Endometriosis UK
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Ablation or Excision!?

Hey Ladies, just looking for some advice and to hear some of your experiences really. Ive got my gyne appointment on Monday and since last seeing him ive read alot about excision surgery and how it apparently lasts longer than an ablation surgery. Just wondering if anyone has had experience of both and how they feel, did excision surgery give you better relief or longer between ops? My gyne can be a bit of a pain and id like to know a bit more about it before bringing it up with him. Please give me your feedback! Thanks Endosisters!!!

5 Replies

Excision removed the endo so it doesn't grow back while ablation just takes off the first few layers of endo. With excision it often doesn't return but with ablation it returns with vengeance. The early stages (1 & 2) can be treated with ablation however the alter ones not to so much.

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It's worth searching ablation here and on fb Anecdotally there seem to be more recurrence cases with ablation vs excision so excision in most cases is better, but requires greater surgical skill which is where BSGE centres come in.


I had ablation and pain never really subsided so I'm now on list for excision.

You need to be at a bsge surgeon for complex excision so if you're not already maybe good to get referred to one. Your GP can do that.


If you get a non cancer diagnosis is that forever or would one of techniques prevent hysterectomy in future especially if chronic utis acute 3 weekly& cysts .With my family history do not want to leave it to chance.Is there a genetic test too?


Hi I've had both ablation and excision for endo. The ablation did nothing for the pain or symptoms so less than a year later I had excision surgery and have had 3 lots of excision the excision surgery has given a lot of relief over the years, I had to be quite firm with my old gynae as he was a believer in ablation whereas my new gynae is all about excision.

Had another lap and cystoscopy on Wednesday and have now found issues inside the bladder...this disease is so exhausting and draining 😞


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