Doctors for Adenomyosis in Bangalore

Adenomyosis surgery refers to surgical procedures performed to treat adenomyosis, a medical condition in which the tissue that lines the uterus grows into the muscular walls of the uterus, causing painful and heavy periods, chronic pelvic pain, and other symptoms. When women experience severe adenomyosis symptoms that do not improve with other treatments or wish to maintain their fertility while addressing the condition, their healthcare provider may recommend adenomyosis surgery as an option.

There exist various adenomyosis surgeries available which can be performed based on the patient's individual situation and the severity of their condition. These include:

• Hysterectomy : This is the most common type of surgery for adenomyosis, and it involves the removal of the uterus. Hysterectomy is typically recommended for women who have completed their childbearing and who experience severe symptoms that do not respond to other treatments.
• Endometrial ablation : This procedure involves the removal or destruction of the lining of the uterus. Endometrial ablation is often recommended for women who have completed their childbearing and who have adenomyosis with heavy menstrual bleeding.
• Myomectomy : This procedure involves the removal of the adenomyosis tissue from the uterus while leaving the uterus intact. Myomectomy is a surgery that is typically recommended for women who have small adenomyosis lesions and want to preserve their fertility.
• Uterine artery embolization : This is a minimally invasive procedure that involves blocking the blood vessels that supply the uterus with the aim of shrinking the adenomyosis tissue.
• Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS) : This is a non-invasive procedure that uses focused ultrasound waves to heat and destroy the adenomyosis tissue. This procedure may be an option for women who want to preserve their fertility.
• Laparoscopic excision of adenomyosis : Minimally invasive adenomyosis surgery is a procedure that involves the removal of adenomyosis tissue through small incisions in the abdominal area. This procedure is suitable for women who have small adenomyosis lesions and wish to preserve their fertility.

Having a comprehensive consultation with a healthcare provider is essential before considering any adenomyosis surgery to discuss the potential advantages and disadvantages. It is important to take into consideration the patient's unique circumstances and goals, and carefully weigh them against the possible outcomes of the surgery.

Before adenomyosis surgery, healthcare providers in Bangalore typically conduct a series of tests and evaluations to diagnose the condition and assess the patient's overall health. Some of the common diagnostic tests and evaluations include:

• Pelvic exam: A pelvic exam involves a physical examination of the reproductive organs to check for any abnormalities or signs of adenomyosis.
• Transvaginal ultrasound: This imaging test uses high-frequency sound waves to create images of the uterus and ovaries to check for any abnormalities, such as thickened uterine walls or cysts.
• Magnetic resonance imaging (MRI): An MRI uses a magnetic field and radio waves to create detailed images of the uterus, which can help identify adenomyosis and its extent.
• Hysteroscopy : A hysteroscopy involves the insertion of a thin, flexible tube with a light and camera through the vagina and cervix to examine the inside of the uterus and identify any abnormalities.
• Biopsy : A biopsy involves the removal of a small tissue sample from the uterus for examination under a microscope to confirm the diagnosis of adenomyosis and rule out other conditions.
• Blood tests: Prior to undergoing adenomyosis surgery, a healthcare provider may conduct blood tests to detect any underlying health conditions that may impact the procedure and recovery. These tests may check for anemia, hormonal imbalances, and other relevant factors.

Before performing adenomyosis surgery, healthcare providers in Bangalore may conduct a thorough review of the patient's medical history and a physical examination. This is to assess the patient's overall health and identify any underlying health conditions that may have an impact on the surgical procedure and recovery. Such evaluations are crucial in determining the appropriate course of treatment for the individual patient.

It is important to discuss the details of the diagnostic tests and evaluations with the healthcare provider and to follow any preparation instructions provided before undergoing adenomyosis surgery.

The specific steps involved in adenomyosis surgery may vary depending on the type of surgery performed. Here are the typical steps for several common types of adenomyosis surgery:

• Hysterectomy :
• The patient is given anesthesia to ensure they are comfortable and pain-free during the surgery.
• The surgeon makes an incision in the abdomen or uses minimally invasive laparoscopic or robotic-assisted techniques to access the uterus.
• If required, during adenomyosis surgery, the uterus, cervix, and ovaries may be removed altogether.
• Following adenomyosis surgery, the incision is sealed using stitches or staples. The patient is then moved to the recovery area for post-surgical care.

Endometrial ablation :

• To ensure the patient's comfort and pain relief during the surgery, anesthesia is administered.
• Using the vagina and cervix as entry points, the surgeon places a device into the uterus.
• By utilizing various energy sources such as heat or cold, the device is able to destroy the lining of the uterus.
• After the device is removed, the patient is transferred to the recovery room.

Myomectomy :

• The patient is given anesthesia to ensure their comfort and pain management during the adenomyosis surgery.
• Small incisions are made in the abdomen to insert a laparoscope and other surgical instruments to reach the uterus, while the patient is under anesthesia.
• The adenomyosis tissue is removed from the uterus while leaving the uterus intact.
• Following the procedure, the surgical incisions are sealed with sutures or staples, and the patient is then transferred to the recovery room for observation and treatment.

Uterine artery embolization :

• Anesthesia is administered to the patient to ensure they are comfortable and pain-free during the procedure.
• The surgeon inserts a catheter into the blood vessels that supply the uterus and injects small particles or substances that block the blood flow to the uterus.
• The adenomyosis tissue shrinks as a result of the blocked blood flow.
• The catheter is removed, and the patient is taken to the recovery room.

Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS):

• The patient lies on a table and is guided into an MRI machine.
• The surgeon uses real-time images from the MRI machine to target the adenomyosis lesions with focused ultrasound waves.
• The focused ultrasound waves heat and destroy the adenomyosis tissue.
• The patient is taken to the recovery room.
• It is important to note that these steps are only a general overview, and the actual steps involved in adenomyosis surgery may vary depending on the patient's individual circumstances and the surgeon's preference.

Adenomyosis surgery offers benefits that vary depending on the patient's situation and the type of surgery they undergo. Here are some potential benefits of adenomyosis surgery:

• Relief from symptoms : Adenomyosis surgery can provide relief from the painful, heavy menstrual periods, and other symptoms associated with this condition. Patients may see improvements in symptoms such as pelvic pain, cramping, and heavy bleeding, depending on the type of surgery they undergo.
• Improved quality of life : Adenomyosis can have a negative impact on a person's quality of life, but surgery can help to improve their symptoms and overall well-being.
• Reduced risk of complications : In some cases, adenomyosis can lead to complications such as anemia, infertility, and even depression. Adenomyosis surgery can reduce the risk of these complications and improve overall health and well-being.
• Preservation of fertility : In some cases, adenomyosis surgery can preserve a woman's fertility. For example, a myomectomy can remove the adenomyosis tissue while leaving the uterus intact, allowing the woman to conceive and carry a pregnancy to term.
• Long-term results : Depending on the type of surgery performed, adenomyosis surgery can provide long-term relief from symptoms. For example, a hysterectomy can provide a permanent solution for those suffering from severe adenomyosis.

Patients should discuss the potential benefits and risks of adenomyosis surgery with their healthcare provider to determine if surgery is the best option for them.

Like any surgical procedure, adenomyosis surgery can have potential side effects and risks. Here are some common side effects associated with adenomyosis surgery:

• Pain and discomfort : It is common to experience pain and discomfort after adenomyosis surgery. Following surgery, patients may require pain medication and need to restrict physical activity for a certain duration.
• Bleeding : Patients may experience bleeding after adenomyosis surgery, which can vary depending on the type of surgery performed. It is important to monitor any bleeding and report it to a healthcare provider if it is excessive or does not stop.
• Infection : Infection is a potential risk associated with any surgical procedure, and patients should closely monitor their incisions for any signs of infection, such as swelling, redness, or discharge. If any concerns arise, patients should promptly inform their healthcare provider.
• Scarring : Adenomyosis surgery may cause scars which could be visible, depending on the surgery type, and may raise cosmetic concerns for some patients.
• Hormonal changes : Depending on the type of surgery performed, patients may experience hormonal changes that can affect their menstrual cycles or other aspects of their health. For example, a hysterectomy can cause early menopause in some women.
• Anesthesia risks : There are risks associated with anesthesia, including reactions to medications and complications such as breathing problems or blood pressure changes.

The risks and side effects of adenomyosis surgery differ for each patient, depending on their individual circumstances and the type of surgery. To determine whether surgery is the best course of treatment for adenomyosis, it is essential to consult with a healthcare provider and discuss the potential risks and benefits.

Adenomyosis surgery recovery differs based on surgery type and individual patient circumstances. Here are some general tips for recovering after adenomyosis surgery:

• Follow post-operative instructions : It is important to follow the post-operative instructions provided by your healthcare provider, including any restrictions on physical activity, medications, and diet.
• Manage pain : Pain management is an important part of the recovery process. Your healthcare provider may prescribe pain medications or recommend over-the-counter pain relievers. Follow the healthcare provider's instructions for pain medication usage and communicate any worries to them.
• Rest and limit physical activity : After undergoing adenomyosis surgery, it is crucial to rest and limit physical activity. Your healthcare provider will provide you with specific instructions on when it is safe to resume work, exercise, and other activities.
• Maintain a healthy diet : Consuming a nutritious and balanced diet rich in whole grains, lean proteins, fruits, and vegetables can aid in the healing and recuperation process following adenomyosis surgery.
• Manage emotions : Recovering from surgery can be emotionally challenging. Be sure to take care of your emotional well-being by staying connected with loved ones, seeking support from a therapist or counselor, and practicing self-care activities such as meditation or yoga.
• Monitor for signs of complications : It's important to monitor your incisions for signs of infection or other complications and report any concerns to your healthcare provider.