be done in order to acquire a tissue diagnosis. In some cases arbitrary biopsies gotten throughout laparoscopy will certainly reveal microscopic endometriosis, despite the fact that no implants are envisioned.
Pelvic ultrasound and also laparoscopy are likewise important in omitting worse things (such as ovarian cancer cells) which can create most of the exact same signs and symptoms that resemble endometriosis symptoms.
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