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Endometriosis (Chocolate Cyst) is not a disease that is recommended to be operated immediately. Due to its characteristic structure, chocolate cyst is one of the only disorders where the same treatment cannot be predicted for each patient who needs to be treated individually.

When and Who Is Endometriosis Surgery Recommended?

Endometriosis Surgery is usually recommended if unbearable pelvic pain, cramps cannot be controlled with medication, growth cannot be stopped in the pelvic region. One of the most important surgical reasons is endometriosis surgery, which causes infertility.

Endometriosis (chocolate cyst) can reduce the patient's quality of life incredibly and disrupt his daily life psychology, and the surest way to reduce these effects is endometriosis surgery.

What is Conservative Surgery in the Treatment of Endometriosis?

Endometriosis surgery for infertility treatment is called conservative endometriosis surgery. The most important condition in conservative surgery is to clean it in the most suitable way for the baby without damaging the surrounding organs and tissues. The surgery should be planned completely accordingly. Endometrioma tissue due to endometriosis should be removed with this precision. Therefore, both the method to be used and the experience of the surgeon are of great importance. With its high vision and superior mobility, robotic surgery provides a great advantage in endometriosis surgery, especially in conservative endometriosis surgery. Of course, conservative surgery can also be performed with open surgery or laparoscopic surgery.

It is the process of cleaning endometriomas due to endometriosis by opening from the abdomen with an incision such as a cesarean section. Although it is not preferred very often with the developing techniques today, open surgery may be required in some cases. Recovery time is much longer than other methods.

Laparoscopic endometriosis surgery is performed with a laparoscope through small incisions in the abdomen. In laparoscopic endometriosis surgery, the area is examined in detail with cameras and the endometrial tissues are cleaned. Since the incision is much less, recovery is much faster. Pain and other surgery-related symptoms are much less.

With laparoscopic endometriosis surgery, which is one of the conservative endometriosis surgical methods, infertility caused by endometriosis is eliminated.

Endometriosis surgery is both much more comfortable and less risky with the robotic surgery method, which includes the best aspects of open surgery and laparoscopic surgery. Because Endometriomas are sticky tissue. Detailed and fine workmanship is required. With the possibilities of robotic surgery, this becomes much easier. Elimination of infertility for pregnancy in robotic endometriosis surgery is much more possible with the physician's ability to arrange the ovaries and uterus perfectly. After robotic endometriosis, the incisions are smaller compared to all methods, and since the blood loss is much less, recovery is much faster.

Eğer bebek beklentisi yoksa ve şikayetler çok yoğunsa endometriozisin en kesin tedavisi rahim alınması diyebiliriz. Endometriozis tekrarlayabilen bir hastalıktır. Histerektomi oluşmasını kalıcı olarak önleyebilir. Hangi histerektomi yöntemi ile yapılması gerektiğine doktorunuz ile beraber karar verebilirsiniz.

Before the operation, standard tests (blood, urine, EKG, etc.) should be performed. Vaginal ultrasound is used to determine the cysts and their size, as well as cystourethroscopy for endometriotic lesions in patients with bloody urine, and colonoscopy if bloody stools are present. In addition, MRI can be used for location and preoperative planning for the diagnosis of deep endometriosis. Before the operation, you must inform your doctor about the medications you regularly use. Before the operation, your diet rich in vitamin E is valuable for the operation process.

We have successfully freed our dear patient Ms. Elif from chocolate cysts (endometriomas) that had spread to her ovaries, uterus, ureters, rectum, and the sacrouterine region, causing these areas to stick together — truly one of the most challenging types of cysts we encounter.

It was a long and intricate surgery, one that required immense precision and care, but we completed it successfully. I’m here with Ms. Elif, filled with joy, pride, and gratitude after another complex operation brought to a positive outcome.

To all my patients suffering from this condition: Don’t be afraid — let us do the worrying!
(Just kidding, of course.) Rest assured, we will always continue to stand by you and do our very best.

Another patient of mine who smiles again thanks to closed, that is, laparoscopic surgery. Mrs. Funda, who quickly returned to her health, work, home, and husband and felt as if she had never had an operation.

She applied to our clinic from Gaziantep. For about 15 years, she had many tests, various hormone treatments, surgeries, and applied to many doctors due to her deep chocolate cyst disease, but unfortunately she could not get results, on the contrary, the side effects of these treatments caused her to experience more difficult processes. . We performed deep endometriosis surgery on our patient with the closed surgical technique, we eliminated all the problems that cause pain without overlooking even the smallest details, we eliminated the deep foci that spread to the urinary tract and intestine one by one. Now our patient is extremely healthy, she has recovered, today we have dressed her and removed his stitches.

Dear Simge, after long researches, she found us and came to our clinic from Cyprus There were adenomyotic area, rectovaginal nodule, endometriotic cysts, fibroids and adhesions. We cleaned all of them one by one with the closed surgical method and regained our patient's health.

We cleaned the endometriosis foci and adhesions in our patient's ovaries with closed surgery, freed her tubes and bowel involvement, and finished her surgery by doing a lot of work.

We successfully completed a deep chocolate cyst surgery closed with the laparoscopic method. If you ask my patient, yes, she is extremely well, healthy and of course, I am very happy that he got rid of her endometriosis, which causes all the uterus and ovaries to stick together, with closed surgery, and that we preserved her ovaries. We patiently managed this difficult surgery that we performed with my team, and we restored my patient's health.

My dear patient applied to us with the complaint of chocolate cyst, we performed deep endometriosis surgery with laparoscopy for our patient. Because of these cysts, every area including lymph nodes, appendix and ureters was stuck together.

With laparoscopy, that is, closed surgery technique, called hydrosalpenx; We cleaned the fluid in the tubes, removed the endometriosis cyst in the right ovary, performed a magnificent surgery and preserved the uterus & ovaries of our patient and left them immaculate.

We performed the operation of our patient with the closed surgical technique; We collected all the fibroids that settled in her uterus, we cleaned the endometriosis foci and adhesions in her ovaries, we released her tubes and intestinal involvement, we left a clean uterus and 2 ovaries to our patient.

We performed deep endometriosis surgery with the closed surgical technique. For our patient, preoperatively; Although it was quite difficult due to the stress and pain factor, the aftermath went very well. Together we watched the surgery video, which is the ritual of our clinic, which is the most enjoyable and most interesting part because it makes us very happy to show my patients what we did during their surgery, to let them see what we saved them from, so they say goodbye to us with a reborn feeling, painless, bleeding and relaxed.

With laparoscopic surgery, we opened all adhesions extending to the back of the uterus and intestines, removed the foci of adenomyosis one by one, cleaned all the fibroids that settled in the uterus, freed their ovaries, they were also in a disastrous condition and we had struggled a lot to bring them back to normal. We dressed her stitches, and we bid farewell to our patient, who had regained her health, from our clinic, wishing her luck in 2022.

Our young patient, precious Irmak; She applied to our clinic from Croatia. For about 3 years, she had many tests, various hormone treatments were given to her due to her deep chocolate cyst disease, she applied to many doctors because of his persistent pain, but unfortunately he could not get results, on the contrary, the side effects of these treatments caused her to experience more difficult processes. We performed deep endometriosis surgery on our patient with the closed surgical technique, we eliminated all the problems that cause pain without overlooking even the smallest details, we eliminated the deep foci that spread to the urinary tract and intestine one by one. Our patient is very, very well.

Sometimes more words are not needed! My dear patient wrote down her heart for us.

"Hello I'm Burcu

To briefly describe our path that crossed with my doctor Fatih, our adventure started with a cyst definition two years ago. I applied to many different physicians in Aydın. The pain that did not go away began to affect my daily life. I learned much later that it was endometriosis, not a cyst. A lot of medication, antibiotics and more... Then a doctor said, "You should go to Fatih Şendağ". I had open surgery before, I thought everything was over with the diagnosis of endometriosis, but it had just begun. I came to my doctor Fatih, he explained me in such a positive, comforting and explanatory way that I understood the process in the first examination. I was going to have closed surgery, but my fear was too much due to previous experiences. But I got through this very easily. It's not like I was afraid. My doctor, nurses, everyone was very helpful. I am writing from my control one week after the operation, neither pain nor pain, thankfully, nothing is left. The reason I ran away from the doctors I went to first was fear and pain, it is very important to be able to trust, I trust Fatih Şendağ with my eyes closed and I thank his team and him for everything.

Burcu Korkmaz"

Don't look at her standing so calm next to me, she came to our clinic with an incredible panic last week, when I saw her so stressed and upset, I quickly took an ultrasound and did her examination. During the examination, we noticed chocolate cysts covering the right and left ovaries, deep endometriosis foci covering the rectum and located in the rectovaginal area, and the adhesions caused by these. Of course, all of these impaired our patient's quality of life, caused severe pain and most importantly made my patient feel psychologically helpless. We cleaned all the masses one by one with the laparoscopic method, removed the cysts, freed the ovaries from deep endometriosis foci, opened the adhesions, in short, we accomplished a lot. Ms. Suzan is doing wonderfully well now. Enjoyable, healthy, happy...

We performed the operation of dear Gülistan last week. Again, we successfully completed the surgery of a deep chocolate cyst, which is not easy at all, closed with the laparoscopic method.

If you ask my patient yes, she is extremely well, healthy and of course I am very happy that she got rid of his endometriosis, which causes the sticking of all the uterus and ovaries to each other, with closed surgery, and I am very happy because we protected her ovaries.

INFORMATION FORM

M.G

Living with endometriosis was incredibly difficult — only those who experience it can truly understand. Reaching Prof. Dr. Fatih Şendağ was one of the greatest blessings of my life. Before finding him, I had visited so many hospitals and doctors. Medication no longer helped, and my pain had become unbearable. I had reached a point where I couldn’t enjoy life anymore.

It was through my previous doctor’s recommendation that I found Fatih Hoca. The moment I walked through his door, I felt a strong belief that I would get better — and that’s exactly what happened. Everything went beautifully. He told me that this disease could be treated, and I trusted him completely.

Since my case involved deeply infiltrating endometriosis, surgery was my only option. Thankfully, I was able to have a laparoscopic operation that preserved my fertility — just as I had hoped. Having undergone open surgery before, I knew how tough recovery could be, but this time it was surprisingly easy; I recovered within a week.

I now realize that meeting Fatih Hoca was the turning point that ended all my pain. I owe him an enormous thank you.

Aycan Aydoğan

I had been struggling with ovarian cysts for many years and went through a lot of difficulties because of them. Prof. Dr. Fatih Şendağ performed my third surgery, and now I truly feel so much better. I was able to return to my daily life quickly and without any problems.

From the very beginning, he gave me such confidence that I agreed to undergo surgery for the third time without hesitation.

I’m very grateful to him — I’m so glad our paths crossed.

Sevda Kaymaz

My name is Sevda Kaymaz. On June 27, 2023, I underwent surgery for fibroids and cysts. In total, 10 fibroids, a chocolate cyst, and a dermoid cyst were removed. The operation lasted 6.5 hours and was very successful. I stayed in the hospital for just one day. At first, I had some pain, but it soon decreased with medication. The nurses were very attentive, and I had complete trust in Prof. Dr. Fatih Şendağ from the start.

It’s now been a week since my surgery, and by the third day, I was already starting to return to normal life. Tomorrow, I’ll even be able to drive and go back to work. My recovery process has been incredibly fast.

I would like to express my heartfelt thanks to Prof. Dr. Fatih Şendağ, his team, his assistant Selda Hanım, and all the nurses at Kent Hospital.
Wishing all patients reading this a speedy recovery.

Zehra Akbulut

My acquaintance with Prof. Dr. Fatih Şendağ began after my symptoms recurred following my first endometriosis surgery. Although I was confident in his medical expertise, I was quite anxious about having to undergo a second surgery within a year due to the progression of my condition. With his accurate diagnosis and guidance, we planned and completed the surgery within just one week.

If this had been my first operation, I might not have been able to write with such certainty — but I truly did not expect such a comfortable recovery. To give specific examples: even the laparoscopy incisions were smaller, I stopped taking painkillers on the second day, and by the fourth day, I was traveling by car on vacation. I didn’t experience any movement restrictions.

My two biggest fears before surgery were the use of surgical drains and gas pain, but he did not use any drains, and I did not experience shoulder pain from gas either.

I completed this process with gratitude and relief, having lost only four days of my vacation, and I’m filled with joy at being free of the disease and having gone through this journey under the care of such a skilled doctor.

I sincerely hope there will be more professionals as competent and compassionate as him.

Elif Turan Küçükbursa

When I had my routine annual check-up, a large endometriosis was detected, so I started looking for a good doctor. After being examined by three other doctors, I reached Prof. Dr. Fatih Şendağ. From the very first examination, he gave me confidence. He clearly explained how the disease would progress, the alternative options, and the best treatment method for me.

For me, clarity and a definite solution were important. Prof. Dr. Fatih Şendağ truly made me feel confident about this. I had no hesitation about undergoing endometriosis surgery. Both before and after the operation, the process went very smoothly.

I would like to thank Prof. Dr. Fatih Şendağ, always kind and smiling Ms. Selda, and the clinic for their care. :)

Serpil Işık Yıldırım

I am a nurse, and I have been struggling with chocolate cysts (endometriosis) since 2017. I was very afraid of surgery, especially since I had already undergone one operation before and had two C-section deliveries.

Every doctor I visited told me that the adhesions were too severe and that they couldn’t perform the surgery. Then, at Balıkesir City Hospital, my gynecologist Dr. Erol Özdaş recommended Prof. Dr. Fatih Şendağ. After doing my own research, I decided that he was truly the best option — and I chose to have the surgery with him.

I’m so glad I did. The surgery and the recovery process were both excellent.
Many thanks to Dr. Fatih Şendağ for his skill and care.