EXPERIENCE OF SURGICAL TREATMENT OF UROGENITAL ENDOMETRIOSIS

Abstract

This article presents the experience of surgical treatment of patients with urogenital endometriosis using laparoscopic and robotassisted methods in the Clinic of Bashkir State Medical University in 2018. There were 17 surgical interventions for infiltrative forms of endometriosis of different localization involving the urinary tract. Gynecological and somatic anamnesis was studied in detail in these patients. We compared different methods of surgical treatment. It was found that the size of the infiltrate more than 3 cm is a diagnostic sign of the development of urogenital endometriosis. The main stage of treatment of these patients is a su rgical method using modern mini-invasive approaches. The method of choice is the use of Da Vinci platform, the advantage of which is the greatest safety and less blood loss. When using robot-assisted surgery, it is possible to perform more complex manipulations and the duration of rehabilitation is reduced. Robot-assisted intervention is an ideal access for urogenital endometriosis and the ability to perform nerve-saving operations.