Treatment Overview
The Vaginal Endometriosis Lesion Removal (VELR) in Korea is a specialized minimally invasive procedure designed to excise endometriotic lesions located within or adjacent to the vaginal wall and surrounding pelvic structures. This technique combines vaginal surgical access with advanced endoscopic guidance to provide precision lesion removal while preserving reproductive and pelvic function.
Korea is a world leader in this type of targeted gynecologic surgery, combining high-definition endoscopic imaging, microsurgical techniques, and enhanced recovery protocols. This makes Korea a top choice for patients seeking expert treatment for vaginal and pelvic endometriosis.
Purpose & Benefits
Purpose:
- Precisely remove endometriotic lesions affecting vaginal and pelvic tissues
- Relieve chronic pelvic pain and discomfort
- Preserve reproductive and pelvic organ function
- Minimize postoperative scarring and recovery time
Benefits:
- Minimally invasive with targeted precision
- Reduced postoperative pain
- Preservation of fertility and pelvic nerve function
- Enhanced visualization and surgical accuracy
- Minimal scarring and faster recovery
- Reduced recurrence rates
- Short hospital stays (1–3 days)
- Comprehensive treatment with functional preservation
Ideal Candidates
VELR is ideal for women who:
- Have endometriotic lesions involving the vaginal wall or surrounding pelvic structures
- Experience chronic pelvic pain, dyspareunia, or infertility
- Wish to preserve fertility
- Prefer a minimally invasive, function-preserving surgery
- Are healthy candidates for vaginal endoscopic surgery
Preoperative evaluation in Korea typically includes pelvic MRI, transvaginal ultrasound, and lesion mapping to ensure the most precise surgical approach.
Possible Risks & Complications
Although VELR is a safe and precise procedure, potential risks include:
- Bleeding or infection
- Injury to bladder, ureters, bowel, or pelvic nerves
- Adhesion formation
- Incomplete lesion removal in complex cases
- Recurrence of endometriosis
- Anesthesia-related complications
Korean surgeons minimize risks using advanced surgical imaging, meticulous planning, and refined microsurgical techniques.
Surgical Techniques Used
Korean hospitals offering VELR use:
- High-Definition Vaginal Endoscopy: For precise identification and removal of lesions.
- Microsurgical Dissection: Protects surrounding healthy tissue and nerves.
- Energy-Based Vessel Sealing (Ultrasonic/Bipolar): Minimizes bleeding and thermal injury.
- CO₂ Laser or Plasma Energy: Enables fine, targeted excision of lesions.
- Fluorescence Imaging (ICG): Improves lesion detection and excision precision.
These techniques ensure optimal outcomes with minimal trauma and reduced recurrence risk.
Recovery & Aftercare
Recovery after VELR is generally quicker than conventional surgery. Most patients are discharged within 1–3 days and resume normal activities within 2–4 weeks, depending on surgical complexity.
Postoperative care includes:
- Pain management and incision monitoring
- Gentle pelvic floor physiotherapy
- Avoiding heavy lifting or strenuous activity
- Hormonal therapy to prevent recurrence
- Follow-up imaging and clinical evaluations
- Fertility counseling if desired
Korean hospitals provide individualized aftercare programs focused on optimal healing and long-term relief.
Results & Longevity
VELR provides excellent long-term results:
- Effective removal of vaginal and pelvic lesions
- Significant relief from pelvic pain and dyspareunia
- Preservation of fertility and pelvic function
- Minimal scarring
- Faster recovery and reduced downtime
- Lower recurrence rates due to precise excision
- High patient satisfaction and improved quality of life
Korea’s expertise in minimally invasive vaginal endometriosis surgery ensures superior surgical outcomes.
Treatment Process in Korea
The VELR process in Korea includes:
- Comprehensive Consultation & Diagnostics: Pelvic MRI, transvaginal ultrasound, and lesion mapping.
- Personalized Surgical Planning: Based on lesion size, location, and patient needs.
- Vaginal Endometriosis Lesion Removal: Performed using high-definition endoscopy and microsurgical techniques.
- Postoperative Recovery & Follow-Up: Including pelvic physiotherapy, hormonal therapy, and fertility counseling as needed.
Korean hospitals offer full support for international patients, including translation services, transport, and accommodation.
Cost Range
The Vaginal Endometriosis Lesion Removal in Korea generally ranges between USD 10,000 and 21,000, depending on:
- Extent and complexity of lesions
- Use of advanced imaging and surgical tools
- Hospital and surgeon expertise
- Length of hospital stay and aftercare services
Costs generally include consultation, surgery, anesthesia, hospitalization, and postoperative follow-up care.
Popular Clinics
- Samsung Medical Center (Seoul): Recognized for advanced transvaginal surgery for complex endometriosis.
- Asan Medical Center (Seoul): Offers state-of-the-art vaginal endoscopic procedures.
- Severance Hospital (Yonsei University, Seoul): Expertise in deep pelvic and vaginal endometriosis excision.
- CHA Gangnam Medical Center: Known for precise, minimally invasive vaginal endometriosis surgery.
- Ewha Womans University Medical Center: Specializes in tailored surgical approaches for vaginal endometriosis.
