The Hidden Disease
Your scan came back clear.
Your Symptoms
Deserve a Closer Look
Complete excision by our multispecialty
team, done right the first time.
2-min form · reviewed by our team within 3-5 business days
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Why your first surgery matters
The right surgery can shape everything after
Endometriosis surgery is complex. WECS surgeons plan every case together beforehand, using advanced endo mapping to identify disease before the first incision. You go into surgery knowing what to expect, and so do we.
General care has limits
OBGYNs provide essential care, but complete excision requires specialized surgical training.
Endometriosis can involve more than one Organ
The disease can affect multiple structures, so the team must be prepared to excise what they find in the OR the first time around.
No Exploratory Surgery
We map disease before you're in the OR, so surgery isn't a guessing game.
Start with a multispecialty team built
for Advanced endometriosis surgery
MULTI-SPECIALTY MODEL
The Team That Treats All of It. In One Surgery
At WECS, your surgeons walk you through your surgical plan in detail before you enter the OR. You'll know what to expect, including how bowel involvement is handled. No referral. No second operation. One surgery, fully coordinated.
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Advanced Ultrasound Endo Mapping
Most Endo Does Not Show on Ultrasound. Deep Infiltrating Disease Can
When deep infiltrating disease is suspected, surgeon-led ultrasound mapping may help identify lesions on the bowel and bladder before surgery. We utilize diagnostic ultrasound based on the International Deep Endometriosis Analysis (IDEA) group protocol and the Morphological Uterus Sonographic Assessment (MUSA) criteria.
Fewer unknowns before surgery.
Dynamic ultrasound for sonographic staging of endometriosis helps your surgeon know what to expect before the first incision.
Important note: Not all patients require pre-operative ultrasound. It is offered only when clinically appropriate and when results may meaningfully guide surgical planning.
BOWEL ENDOMETRIOSIS
A Bowel Specialist Means More Options, Not Just
Radical Surgery
Bloating, cramping, sharp pain with bowel movements, and pain that worsens around your period may be connected to bowel endometriosis.
Many patients with bowel endometriosis are told they need extensive colorectal procedures. At WECS, Dr. Vincent Obias approaches every bowel case with organ preservation first. The goal is to remove disease thoroughly while protecting as much healthy tissue as possible.
Before surgery, you will see exactly what is involved, what is planned, and how decisions will be made. Nothing happens without your consent.
Treatment Philosophy
Preoperative Endometriosis Mapping: A Surgical Standard Few Practices Offer
Complete excision of all organs with lesions requires advanced training and enough surgical time to remove disease thoroughly, not just what's visible on the surface.
Diagnostic Laparoscopy
What it does
Evaluates visible pelvic structures but cannot fully assess disease beneath the surface or determine the extent of organ involvement before surgery.
Impact on surgical planning
Provides limited preoperative information, requiring disease extent and organ involvement to be assessed during surgery.
Invasiveness
Requires general anesthesia and surgical incisions just to evaluate disease.
Requires an endometriosis specialist
No
At WECS
Used selectively when clinically needed, but not relied on as the primary planning tool for complex endometriosis surgery.
Preoperative Endometriosis Mapping
What it does
Identifies deep infiltrating endometriosis involving the bowel, bladder, ureters, pelvic nerves, and areas of anatomic distortion caused by adhesions before surgery begins.
Impact on surgical planning
Allows surgeons to anticipate complex disease, involve additional specialists when needed, and plan for complete excision from the outset.
Invasiveness
Performed in-office with no anesthesia or incisions. We stay in communication throughout and stop if you're uncomfortable.
Requires an endometriosis specialist
Yes
At WECS
Standard component of surgical planning for every appropriate surgical candidate.
* Honest note: Excision is treatment, not a cure. Lesions can recur. Your team will explain the risks before you decide anything.
Fertility and organ preservation
Your fertility goals are part of the plan from the start
How a surgeon approaches lesions near your ovaries and tubes has real implications for your reproductive future. Those decisions are made with you before surgery, not discovered and managed mid-operation.
Ovaries/tubes considered before surgery
Organ preservation prioritized when safe
Decisions discussed before the operating room
Who reaches out
You don't need a confirmed diagnosis to reach out
Painful or debilitating periods
Alternating constipation and diarrhea
Chronic pelvic pain outside of periods
Pain with bowel movements, especially during your period
Pain with ovulation
Recurring UTI-like symptoms withou a confirmed infection
Pain radiating down the backs of your legs
Infertility (sometimes with few or no other symptoms)
Urinary frequency or urgency
Cyclic diarrhea
Still deciding?
That is a reasonable place to be. Many patients request a consult before they are certain about surgery. The consultation is designed to give you clarity, not close a sale.
Before you submit
A few honest answers.
Do I need a diagnosis to contact you?
No. Many patients come with suspected endometriosis or persistent unexplained symptoms. You do not need a prior diagnosis or prior surgery to reach out.
What does out-of-network mean for my costs?
Like most specialists, WECS providers are out of network with insurance. If your plan includes out-of-network benefits, we’ll submit claims on your behalf and work with your insurer to maximize your coverage. The hospitals where we operate and their associated providers are in-network with most insurance plans.
What if I'm not ready for surgery?
When non-surgical management is more appropriate, we can refer you to providers with specialized expertise, including our GYN nurse practitioner, Jen Lanoff, for ongoing symptom management and care.
How quickly will I hear back?
We aim to respond to all cases with 3-5 business days. Some case reviews may take longer though you're always welcome to call us an check on the status of your consultation request.
What happens next
What Happens After You Submit Your Endometriosis Consultation Request
We review your case
The surgical team reads every submission. If another provider is a better fit, we will say so.
We reach out to book
If you appear to be a candidate, we contact you to schedule. A dynamic ultrasound may be offered where appropriate.
We explain What to Expect
Before your visit, we’ll explain what happens during our comprehensive evaluation, what information to bring, and how we determine the next steps for your care.
BOWEL ENDOMETRIOSIS
Ready for a Team That Prioritizes Organ Preservation?
Every consultation request is reviewed by the surgical team. An honest answer on whether WECS is right for you, within 3-5 business days.
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