In most cases of endometriosis, the disease only involves the peritoneum, the thin saran-like wrap that cloaks the pelvic structures. Sometimes, however, endometriosis can be invasive and burrow into the tissue beneath the peritoneum, such as the bowel, bladder, and ureters. Occasionally the disease will also be found in distant sites, such as the diaphragm.
If deeply invasive endometriosis is present, this demands a high level of surgical expertise on the part of the surgeon, in order to safely and successfully remove the disease from the delicate and vital structures beneath the peritoneum.
Due to his years of experience in treating many advanced cases of endometriosis via minimally invasive surgery, Dr. Cook has developed the skills required to carefully remove the disease from all of these locations while minimizing complications. This includes resecting full-thickness nodules of endometriosis from the wall of the bladder, from the small and large bowel and from the space occupied by the ureters.