Exploring Laparoscopic Endometriosis Surgery Cost: Meaning, Factors and Considerations
Endometriosis
Dr. Sankar DasMahapatra specializes in the laparoscopic treatment of endometriosis or the laparoscopic removal of a chocolate cyst in Kolkata, West Bengal, India.
“DR.Sankar DasMahapatra is a senior laparoscopic surgeon in Kolkata and has been performing Endometriosis surgery in Kolkata over the last 20 years. He is attached with the best laparoscopic surgery hospitals in Kolkata, West Bengal, India. He is an expert in the treatment of Chocolate cysts of the ovary.”
What is Endometriosis?
Endometriosis, commonly known as chocolate cysts, is a gynecological condition where cells from the uterine lining (endometrium) proliferate outside the uterine cavity, typically on the peritoneum—the membrane lining the abdominal cavity. The endometrial cells within the uterine cavity, responsive to female hormones, are mirrored by those outside the uterus, reacting similarly to hormonal fluctuations. Symptoms of endometriosis include pain and infertility, with pain intensifying during the menstrual cycle, making it a primary cause of secondary dysmenorrhea.
Endometriosis commonly manifests during the reproductive years, affecting approximately 6–10% of women. The symptoms can alter depending on the location of active endometriosis. While pelvic pain, in various forms, is a primary but not universal symptom, endometriosis is frequently identified in women experiencing infertility. For the best laparoscopic endometriosis treatment in Saltlake, Kolkata, India, seek consultation with Dr. Sankar Das Mahapatra, a specialist in endometriosis.
Where is Endometriosis commonly detected?
- Pelvic and back wall
- Fallopian tubes
- At the back of the uterus and posterior cul-de-sac
- In the front of the uterus and the anterior cul-de-sac
- Urinary bladder and ureters
- Intestines, specially in rectosigmoid
- Ovaries
What are The Different Types of Endometriosis?
- Cystic ovarian
- Subtle
- Deep
- Typical
Common Signs and Symptoms of Endometriosis
Pelvic Pain:
Dysuria – Urgent need to urinate, frequent urination, and at times, discomfort during voiding.
Dysmenorrhea – Painful cramps during menstruation. Occasionally causing disability; the pain may intensify over time (progressive pain), and lower back discomfort is associated with the pelvic region.
Chronic Pelvic Pain – Usually accompanied by pain in the lower back or abdomen.
Dyspareunia – Discomfort during sexual intercourse.
Infertility:
Endometriosis is a condition that many women with infertility may experience. The connection is relatively straightforward when considering the potential for anatomical distortions and adhesions (fibrous bands that develop between tissues and organs post-injury) caused by endometriosis. However, the relationship between infertility and endometriosis becomes more mysterious when the extent of endometriosis is limited. In cases of infertility, specialists in Kolkata may recommend endometriosis surgery.
Other Symptoms include:
- Discomfort during ovulation
- Pain linked to adhesions
- Discomfort arising from inflammation in the pelvic cavity
- Pain during bowel movements and urination
- Discomfort during general bodily movements, such as exercise
- Pain experienced while standing or walking
- Discomfort during intercourse
- Typically, pain coincides with menstruation
What are the Complications Associated with Endometriosis?
- Chocolate cysts of the ovary
- Infertility
- Ruptured Cysts
- Pelvic cysts
- Adhesions
- Internal scarring
- Ruptured cysts
- Bowel and ureteral obstruction
How can Endometriosis be Treated?
Through Medication
Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly the initial choice for patients experiencing pelvic pain, especially when the diagnosis of endometriosis has not been clearly established through excision and biopsy. The primary objective of targeted medical intervention is to achieve an anovulatory state, typically initiated through the use of hormonal contraception. Progestational agents like medroxyprogesterone, danazol, gestrinone, or gonadotropin-releasing hormone agonists (GnRH), along with other lesser-known agents, can also be employed.
These alternatives are generally considered if oral contraceptives and NSAIDs prove ineffective. Combining GnRH with estrogen and progestogen (add-back therapy) maintains efficacy while minimizing hypoestrogenic symptoms. However, these medications often fall short in treating endometriosis, providing only temporary relief. Hormonal treatments come with a multitude of potential side effects, some of which may be permanent, including hot flushes, loss of bone mass, deepening of the voice, weight gain, and facial hair growth.
Through Surgery
Laparoscopic endometriosis surgery encompasses the excision of ovarian adhesions. Highly recommended in Kolkata for effective disease eradication and pain relief, Laparoscopic Endometriosis surgery involves the surgical removal of Endometriomas. While this surgery may enhance fertility in some cases, it can also lead to increased cycle day 2 or 3 FSH levels for many patients. Laser surgery and cauterization, less effective alternatives, only burn the top layer of endometrial tissue, allowing for rapid regrowth of endometrioma and endometriosis. Similarly, endometrioma drainage or sclerotherapy is a somewhat controversial technique with varying success rates.
Conservative surgery, preserving fertility in younger patients, may elevate FSH values and reduce ovarian productivity, especially if functional ovarian tissue is removed. Operative laparoscopic surgery offers pain relief and improved fertility. Radical options, such as singular or bilateral oophorectomy, can be performed by advanced laparoscopic surgeons in Kolkata. Treating endometriosis (chocolate cysts of the ovary) is crucial for infertility management, as early lesions of endometriosis are a common cause of unexplained infertility. Diagnostic laparoscopy remains essential for confirming early lesions in endometriosis treatment. Dr. Sankar Dasmahapatra provides optimal infertility solutions in Kolkata.
What is the Cost of Endometriosis Surgery in Kolkata?
Laparoscopic endometriosis surgery cost in Kolkata ranges around Rs. 80,000 – Rs. 1, 50, 000. However, the cost of the surgery depends on factors like how severe the condition is, endometriosis at which stage, surgeon fee, and infrastructure of the hospital.
Dr. Sankar DasMahapatra is a renowned specialist and surgeon for endometriosis in Kolkata. The majority of cases are handled by Dr. Mahapatra through laparoscopic surgery.