Is surgery an option for endometriosis-related painful urination?

Yes—surgery can be an option when painful urination is persistent, tends to flare cyclically, or raises concern for endometriosis involving the bladder surface, the space in front of the uterus, or nearby pelvic tissues. In these situations, urinary symptoms may be driven by endometriosis lesions, inflammation, and scarring that irritate the bladder and surrounding nerves.

When appropriate, excision surgery is designed to remove endometriosis at its source rather than simply burning the surface, which may improve bladder pain, urgency, and discomfort with urination for carefully selected patients. Because bladder-area disease can be complex, our team focuses on thorough preoperative planning and minimally invasive techniques to treat the full extent of disease while prioritizing safety and long-term symptom relief. If painful urination is impacting your daily life, you can reach out to schedule a consultation so we can review your symptoms, prior testing, and goals and discuss whether surgery makes sense for you.