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.
The endometriosis multidisciplinary team
| Member | Role |
|---|---|
| Endometriosis surgeon | Mapping and excision |
| Fertility specialist | Reproductive planning |
| Colorectal surgeon | Bowel disease |
| Urologist | Bladder and ureter |
| Pain specialist | Chronic pain |
| Pelvic-floor physiotherapist | Muscular pain |
| Psychologist | Mental-health support |
Aligned with current international evidence, not habit.
Frequently Asked Questions
Who is on the multidisciplinary team?
When does my care involve multiple specialists?
Do I have to see all specialists separately?
Are colorectal and urology surgeons in-house?
How does multidisciplinary care help my outcomes?
Is mental health support compulsory?
What about pelvic floor physiotherapy?
How do you communicate between team members?
Dr Patel leads endometriosis diagnosis and surgery at Balaji Horizon with an evidence-based, ovarian-sparing philosophy aligned to ESHRE and ESGE — integrating pain, fertility and long-term disease control into a single plan, rather than treating the disease in isolation.
Imaging-led diagnosis, medical-first management, and precise surgery only when it is the right step — planned around your pain and fertility goals.
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.
Science City Road, Ahmedabad 380060
Mon–Sat 11:00–20:00 · +91 97234 31544
Naranpura, Ahmedabad
Mon–Sat 08:30–10:30 · +91 70460 02566
