Treatment Overview
The Transvaginal Endometriosis Surgery (TVES) in Korea is an advanced minimally invasive procedure that accesses and removes endometriotic lesions through the vaginal canal, avoiding external abdominal incisions. This innovative technique offers excellent precision while minimizing postoperative pain, recovery time, and visible scarring.
Korea is at the forefront of transvaginal surgical innovation, integrating high-definition endoscopy, specialized surgical tools, and microsurgical techniques to deliver safe, effective, and cosmetically superior endometriosis treatment. This makes Korea a preferred destination for women seeking advanced gynecologic surgery.
Purpose & Benefits
Purpose:
- Remove superficial and deep endometriotic lesions via a natural orifice
- Preserve fertility and pelvic function
- Minimize postoperative pain and recovery time
- Avoid visible scars
Benefits:
- No external scars due to natural orifice surgery
- Less postoperative pain and shorter recovery period
- Enhanced precision through high-definition imaging
- Preservation of fertility and pelvic nerve function
- Reduced risk of adhesion formation
- Faster return to daily activities
- Excellent cosmetic outcomes
- Short hospital stays (typically 1–3 days)
Ideal Candidates
TVES is suitable for women who:
- Have accessible endometriotic lesions via the vaginal canal
- Prefer a minimally invasive, scarless procedure
- Wish to preserve fertility and pelvic organ function
- Experience chronic pelvic pain or infertility due to endometriosis
- Are healthy candidates for transvaginal surgery
Before surgery, Korean hospitals conduct thorough diagnostics, including MRI, pelvic ultrasound, and endoscopic mapping, to determine suitability for transvaginal access.
Possible Risks & Complications
Although TVES is minimally invasive, risks include:
- Bleeding or infection
- Injury to bowel, bladder, ureters, or pelvic nerves
- Adhesion formation
- Incomplete lesion removal in deep or complex cases
- Recurrence of endometriosis
- Anesthesia-related complications
Korean surgical teams mitigate these risks through detailed preoperative planning, advanced imaging, and microsurgical techniques.
Surgical Techniques Used
Korean hospitals offering TVES use:
- Transvaginal Endoscopy with High-Definition Imaging: For precise lesion identification and removal.
- Microsurgical Dissection: Protects healthy tissues and pelvic nerves.
- Energy-Based Vessel Sealing (Ultrasonic/Bipolar): Reduces bleeding and tissue damage.
- CO₂ Laser or Plasma Energy: Allows targeted excision with minimal collateral injury.
- Fluorescence Imaging (ICG): Enhances lesion detection and surgical accuracy.
These techniques ensure thorough removal of lesions while preserving pelvic health and function.
Recovery & Aftercare
Recovery following TVES is generally quick and comfortable. Most patients are discharged within 1–3 days and resume normal activities within 2–4 weeks, depending on the complexity of surgery.
Postoperative care includes:
- Pain control and vaginal incision monitoring
- Gentle pelvic floor physiotherapy
- Avoidance of strenuous activity during recovery
- Hormonal therapy to prevent recurrence
- Follow-up imaging and evaluation
- Fertility counseling if desired
Korean hospitals offer tailored recovery programs that support healing and prevent recurrence.
Results & Longevity
TVES offers strong long-term benefits:
- Effective removal of deep and superficial lesions
- Significant relief from chronic pelvic pain
- Preservation of fertility and pelvic nerve function
- Scarless cosmetic results
- Reduced recovery time
- Lower recurrence rates with precision surgery
- High patient satisfaction and improved quality of life
Korea’s expertise in transvaginal gynecologic surgery ensures superior outcomes with minimal disruption to daily life.
Treatment Process in Korea
The TVES process includes:
- Comprehensive Consultation & Diagnostics: MRI, ultrasound, and lesion mapping.
- Personalized Surgical Planning: Based on lesion accessibility, complexity, and patient preferences.
- Transvaginal Endometriosis Surgery: Performed with high-definition endoscopic guidance via the vaginal canal.
- Postoperative Recovery & Follow-Up: Including physiotherapy, hormonal therapy, and fertility counseling if needed.
Korean hospitals provide complete support for international patients, including translation, transport, and accommodation services.
Cost Range
The Transvaginal Endometriosis Surgery in Korea generally ranges between USD 11,000 and 23,000, depending on:
- Extent and complexity of disease
- Use of advanced imaging and surgical techniques
- Hospital and surgeon expertise
- Length of hospital stay and aftercare program
Costs generally include consultation, surgery, anesthesia, hospitalization, and postoperative care.
Popular Clinics
- Samsung Medical Center (Seoul): Renowned for transvaginal minimally invasive surgery for endometriosis.
- Asan Medical Center (Seoul): Offers advanced natural orifice surgery with high precision.
- Severance Hospital (Yonsei University, Seoul): Expertise in high-definition transvaginal excision of deep endometriosis.
- CHA Gangnam Medical Center: Specialist in minimally invasive transvaginal surgery with optimal recovery care.
- Ewha Womans University Medical Center: Known for customized transvaginal endometriosis surgery programs.
