UF Health MedMatters

Center of Excellence Provides Multispecialty Care for Women with Advanced Endometriosis

Nash Moawad, M.D., speaking with a fellow staff member.A well-trained multispecialty team is often needed to help women find effective treatment for severe endometriosis. UF Health has been recognized as a Center of Excellence in Minimally Invasive Gynecology by the American Association of Gynecologic Laparoscopists and the Surgical Review Corp. Everyone involved in caring for the patient, including our nurses and technicians in the office and in the operating room, is trained in modules specific to endometriosis and laparoscopic surgery, which reduces the risk of complications. This lets us tackle even the most advanced cases with high rates of success.

“Providing exceptional care for patients with advanced endometriosis is our passion,” says Nash Moawad, M.D., M.S., division chief of minimally invasive gynecologic surgery in the department of obstetrics and gynecology. “We see patients from throughout Florida and the surrounding states. We see patients for second and third opinions. We see patients who have failed multiple therapies — patients who are very complex for a variety of reasons.”

Moawad and his colleagues are committed to finding solutions for the most complex cases using the least invasive techniques available. This is made possible through fellowship training, extensive experience in complex laparoscopic and robot-assisted surgery and tight collaboration within a team of committed subspecialists. The results speak for themselves: according to the most recent data from the center, the rate of reoperation was only 8.6% within 28 months. In addition, 83% of patients who tried to conceive after surgery were successful.

Multispecialty collaboration is a crucial component of the UF Health treatment approach for complete excision of endometriosis. “The expertise and experience of specialists from many disciplines are available under one roof — they are always available to us as a resource,” Moawad notes. For example, for patients with endometriosis involving the bowel, members of the team work with experts in colorectal surgery. For endometriosis involving the bladder or ureters, they collaborate with urology subspecialists. For patients with difficulty conceiving, close collaboration with the division of reproductive endocrinology and infertility is streamlined.

The UF Health team is committed to a successful partnership with each and every patient. The team’s philosophy is that every patient has a unique situation and requires an individualized care plan. Instead of making decisions for the patient, the team offers the information and clear guidance she needs to choose the treatment approach that’s right for her. “The patient runs the show. We help her achieve her goals,” says Moawad. “The patient is always the winner from this collaboration because she gets everything she needs under the umbrella of UF Health.”

About UF Health Shands Hospital

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University of Florida Health Shands Hospital has been recognized among the nation’s best hospitals in seven adult medical specialties. Overall, UF Health Shands Hospital was recognized as one of the best hospitals in Florida. In addition to being ranked among the nation’s top 50 hospitals in seven specialties, UF Health Shands Hospital also was listed as “high performing” in seven specialties, including abdominal aortic aneurysm repair, colon cancer surgery, COPD, heart failure, lung cancer surgery, neurology & neurosurgery and orthopaedics.