I thought that all Endometriosis experts had patients do bowel preps before excision surgery, just in case they need to perform surgery on the bowels. But my endo expert says that based on my MRI he doesn't think that I have bowel involvement, since I have a layer of fat between my vagina/uterus & my rectum/small bowel.
He doesn't anticipate needing to do surgery on the bowels or rectum so isn't having me do a bowel prep. But this makes me nervous in case he finds something that didn't show up… read more
And doing a prep will make recovery much easier either way. Less gas, won't be hard to have bowel movements afterwards. I'd just do it! Can't hurt.
My surgeon didnt have me do one thank goodness and she was able to remove my pouch of douglas endo with no complications. You can ask to do it if it helps with the presurgury anxiety to just empty yourself out and start fresh so to speak. But it might not be medically imperative. Sounds like youre in the drivers seat on this choice so do what you feel is best for your body ♥️
Thanks Tanya! That's what I'm leaning towards. He has very good reviews in Nancy's Nook & he's also on the list Endometriosis specialists who have passed the I Care Better Endometriosis vetting procedure which reviews full length surgical videos of exision specialists to make sure their surgeries are thorough enough. He's one of the few who has passed for every category (pelvic, fertility preservation, endometrioma, bladder & urinary, bowel, diaphragmatic, thoracic, cardiac):
https://endo.icarebetter.com/doctor/dr-nicholas...
He's also one of the few neuropelveology surgeons in the US, so he identifies & corrects nerve entrapment, nerve impingement & other pelvic nerve issues & can also find hidden endo (endo can occur within organs without being on the surface & this is often missed by excision specialists) by tracing referred nerve pain back to a specific location based on his knowledge of the exact nerve paths in the pelvis.
For example one of his patients had a very thorough exision surgery already with a top endo expert who was sure that he removed everything. But she still had severe pain in her stomach, there wasn't any endo on her stomach & endoscopy didn't show anything inside of it. So he used nerve blocks to locate the exact nerves in her stomach that were causing pain & based on his neuropelveology knowledge, knew the exact spot of the bowel that can refer pain to that area of the stomach, so he cut into that area of bowel even though no endo was visible, & there was a huge mass on the inside lining of the bowel which he removed & the patient had complete cessation of pain.
So I know he's a VERY skilled surgeon... I'm just surprised about the bowel prep though.
I would just to be safe! If he find something then he can't fix it and u would need another surgery! But I understand bowel preps suck! I actually never had to them for most of my surgeries. Only the really good drs had me do them. Where did u find this Dr??
Dr. Arrington had me drink two bottles of citrate of magnesia. It worked well enough.