Our Viewpoint
Endometriosis is a complex inflammatory disease that affects the entire pelvic cavity, including the bowel. There are times that the bowel is affected superficially or has been affected by inflammation with scar tissue, otherwise known as adhesions. There are also cases where endometriosis can deeply infiltrate the bowel wall, requiring partial bowel resection. The Endometriosis Treatment Center of America understands that endometriosis is an aggressive inflammatory disease. It provides therapy to eradicate the disease and restore quality of life and normal anatomic function. If necessary, we believe that excision of the disease is paramount to halting the progression of the underlying inflammation that impacts QOL. We aim to resect as much disease as possible, with women understanding that there is an underlying surgical risk to aggressively tolerate.

Relevance
Even with complete excision of endometriosis, long-term inflammation that has acted as the ideology for pelvic floor muscle spasticity must be addressed to decrease symptoms of vulvodynia, improve chronic pelvic pain, and improve a patient’s sexual relationship via the decrease in vaginismus associated with spastic pelvic musculature.
- https://rapm.bmj.com/content/early/2019/07/08/rapm-2019-100529 (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/19622971/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/20168100/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/19694687/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/30617506/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/32654386/ (opens in new tab)

