Endometriosis UK

Pelvic adhesiolysis?

Hi all,

Just back from my hospital appointment and I will be having laparoscopic pelvic adhesiolysis in order to separate my organs. So relieved! My consultant isn't going to do the op herself as she can only perform this as open surgery so instead is going to refer me to a consultant at another local hospital who can perform it keyhole. When I asked about fertility afterwards she advised she couldn't give statistics as she is not a fertility doctor but from the surgery she has done herself, then she would say its a 50/50 chance of natural conception. I will take those odds not a problem considering I thought I was going to be left with 0 chance!

Has anyone else had this surgery (either keyhole or open)? Would love to hear other peoples experiences x

1 Reply

Hi Katie86

Sorry that no-one else has responded yet and I can't give you any personal experience I'm afraid, but I can tell you that separating organs is a very common part of surgery for endometriosis - the endometrial lesions become raw during your period and then the body tries to repair them. The scar tiissue and the sticky nature of the lesions can cause organs to stick together and then become bound together over time.

This operation should almost invariably now be done by laparoscopy (key-hole surgery) as the magnification that is available to surgeons is now vastly superior to the human eye and endo can be VERY small. Plus the female pelvis is very crowded.

The consent form will no doubt ask you to consent to open surgery (laparotomy) as in an emergency this may be needed.

The statistics show that surgery can help improve fertility. Human conception is an amazing thing but it does require there to be some movement within the pelvic organs so freeing them should help things to work better. Your consultant may be able to give you a better idea post surgery as they will be able to look at your ovaries and tubes during the operation.

From the stats I have seen, overall around 70% of women with endo suffer no or very little reduction in their fertility due to endo, but it is difficult to tell who will be affected and who won't; and the severity of the disease does not give a good guide to this either.

Good luck with your surgery and hope it goes well.



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