When is surgery considered for endometriosis-related urinary urgency?

Surgery may be considered when your history, pelvic exam, and imaging suggest endometriosis involving the bladder, ureters, or nearby pelvic structures—or when urinary urgency persists despite appropriate medical and supportive care. In these situations, our goal is to determine whether endometriosis is mechanically irritating or distorting the urinary tract, which can drive ongoing urgency and frequency.

When surgery is appropriate, excision is designed to remove endometriosis at its root rather than just treating the surface, which is especially important in deeper disease. Because the bladder and ureters can be involved, surgical planning and technique matter; our team focuses on careful mapping of disease and protecting urinary tract function. If urinary urgency is significantly affecting your quality of life, reach out to schedule a consultation so we can review your symptoms and discuss whether surgery fits your case.