By: Dr. Madhu Bagaria, Expert Endometriosis Surgeon & Pelvic Floor Specialist, New York / New Jersey
If you’ve been diagnosed with deep infiltrating endometriosis (DIE), you’ve probably heard doctors mention something called a “multidisciplinary team” or “MDT.” But what does that really mean—and why is it such a vital part of your care?
What Is a Multidisciplinary Team?
A multidisciplinary team brings together different specialists who each play a key role in managing deep endometriosis. Think of it as a support squad built around you, combining their expertise so you receive the safest and most comprehensive treatment possible.
Who’s On Your Endo Care Team?
Here are some of the experts you might meet:
- Gynecological Surgeon: The main doctor who leads your treatment and is specially trained in complex endometriosis surgeries.
- Colorectal Surgeon: If your endo affects your bowels or rectum, this surgeon helps with any necessary repairs or resections.
- Urologist: Handles any issues with your bladder or urinary tract, often working with the team if those areas are affected by endo.
- Pelvic Floor Physiotherapist: A specialist who addresses pain and dysfunction in the pelvic area through physical therapy.
- Specialist Nurse: Your guide before, during, and after surgery—providing education, support, and a direct line for questions.
- Radiologist: The imaging expert who helps map out exactly where endo may be hiding, using special ultrasound or MRI scans.
- Pain Specialist: Works with you on the chronic pain that often comes with deep endometriosis, both before and after treatments.
- Counselor or Psychologist: Caring for your emotional well-being—helping you cope with pain, uncertainty, or even fertility worries.
- Patient Support Groups: These can be a powerful resource for information, advocacy, and connecting with others who get what you’re going through.
Why Is This Team Approach So Important?
- Better diagnosis: More accurate mapping means doctors know what to expect before surgery, leading to safer procedures and fewer surprises.
- Safer treatment: With multiple experts, surgeries are safer, especially when deep endometriosis involves the bowel, bladder, or other pelvic organs.
- Whole-person care: Chronic conditions like endometriosis affect your life in many ways. A diverse team, including pelvic floor physiotherapy, ensures your physical, emotional, and social needs are addressed—not just your symptoms.
- Peace of mind: You have more support, more answers, and better advocacy throughout your care journey.
How We Help You at ESSI
At ESSI, we have all the tools to help you in your journey. Our dedicated multidisciplinary team provides you with a holistic approach to your care. With expertise in the most advanced surgical techniques and a compassionate understanding of your condition, we’re here to guide you toward a better quality of life.
Our team is equipped to:
- Conduct Advanced Imaging: Using expert-level transvaginal ultrasound (TVUS) and MRI for deep infiltrating endometriosis (DIE) mapping, we can improve lesion localization before surgery.
- Perform Nerve-Sparing Surgery: Our surgical approach focuses on nerve-sparing excision to improve symptom control, not just radical removal. We are experienced in using robotic-assisted surgery for complex cases.
- Offer Comprehensive Support: Beyond surgery, we can help manage chronic pain with various treatment options, and our team includes specialists who can support you in your journey with endometriosis.
You are not alone in this journey. Our multidisciplinary team is here to guide you toward better health, more comfort, and hope for the future.
