Urogynaecology & Pelvic Reconstructive Surgery,
Minimally Invasive & Robotic Laparoscopic Gynae Surgery
+65-62585530
jameslee.gyne@gmail.com

Optimal management of Endometrioma/ Endometriosis

Women with symptomatic endometriosis often have concomitant ovarian chocolate cysts or endometriomas; which is endometriosis of the ovary. Menstrual cramp, persistent pelvic pain or deep pain during sexual intercourse are frequently encountered. The ovarian blood-filled cysts are confirmed by pelvic ultrasound or magnetic resonance imaging.

When pain is incapacitating or when the cyst reached beyond the threshold size (arbitrarily 6cm); treatment is indicated. First line management is surgical removal of the cyst and excision of all visible endometriotic diseases. Laparoscopic or Robot-Assisted Laparoscopic approaches are the preferred operative approaches.

Laparoscopic excision of endometriosis is effective in reducing endometriosis associated pain, post-operatively improve Quality-of-Life, work performance and sexual experience. Surgery alone, though efficacious, unfortunately has a high five-year recurrence rate of about 40%. Surgery has to be combined with suppressive hormonal treatment to maintain long term disease-free state.

To optimize treatment, two essential criteria stand up. Firstly, the surgery must be performed at the right time, and executed with clearance of all visible diseases. This requires the surgeon who is committed to seek out the last endometriosis nodule, who has the skills and experience, and who has the appropriate instruments to achieve the desired outcomes. Secondly, initiating medical therapy before surgery and continuing thereafter will determine the duration of cure. Customizing the type and dose of medication to her needs will ensure compliance.

MOUNT ELIZABETH NOVENA

38 Irrawaddy Road #05-21/22
Mt Elizabeth Novena Specialist Centre
Singapore 329563
Tuesday: 9am-5pm
Thursday: 9am-1pm
Friday: 9am-5pm

OASIS TERRACES@PUNGGOL

681 Punggol Drive #03-11
Oasis Terraces (LRT Stn)
Singapore 820681
Tuesday: 4.30pm-8.30pm
Thursday: 4.30pm-8.30pm
Saturday: 9am-5pm

BISHAN

502 Bishan St 11 #01-356
Singapore 570502
Monday: 9am-8pm
Wednesday: 9am-5pm

We are CLOSED on
SUNDAYS &
PUBLIC HOLIDAYS

Please call for
appointment at
+65 62585530