Endometriosis (Chocolate Cyst) Treatment

Endometriosis (Chocolate Cyst) and Deep Infiltrating Surgery

Endometriosis, commonly known as chocolate cyst, is a chronic and inflammatory disease characterized by the implantation of cells lining the inside of the uterus into organs outside the uterus (such as the ovaries, fallopian tubes, intestines, or bladder). This disease, which can severely reduce a woman’s quality of life, requires multidisciplinary expertise in terms of both pain management and the preservation of fertility. Prof. Dr. Selçuk Erkılınç is recognized for the advanced surgical solutions he offers, particularly in challenging cases of “Deep Infiltrating Endometriosis.”

Symptoms of Endometriosis: It is Not Just Ordinary Menstrual Cramps

Many women delay their diagnosis process by assuming the severe pain they experience is just “normal menstrual cramps.” However, endometriosis can follow a progressive course if left untreated. The most common symptoms include:

• Dysmenorrhea: Menstrual cramps that course much more severely than normal.

• Dyspareunia: Pain felt deeply during sexual intercourse.

• Chronic Pelvic Pain: Continuous pelvic pain that persists independently of the menstrual period.

• Infertility: Experiencing difficulty in having a baby.

• Digestive System Complaints: Intestinal pain, constipation, or diarrhea that becomes pronounced during menstrual periods.

Diagnosis and Evaluation Process

In the diagnosis of endometriosis, the patient’s history is at least as valuable as clinical findings. Prof. Dr. Selçuk Erkılınç meticulously applies the following methods during the diagnostic phase:

• Advanced Ultrasonography: Detection of cysts in the ovaries (chocolate cysts) and nodules.

• MRI (Magnetic Resonance Imaging): Mapping the relationship of the disease with the intestines, urinary tract, and deep pelvic tissues.

• Laparoscopic Visualization: The gold standard for definitive diagnosis and treatment in the same session.

Surgical Treatment Approaches with Prof. Dr. Selçuk Erkılınç

Endometriosis treatment must be personalized according to the patient’s age, severity of pain, and family planning goals. Laparoscopic (closed) surgery, which is Dr. Erkılınç’s area of expertise, is the most effective way to manage this condition.

1. Preservation of Ovarian Reserve

It is of vital importance not to damage ovarian tissue during the removal of chocolate cysts (cystectomy). Dr. Erkılınç prioritizes preserving the patient’s fertility potential (AMH value) by separating the cyst from surrounding tissues using microsurgical principles.

2. Deep Infiltrating Endometriosis Surgery

The surgical technique becomes much more complex in cases where the disease adheres to the intestines, urinary tract, or nerve networks. Prof. Dr. Selçuk Erkılınç aims to clear these involvements using oncological surgical discipline, thereby protecting organ functions and completely eliminating pain centers.

3. Management of Recurrence Risk

Endometriosis is a disease that requires continuous monitoring even after surgery. The risk of disease recurrence is minimized through suppressive treatments administered during the postoperative period and lifestyle recommendations.