Instytut Endometriozy

The Endometriosis Institute is a specialized medical center established in 2023 in Wrocław, Poland. It operates within the EuroMediCare Specialist Hospital. The facility focuses exclusively on diagnosing and surgically treating endometriosis. A team of 16 physicians guides patients from initial consultation to long-term rehabilitation. The hospital building has wheelchair access, elevators, and free parking.

Specialized Medical Expertise

Specialists at the institute are members of the European Society for Gynaecological Endoscopy and the European Endometriosis League. Dr. Mikołaj Karmowski leads the surgical team with around 20 years of experience in operative gynecology. Dr. Piotr Rubisz and Dr. Łukasz Kotarski specialize in complex cases of deep infiltrating endometriosis. Dr. Kotarski holds a Masterclass certificate from the European Endometriosis League.

The medical team uses a multidisciplinary approach to address the systemic effects of the disease:

• Gynecologists and oncological surgeons
• Urologists
• Psychiatrists and psychologists
• Sexologists
• Physiotherapists
• Clinical dietitians

Specialists participate in educational workshops on operative techniques and diagnostic standards.

Endometriosis Treatment and Surgery

The institute emphasizes First Shot Surgery – the principle that the first operation is most critical for long-term health. Surgeons use minimally invasive laparoscopic techniques, also called keyhole surgery. These methods remove lesions while minimizing recurrence risks. Small incisions reduce scarring and shorten recovery compared to open surgery.

For patients not requiring immediate surgery, the clinic offers several conservative options:

• Pharmacological treatment to reduce pain caused by lesions
• Drug therapy to slow disease progression
• Dietary counseling to manage inflammatory symptoms
• Psychological support for anxiety and depression

Psychiatrists monitor mental health support through regular follow-up meetings.

Advanced Diagnostics and Recovery

Accurate mapping of lesions is essential for successful surgical planning. The institute uses specialized ultrasound techniques to identify the size and location of endometriosis. Diagnostics include expert transvaginal ultrasound using a gel cushion. This allows doctors to check if lesions have spread to nearby organs. When needed, specialists extend the examination using transrectal or abdominal ultrasonography.

Rehabilitation begins before the patient enters the operating room. Physiotherapists teach breathing exercises and safe mobilization techniques. After surgery, the focus shifts to restoring daily functioning. The recovery program includes:

1. Early mobilization and first standing assistance
2. Supervised breathing exercises to prevent complications
3. Gradual increase in physical activity
4. Scar-focused therapy tailored to the extent of the surgery

Anesthesiologists provide guidance on surgery preparation to keep patients safe during the perioperative period.

Services for International Patients

The institute supports international patients through a structured hospital-based program. Staff communicate in Polish and English. Dedicated coordinators, including Magda Biłas and Daria Opalińska, guide patients through their stay. They provide information about hospital rooms and preparation for operations. Patients have access to air-conditioned rooms equipped with coffee and tea facilities.