Endo large cyst and fibroid - laproscopy vs laparotomy
Hi, I am 33 and was diagnosed with endometriosis. I have a 7 cm cyst in my right ovary which grew pretty fast (2 cm in a month). I also have a 2 cm fibroid in my uterus. Doc suggests doing a laparoscopic surgery to remove both. I am ttc and have no kids so far. Is a lap sufficient or should I go for an open surgery? I am going to one of the best hospitals in the country and my gyn has 10 years of experience in minor ob-gyn surgeries. Do I need a very skilled highly specialized surgeon for my case or is this common enough?
My doc said that if its more complex than what she expects the she may need to do a laparotomy.
Should I consult another doc?
Hi, 2.5 years ago when I was 24 I had laparoscopic surgery to remove a cyst in right ovary which was 12cm, a cyst on the left ovary 5cm and endo everywhere else on my reproductive organs. I was also told prior to the surgery that laparotomy MAY be needed depending on what my obgyn finds when she got in. The main concern being my 12cm cyst. My doc was able to remove 75% of the big cyst and 1/2 of my ovary went with it. The goal was to preserve my reproductive organs (ovaries as much as possible) as I would like to have kids. My doctor was able to do this laparoscopically which has a faster recovery time than laparotomy. I would op for the laparascopic surgery if you trust in your doctor's experience.
In terms of a skilled surgeon... well the thing with endo is that it grows back. The problem is it may be difficult to get every bit of the endo out as tiny specs can be left behind and that's when you need a surgeon experienced with endo. Perhaps discuss these details with your doc, regarding their experience with endo removal and also the technique they will use? I can't remember the precise terms at the moment, but there is a difference if they are going to excise or laser or both.
A good surgeon will know how to remove Endo and Fibroids Laparoscopically. No matter the size.
You want a surgeon to excise the Endo not laser it that is very important.
You need all Endo removed not leaving anything behind then going on something to suppress it but seeing as your are TTC I am not sure on the method for that as I wasn't TTC during the time I was diagnosed.
Hopefully someone can come along with TTC and Endo/Fibroids to help you with that answer.
I had stage IV it was everywhere and I mean everywhere and my surgeon did it all Laparoscopically but it was extensive so I was in a lot of pain after. However after taking the BCP for 6 yrs when I had my surgery last week I only had superficial Endo meaning the Pill was working for me to combat the disease.
I am sure it will different TTC and taking those meds because you want to ovulate. I wish that I could be more helpful.
Don't be afraid to ask as many questions as you want and if you are not sure get a 2nd or 3rd opinion. It is your body and you want the right person operating on you.
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