Laparoscopy

Surgery is considered when pain persists despite medical and integrative care, when fertility is affected, or when imaging suggests deep or organ‑involving disease where treatment could change outcomes. Preoperative ultrasound or MRI helps determine timing and whether a multidisciplinary team is needed; see Diagnostics & Imaging for how results guide decisions.

Excision removes lesions in full thickness and allows pathology confirmation, which tends to yield more durable pain relief and lower recurrence, especially for deep disease. Ablation destroys surface lesions and can help selected superficial cases but may leave deeper components behind; learn more in Excision Surgery.

For most patients, outcomes depend more on the surgeon’s expertise than the platform. Robotics may aid precision in complex deep infiltrating disease or reoperative pelvis, but it does not inherently guarantee better results; see details in Robotic Surgery.

Laparoscopy does not diagnose adenomyosis, which is best assessed by MRI or high‑quality ultrasound. Surgical treatment for adenomyosis may include laparoscopic hysterectomy or carefully selected uterus‑sparing procedures based on symptoms and fertility plans; see Adenomyosis and Surgical Options.

Complications are uncommon but include bleeding, infection, and injury to the bowel, bladder, ureters, or blood vessels, as well as blood clots and anesthesia risks. Careful preoperative imaging, experienced surgeons, and multidisciplinary planning lower these risks and improve safety; individualized recovery guidance is covered in Postoperative Recovery.