Endometriosis Excision Surgeon for Stage 3 & 4 Disease: Advanced Care Announced

Advanced endometriosis can make choosing the right surgeon critical. Lotus Endometriosis Institute has announced specialized excision care for stage 3 and 4 cases where surgical expertise matters most.

Arroyo Grande, United States, October 9, 2026 /PressCable/ -- Lotus Endometriosis Institute has announced advanced excision surgery for patients with stage 3 and stage 4 endometriosis, led by Dr. Steve Vasilev. The service is intended for complex cases where extensive disease or involvement of multiple structures may require specialized surgical expertise.

More information is available at https://lotusendo.com/services/surgery-and-advanced-excision

Endometriosis can have a substantial impact on reproductive health, with research estimating that the condition affects 30-50% of women experiencing infertility. In stage 3 and stage 4 cases, where disease may be extensive or involve multiple structures, this raises the importance of choosing an excision surgeon with experience treating complex disease while preserving healthy tissue and function where possible.

Excision surgery involves identifying endometriosis lesions and carefully cutting them away from surrounding tissue. With advanced disease, this can include extensive adhesions, ovarian endometriomas, or lesions affecting structures such as the bowel, bladder, and ureters, making surgical experience particularly relevant.

Dr. Vasilev brings more than 30 years of surgical experience to advanced endometriosis excision. He is fellowship-trained in gynecologic oncology and quadruple board-certified, with experience in complex pelvic surgery and minimally invasive techniques.

“Advanced endometriosis excision requires an understanding of how disease can affect multiple structures within the pelvis,” said Dr. Vasilev. “The goal is to remove visible disease as safely and thoroughly as possible while protecting healthy tissue and preserving function wherever clinically appropriate.”

For cases involving the bowel, bladder, ureters or other structures, surgical planning may also involve collaboration with colorectal surgeons, urologists or other specialists. This multidisciplinary approach can be particularly important when extensive disease crosses anatomical boundaries.

Fertility preservation is another consideration for patients who hope to conceive in the future. Excision planning can account for reproductive goals and preservation of healthy ovarian and reproductive tissue while addressing disease that may contribute to pain or affect organ function.

Lotus performs advanced excision using minimally invasive robotic techniques, providing three-dimensional visualization and articulated instruments to support complex dissection. The surgical plan is determined by the individual presentation, including the extent and location of disease and structures involved.

Women considering excision surgery for stage 3 or stage 4 endometriosis can learn more about Lotus Endometriosis Institute at https://lotusendo.com

Contact Info:
Name: Dr. Steven Vasilev
Email: Send Email
Organization: Lotus Endometriosis Institute
Address: 154 Traffic Way, Arroyo Grande, CA 93420, United States
Website: https://lotusendo.com

Source: PressCable

Release ID: 89205735

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