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Can excision surgery improve diarrhea from bowel endometriosis?

Topic:Deep Disease
Affected areas:bowelpelvicabdominal

Yes—when diarrhea is being driven by endometriosis on or near the bowel (often in the posterior pelvis), excision surgery can lead to meaningful improvement in bowel-related symptoms and day-to-day quality of life. The biggest factor is confirming that the bowel symptoms are truly linked to endometriosis rather than another gastrointestinal condition that can mimic it.


Successful outcomes depend on careful preoperative mapping, a surgeon experienced in complex pelvic and bowel anatomy, and coordinated planning when deeper bowel involvement is suspected. In a consultation, our team can review your symptom pattern, imaging and prior records, and help you understand whether excision is likely to address your diarrhea—and what the surgical approach could look like in your specific case.

An illustration of 3 silhouetted women each showing discomfort in areas of the pelvis.

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Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420