Excision, not just ablation
For endometriosis, I focus on excision — removing the lesions rather than only burning their surface — because it allows a more complete treatment and a precise diagnosis by pathology. Surgery is done by laparoscopy: small incisions, no open abdomen, and a faster recovery than open surgery.
Deep and complex cases
Deep infiltrating endometriosis can involve the bowel, bladder or ureters. These cases benefit from careful mapping (ultrasound and MRI) and, when needed, a multidisciplinary approach coordinating with colorectal or urology colleagues. When it adds precision, the Da Vinci robotic platform is available at Hospital Ángeles Valle Oriente.
Is surgery right for you?
Not everyone needs surgery. If you are weighing options, see endometriosis: surgery or medication? Surgery is generally considered for pain that does not respond to medication, an endometrioma, deep disease, or fertility concerns.
For international patients
Many patients from the USA and Canada start with an online $60 USD video consultation: we review your studies, discuss whether surgery is indicated and outline a plan and quote before you travel to Monterrey. Costs are generally significantly lower than in the USA, even including travel.
Frequently asked questions
Do you treat deep endometriosis?
Yes, including cases with bowel or bladder involvement, with multidisciplinary coordination when needed.
Can we start remotely?
Yes. A $60 USD video consultation lets us review your case and plan before any travel.
Will surgery cure my endometriosis?
Excision removes visible lesions and can greatly improve pain and, in selected cases, fertility. It can recur, so we focus on control and quality of life.
What is the difference between excision and ablation of endometriosis?
Ablation burns or cauterizes the surface of the lesion, while excision removes the endometriosis tissue completely — including the deep portion that is not visible on the surface. Excision also allows the tissue to be sent for pathology to confirm the diagnosis and is associated with better pain control and lower long-term recurrence. It is the technique I use, especially in deep infiltrating endometriosis.
How do I choose an endometriosis surgeon in Monterrey?
Consider training in minimally invasive laparoscopic surgery, surgical volume, use of the excision technique (not only ablation), multidisciplinary coordination for cases involving the bowel or bladder, and membership in societies such as the AAGL. It also matters that the surgeon clearly explains all options — including medical treatment — and not only surgery.