Treatment Overview
The Pelvic Floor Preservation Endometriosis Surgery (PFPEES) in Korea is an advanced minimally invasive procedure designed to excise endometriotic lesions while safeguarding the integrity and function of the pelvic floor muscles and nerves. This approach not only treats the disease but also protects pelvic support structures to prevent long-term complications such as pelvic organ prolapse, chronic pain, or bladder and bowel dysfunction.
Korea is internationally recognized for its integration of high-definition laparoscopic imaging, robotic assistance, and pelvic floor preservation techniques, making it a preferred destination for women seeking specialized endometriosis surgery with functional protection.
Purpose & Benefits
Purpose:
- Remove superficial and deep endometriotic lesions
- Preserve pelvic floor integrity and nerve function
- Reduce chronic pelvic pain
- Maintain bladder, bowel, sexual function, and fertility
- Minimize recurrence risk
Benefits:
- Minimally invasive surgery with smaller incisions and faster recovery
- Preservation of pelvic floor muscle strength and function
- Reduced postoperative pelvic pain
- Lower risk of urinary and bowel dysfunction
- Enhanced fertility preservation
- Reduced adhesion formation
- Short hospital stays (typically 2–4 days)
- Long-term symptom relief and improved pelvic health
Ideal Candidates
PFPEES is recommended for women who:
- Have deep infiltrating endometriosis involving pelvic floor structures
- Experience chronic pelvic pain, urinary or bowel symptoms, or infertility
- Wish to preserve fertility and pelvic function
- Prefer minimally invasive and function-preserving surgery
Before surgery, Korean hospitals perform detailed diagnostics—including MRI, high-resolution ultrasound, and pelvic floor mapping—to design a personalized surgical plan.
Possible Risks & Complications
Although PFPEES is highly precise, potential risks include:
- Bleeding or infection
- Injury to bowel, bladder, ureters, or pelvic nerves
- Adhesion formation
- Recurrence of endometriosis
- Anesthesia-related complications
Korean surgical teams mitigate these risks through advanced imaging, meticulous surgical planning, and multidisciplinary collaboration.
Surgical Techniques Used
Korean surgeons combine the following advanced techniques for PFPEES:
- High-Definition Laparoscopy or Robotic Assistance: Enhances visualization of lesions and pelvic floor anatomy.
- Microsurgical Dissection: Protects healthy tissue and pelvic floor nerves.
- Energy-Based Vessel Sealing (Ultrasonic/Bipolar): Minimizes bleeding and tissue damage.
- CO₂ Laser or Plasma Energy: Allows precise excision of lesions with minimal thermal spread.
- Fluorescence Imaging (ICG): Improves lesion detection and nerve mapping.
- Pelvic Floor Mapping: Guides preservation of functional structures during surgery.
These techniques ensure complete lesion removal while maintaining pelvic floor integrity.
Recovery & Aftercare
Recovery after PFPEES depends on disease complexity but is generally quicker than open surgery. Most patients are discharged within 2–4 days and resume normal activities in 4–6 weeks.
Postoperative care includes:
- Pain management and wound monitoring
- Pelvic floor physiotherapy to support healing and function
- Avoiding heavy lifting or strenuous activity during recovery
- Hormonal therapy to reduce recurrence risk
- Regular follow-up imaging and pelvic health assessments
- Fertility counseling if desired
Korean hospitals provide structured aftercare programs focused on restoring pelvic health and preventing recurrence.
Results & Longevity
PFPEES offers durable outcomes:
- Effective removal of deep endometriotic lesions
- Relief from chronic pelvic pain
- Preservation of pelvic floor structure and function
- Improved bladder, bowel, and sexual health
- Fertility preservation
- Minimal scarring and faster recovery
- Lower recurrence rates when performed by specialized surgeons
- High patient satisfaction and improved quality of life
Korea’s focus on functional preservation and advanced surgical training ensures superior results.
Treatment Process in Korea
The PFPEES process in Korea includes:
- Comprehensive Consultation & Diagnostics: MRI, pelvic floor mapping, ultrasound, and clinical evaluation.
- Personalized Surgical Planning: Based on lesion location, pelvic floor involvement, and patient goals.
- Pelvic Floor Preservation Surgery: Performed with high-definition laparoscopic or robotic assistance using microsurgical precision.
- Structured Recovery & Follow-Up: Including physiotherapy, pain management, pelvic health evaluation, and hormonal therapy if needed.
Korea’s hospitals provide complete support for international patients, including language interpretation, transportation, and accommodation services.
Cost Range
The Pelvic Floor Preservation Endometriosis Surgery in Korea generally ranges between USD 13,000 and 27,000, depending on:
- Extent and complexity of the disease
- Surgical technology used (robotic vs laparoscopic)
- Hospital and surgeon expertise
- Length of hospital stay and aftercare program intensity
Costs generally include consultation, surgery, anesthesia, hospitalization, and structured postoperative care.
Popular Clinics
- Samsung Medical Center (Seoul): Specialist in advanced laparoscopic and nerve-preserving endometriosis surgery.
- Asan Medical Center (Seoul): Known for multidisciplinary pelvic floor preservation surgery.
- Severance Hospital (Yonsei University, Seoul): Expertise in high-definition pelvic floor preservation techniques.
- CHA Gangnam Medical Center: Leader in minimally invasive, function-preserving endometriosis surgery.
- Ewha Womans University Medical Center: Integrates advanced surgical excision with pelvic floor preservation and recovery care.
