Multidisciplinary Team — Integrated Endometriosis Care

World-class endometriosis care is multidisciplinary by design. Surgery alone, IVF alone, or medical management alone are rarely sufficient for moderate-to-severe disease. The team integrates gynaecology, colorectal surgery, urology, fetal medicine, pain medicine, pelvic floor physiotherapy, mental health, and clinical genetics under one coordinated plan.

1. The endometriosis surgical team

Led by Dr. Priyadatt Patel — senior subspecialist with dedicated focus on endometriosis surgery and reproductive medicine. Supported by anaesthesia colleagues experienced with prolonged laparoscopic procedures and combined cases. Theatre team familiar with 3D Karl Storz technology and complex pelvic dissection.

2. Reproductive medicine and IVF integration

Surgical and IVF decisions made by one integrated team. Critical for endometriosis-associated infertility where surgery-versus-IVF-first decisions must integrate ovarian reserve, age, fertility timeline, and pelvic anatomy. No referral chasms between fragmented centres.

3. Colorectal surgery collaboration

For bowel endometriosis — shaving, discoid resection or segmental resection — colorectal surgical colleagues provide pre-operative review, intraoperative collaboration on complex cases, and post-operative management as needed. Decisions about extent of bowel intervention made jointly.

4. Urology collaboration

For bladder and ureteric endometriosis. Pre-operative renal imaging and urodynamic assessment where indicated. Intraoperative ureteric mobilisation, segmental resection or reimplantation in collaboration with urology team. Post-operative bladder function follow-up coordinated.

5. Fetal medicine and high-risk obstetrics

Patients conceiving after endometriosis surgery or via IVF receive integrated antenatal care with our fetal medicine team. Risk stratification for placental complications, preterm birth, and adhesion-related obstetric considerations. Continuity from preconception planning through delivery.

6. Pain medicine and pelvic floor physiotherapy

Chronic pelvic pain often involves central sensitisation and pelvic floor myofascial dysfunction in addition to endometriosis lesions. Multimodal pain management — pelvic floor physiotherapy, neuropathic agents, mindfulness-based pain rehabilitation — runs in parallel with surgical and medical treatment.

7. Mental health support

Depression and anxiety rates are 2–3 times higher in endometriosis patients than age-matched controls. Mental health is part of endometriosis care, not separate. Counselling referrals, support resources, and psychiatric collaboration where needed.

8. Clinical genetics and special situations

Family history of endometriosis, recurrent pregnancy loss, or known genetic conditions affecting reproductive health are evaluated with clinical genetics input where appropriate. Karyotype testing, carrier screening and reproductive genetic counselling integrated where relevant.

Frequently Asked Questions

Dr. Priyadatt Patel

Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead

MS OBGyn · Pregnancy Care · Advanced Gynaecological Ultrasound · Fertility Preservation

ESHRE / ESGE / AAGL / ASRM guideline-aligned practice. 3D Karl Storz precision technique. Fertility-preservation-first philosophy. Evidence-based decisions, honest counselling, long-term outcomes orientation.