Rectal endometriosis treated with Transanal Endoscopic Microsurgery - a video vignette.

Trans anal endoscopic microsurgery (TEMS) is a recognized technique for treating benign rectal polyps and early rectal cancer. We report that TEMS is a treatment option for rectal endometriosis [1,2]. A 35 year old otherwise healthy nulliparous lady presented with cyclical dyschezia, chronic pelvic pain, severe dysmenorrhea and rectal bleeding. A diagnosis of complex endometriosis was made and she underwent laparoscopic surgery in 2015. Her symptoms did not resolve and she was re-referred to our unit in 2017. This article is protected by copyright. All rights reserved.