Dr. Hrishikesh Pandit, a pioneer of 3D laparoscopy in India and a leading expert in complex endometriosis care, leads the advanced 3D Laparoscopy Center at Pandit Hospital, Ahmednagar. His facility has earned distinction for managing intricate cases such as uretrolysis in Grade IV endometriosis and more
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Extragenital or extrapelvic endometriosis refers to the presence of endometrial tissue beyond the reproductive organs. This can involve the bowel, ureter, bladder, or even distant sites like nerves, lungs, or the brain
Common affected areas include:
- Bowel (rectum, sigmoid colon, appendix, small intestine)
- Ureter (intrinsic or extrinsic involvement leading to hydronephrosis if untreated)
These adhesions act like “super glue,” fusing tissues and obliterating normal dissection planes, complicating surgery significantly
- Intestinal Adhesions: Endometriotic lesions can bind bowel loops, causing pain, obstruction, or altered function. Deep nodules may require techniques such as shaving, disc excision, or segmental resection depending on severity
- Ureteric Involvement: Ureteric endometriosis, present in under 1% of cases, may compress or infiltrate the ureter wall, leading to hydronephrosis and possible renal damage
- Re-Creating Surgical Planes: Adhesions complicate safe dissection; meticulous technique is essential to avoid injuring the ureter, bowel, or nerves, especially in cases with retroperitoneal fibrosis
Using high-definition 3D visualization, the surgeon gains superior depth perception and clarity—crucial for accurate differentiation between diseased and healthy tissues. This improves outcomes and reduces complications in deep infiltrative and extragenital cases
- Preoperative Evaluation
Detailed imaging (TVUS, MRI, CT) assesses the extent of bowel and ureteric involvement to guide surgical planning - Meticulous Adhesiolysis & Excision
Employing 3D laparoscopy, Dr. Pandit carefully dissects adhesions off bowel and ureter, ensuring safe restoration of anatomy while preserving organ function. - Ureterolysis for Ureteric Endometriosis
For extrinsic cases, laparoscopic ureterolysis effectively relieves obstruction and hydronephrosis while minimizing surgical morbidity - Bowel Nodule Management
Depending on involvement, shaving, disc excision or segmental resection is performed using minimally invasive techniques - Nerve & Tissue-Sparing Dissection
Dissection is carried out carefully around key structures like ureters, pelvic nerves, and the rectovaginal space to avoid collateral damage - Post-operative Recovery & Outcomes
With precision 3D surgery, patients benefit from faster recovery, less postoperative pain, and improved fertility outcomes when relevant
- Specialized 3D Laparoscopy Center: Equipped for managing complex extragenital endometriosis.
- Proven Track Record: Skilled in uretrolysis, bowel nodule excision, and fertility-preserving surgeries
- Minimized Risk, Maximum Precision: Enhanced visualization ensures greater surgical control and outcome.
Managing extragenital endometriosis—especially involving bowel and ureter—demands surgical precision, anatomical expertise, and advanced techniques. Under Dr. Hrishikesh Pandit’s care at Pandit Hospital’s 3D Laparoscopy Center, patients benefit from state-of-the-art minimally invasive surgery tailored to complex, life-changing cases.
If you or someone you know is seeking expert care for deep infiltrating or extragenital endometriosis, consider scheduling a consultation with Dr. Pandit in Ahmednagar.
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About author:
Dr. Hrishikesh Pandit:
Dr. Hrishikesh Pandit is one of the best obstetrician and gynecologist in India. He is also a well-renowned Laparoscopic surgeon. He obtained his MS (Ob Gyn) degree from the prestigious Pravara Institute of Medical Sciences. He has also done fellowship and diploma courses in laparoscopic surgeries and cancer treatment from Tata Hospital and Keil University, Germany. His surgical cases, papers and videos has been chosen in many international forums of gynecology.
At Pandit Hospital, we are always working hard to provide its patients with the highest level of medical innovation and patient care. With the aim of delivering complete maternity & gynecological care under one roof with the help of all contemporary amenities and cutting-edge medical equipment. Dr. Hrishikesh Pandit has a vision to bring the best of facilities regarding laparoscopy surgeries in the city of Ahmednagar. He is the pioneer of 3D Laparoscopy technology is Ahmednagar.
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Dr. Hrishikesh Pandit, a pioneer of 3D laparoscopy in India and a leading expert in complex endometriosis care, managing intricate cases such as uretrolysis, bowel adhesions in Grade IV endometriosis and more
FAQ
You should consult a doctor during the first 6 to 8 weeks of your pregnancy, or when your period is 2 to 4 weeks late.
If your contractions are 5 minutes apart, lasting for 1 minute, for 1 hour or longer, it’s time to head to the hospital.
Doctors recommend an infertility evaluation if you have not gotten pregnant after 1 year of having regular sexual intercourse without using birth control. If you are older than 35, an evaluation is recommended after 6 months of trying.
Yes, You can. But most babies need 39 weeks to develop fully. Induced or planned delivery before that time—without a valid medical reason—is not in the best interest of the baby or the mother. After 39 weeks you can plan delivery.
Women who are 21 to 29 should have a Pap test alone every 3 years. HPV testing alone can be considered for women who are 25 to 29, but Pap tests are preferred. Women who are 30 to 65 have three options for testing. They can have a Pap test and an HPV test (co-testing) every 5 years. They can have a Pap test alone every 3 years. Or they can have HPV testing alone every 5 years.
Laparoscopic hysterectomy is a safe and suitable procedure for chosen patients. It affords patients advantages like less peri-operative morbidity, better life quality, shorter hospitalization time, and faster return to activity.
Schedule a doctor’s visit if you have: Greenish, yellowish, thick or cheesy vaginal discharge; Strong vaginal odor; Redness, itching, burning or irritation of your vagina or the area of skin that surrounds the vagina and urethra (vulva); Bleeding or spotting unrelated to your period.
Painless delivery can be achieved using a form of regional anesthesia that provides pain relief during natural labor. Epidural anesthesia is administered through an injection on the lower back of the mother. The drug takes about 10-15 minutes to take effect.
Even in severe cases of endometriosis, most can be treated with laparoscopic surgery. In laparoscopic surgery, your surgeon inserts a slender viewing instrument (laparoscope) through a small incision near your navel and inserts instruments to remove endometrial tissue through another small incision.
The HPV vaccine is recommended for routine vaccination at the age of 11 or 12 years. (Vaccination can be started at age 9.) It is also recommended that vaccination for everyone through age 26 years if not adequately vaccinated when younger. HPV vaccination is given as a series of either two or three doses, depending on age at initial vaccination.