Radical surgery for endometriosis

Infiltrative endometriosis is an uncommon condition that may involve all pe lvic organs and is associated with considerable morbidity. A small percenta ge of patients will have disease that is unresponsive to hormonal therapy a nd is unsuitable for conservative surgery. Presented is a review of 5 case reports of patients who required radical surgery for control of symptoms ca used by endometriosis. Radical surgery was associated with minimal morbidit y and a high rate of resolution of symptoms. Radical surgery should be cons idered as part of the treatment strategy particularly when there is evidenc e of endometriosis invading into the adjacent gastrointestinal tract or uri nary tract.