Laparoscopic treatment of endometriosis with the CO2 laser with excision of the lesions is the gold standard surgical procedure for endometriosis. This patient was suffering from chronic pelvic pain for 6 years, frequent visits to the ER. Appendectomy was also performed since it is very common to find endometriosis on the appendix or mesoappendix.
After years spent developing criteria for assessing quality care, the American Board of Obstetrics and Gynecology and the American Board of Urology in 2013 granted its first certifications in the specialty of Female Pelvic Medicine and Reconstructive Surgery to qualified urogynecologists. Urogynecology takes a comprehensive approach to managing pelvic disorders that used to require women to see multiple specialists depending on the location of their issue. A problem with the bladder – in the front of the pelvis – may be referred to an urologist, the middle section involving the uterus can be seen by the gynecologist and a colorectal surgeon may deal with rectum problems. Yet, all of these organs share the same connective tissue, the same nerves and the same blood supply. Anything done to one is going to affect another. The awareness of this is how the sub-specialty of urogynecology came about to create an expertise that masters the entire pelvis.