Bucharest Endometriosis Center-Dr Gabriel Mitroi

06/10/2025

So many women come to us from abroad, tired, in pain, unheard. They’ve been told it’s “just bad cramps,” that it’s “all in their head.” Some have had multiple surgeries, yet no relief.
At the Bucharest Endometriosis Center, we understand what that kind of exhaustion feels like, the fear, the doubt, the loneliness. That’s why we take the time to listen. To believe. To treat not just the disease, but the person behind it.
Our mission is not only to restore health but also to rebuild trust, confidence, and quality of life.
At the Bucharest Endometriosis Center, you are not just another case.
You are a person, and your journey matters.
Lydia’s journey brought her to us. After the surgery, she sent this message:

⭐ Heartfelt Thank You to the Bucharest Endometriosis Centre & the Incredible Nurse Nita ⭐
Travelling from Ireland to the Bucharest Endometriosis Specialist Centre for complex surgery was one of the biggest decisions of my life — and truly one of the best. After weeks of being in acute and chronic pain, I arrived in Bucharest feeling exhausted and scared.
The moment I met Nita, my shoulders dropped, and I knew I was in the safest hands. What can I say about her, her professionalism, compassion, kindness, and caring nature were felt from the moment I came onto the ward. Her hard work, warmth, and amazing energy played such a profound part in my journey from admission to recovery. I feel incredibly lucky to have had such a wonderful, hardworking lady looking after me.
Nita is a true ray of light, she puts both your mind and body at ease, and you know instantly you are in the best and safest hands.
To Dr. Mitroi, Dr. Florea, and the entire team, thank you from the bottom of my heart. From the very first email, through every test, the complex and miracle surgery itself, and even discharge, the kindness, professionalism, and skill shown at every stage were exceptional.
I don’t think you all know how much it means. From the moment I arrived, I felt seen, heard, listened to and, most importantly safe. Every single member of staff cared for me with such compassion and made me feel at peace throughout.
Your hard work has given me back a quality of life I thought I had lost. Already the pain and pressure have left me; I can feel healing beginning. I can return home to Ireland to my girls as the mother they deserve all healed and happy — and return to my work, feeling whole again.
You have a very special place in my heart forever.
Thank you, from the bottom of my heart, for the incredible work you do and for the difference you make every single day. You are truly changing lives for the better. 💛

Lydia 🌻

29/09/2025

11/09/2025

🇬🇧 Complex case of bowel endometriosis successfully treated in a patient from Ukraine.
A 35-year-old female patient from Ukraine was diagnosed in our center with severe endometriosis with re**al localization and multiple infiltrative lesions extending to the small intestine (ileum). The medical history was particularly complex, including several open abdominal surgeries, including an operation for intestinal occlusion. Due to the severity of the disease and postoperative adhesions, we performed a very extensive surgery.
The operation, performed by a multidisciplinary team with experience in advanced cases of endometriosis, lasted approximately 10 hours. An extensive laparoscopic adhesiolysis was performed as well as complete excision of the lesions in the pelvis. Subsequently, due to the extension of the ileal lesions, we performed a mini-laparotomy (see attached video) during which the extension of the lesions in the small intestine was correctly assessed and the integrity of the digestive tract was reconstructed. The postoperative course was excellent, without complications, and the patient was discharged on the 5th postoperative day.
A very remarkable aspect is that, shortly after discharge, the patient returned to the front line in Ukraine, showing extraordinary courage and determination. This case highlights both the complexity of treating deep endometriosis and the extraordinary resilience of affected patients.

11/08/2025

Neuropelveology is a highly specialized medical discipline that has emerged over the past 10–15 years, focused on diagnosing and treating pelvic nerve disorders, conditions that are often complex and difficult to identify.

At our center, these cases are approached through evaluation and a personalized treatment plan developed by a multidisciplinary team of neurologists, gynecologists, urologists, and neurosurgeons. By combining their expertise, our specialists work together to better understand each patient’s experience and to create a medical path tailored to the specific needs and complexity of every individual case.

31/07/2025

A new complex case of pelvic neurosurgery was performed in our center by Dr. Gabriel Mitroi.

🇬🇧 Case Presentation – Pelvic Neurosurgery
Bucharest Endometriosis Center

Below it is presented a case of pelvic neurosurgery in a female patient suffering from chronic, severe pelvic and perineal pain, radiating to the right thigh, and unresponsive to conservative treatments.

The patient had a history suggestive of neuropathic pelvic pain in the obturatory and pudendal nerve sensitive territory. Intraoperatively, she was found to have perineural fibrosis and dilated veins, affecting the right obturator nerve and the right pudendal nerve, most likely seondary to chronic pelvic inflammation amd repetitive trauma.

A complete neurolysis of both the right obturator nerve and the right pudendal nerve was performed, releasing the neural structures from fibrotic adhesions and surrounding compressive tissue.

The procedure was carried out by robotic assisted laproscopy by a multidisciplinary team at our center, combining advanced gynecologic surgery with pelvic neurosurgical expertise.

Postoperative evolution was favorable, with significant reduction in pain and gradual recovery of motor and sensory function in the affected areas.

🇹🇩 Prezentare caz – Neurochirurgie pelvină
Bucharest Endometriosis Center

Mai jos este prezentat un caz complex de neurochirurgie pelvină la o pacientă cu dureri pelvine și perineale cronice, severe, cu iradiere în coapsa dreaptă, rezistente la tratament conservator.

Pacienta, cu antecedente de durere pelvină de tip neuropatic, a fost diagnosticată intraoperator cu fibroză intensă perineurală la nivelul nervului obturator drept și al nervului pudendal drept, cel mai probabil în contextul inflamației cronice pelvine.

S-a efectuat o neuroliză completă a nervului obturator drept și a nervului pudendal drept, cu eliberarea structurilor nervoase de aderențele fibroase și compresiunile vemoase locale.

Intervenția a fost realizată minim-invaziv, laparoscopic, de către echipa multidisciplinară a centrului, cu expertiză în chirurgie ginecologică avansată și neurochirurgie pelvină.

Postoperator, evoluția a fost favorabilă, cu ameliorare semnificativă a simptomatologiei dureroase și reluarea treptată a funcției motorii și senzitive în aria inervată.

Surgery video:
https://youtu.be/tXZb2GwboC4?si=3chZK3j3gZBLBsoX

10/07/2025

𝐍𝐚𝐧𝐭𝐞𝐬 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐭𝐢𝐜 𝐂𝐫𝐢𝐭𝐞𝐫𝐢𝐚 𝐟𝐨𝐫 𝐏𝐮𝐝𝐞𝐧𝐝𝐚𝐥 𝐍𝐞𝐮𝐫𝐚𝐥𝐠𝐢𝐚
Pudendal neuralgia is a significant cause of pelvic pain and is often diagnosed only after a long period of painful symptoms. These symptoms can easily be mistaken for other conditions. Therefore, to ensure an accurate diagnosis, the following criteria are applied:

Essential Criteria:
➡️ Pain in the area served by the pudendal nerve
➡️ Pain predominantly felt while sitting
➡️ Pain does not awaken the patient during the night
➡️ Pain without objective sensory impairment
➡️ Pain relieved by a diagnostic pudendal nerve block

Complementary Diagnostic Criteria:
➡️ Burning, shooting, stabbing pain, or numbness
➡️ Presence of allodynia or hyperpathia
➡️ Sensation of a foreign body in the re**um or va**na
➡️ Pain that worsens as the day progresses
➡️ Pain predominantly unilateral
➡️ Pain triggered by defecation
➡️ Localized tenderness upon palpation of the ischial spine

Exclusion Criteria:
❌ Pain limited only to the coccyx, gluteal, p***c, or hypogastric regions
❌ Pruritus
❌ Exclusively paroxysmal pain
❌ Abnormalities on imaging that may explain the pain

Associated Signs That Do Not Exclude the Diagnosis:
➡️ Buttock pain while sitting
➡️ Referred sciatic pain
➡️ Pain radiating to the medial thigh
➡️ Suprap***c pain
➡️ Frequent urination or pain with a full bladder
➡️ Dyspareunia or post-coital pain

29/05/2025

𝐏𝐮𝐝𝐞𝐧𝐝𝐚𝐥 𝐍𝐞𝐮𝐫𝐚𝐥𝐠𝐢𝐚 is a significant cause of pelvic pain, usually being diagnosed after many years of painful symptoms. The delay in diagnosis occurs because there is not yet a well-established specialty for this pathology. It is caused by irritation, inflammation, or entrapment of the pudendal nerve, a key nerve that supplies feeling to the lower pelvis, including the ge****ls, perineum, and a**s. When this nerve becomes damaged or compressed, it can cause severe and persistent pain that significantly impacts daily life.

Many patients suffer for years without a correct diagnosis because the symptoms for this condition can be misdiagnosed as a series of other conditions (e.g., gynecological, urological, gastrointestinal issues).

A few of the causes of the pudendal neuralgia are:
✅Childbirth injuries due to stretching of the pelvic musculature from the fetal head;
✅Chronic constipation;
✅ Direct trauma, including falls, motor vehicle accidents, and pelvic surgeries (pelvic organ prolapse repair with mesh);
✅Prolonged sittings (sewists, computer operators, office workers, judges, concert pianists, commercial drivers, chess players and locomotive engineers).

The diagnosis is made following a discussion with the patient. This conversation may reveal a combination of specific symptoms that could suggest the presence of the condition. MRI investigation and clinical examination can rule out other pathologies such as endometriosis or adenomyosis

22/05/2025

Two years ago, we issued an announcement on our page regarding the difficulties we were facing in recording the surgeries. Ever since then, we have changed our policy regarding the surgery videos. From 2023, the video surgery is an optional service that we provide, WHEN it is possible. We have always informed our patients that this is not guaranteed anymore.

The issue of recording the surgeries was and is out of our control, as the hospital is either constantly facing technical difficulties with the recording device, or the staff responsible for the process is not always available. This applies to the laparoscopic surgeries, as well as to the robotic surgeries. In both cases, there is a separate device used for recording. Contrary to some rumors that the DaVinci robot has a built-in recording function, the XI model that the hospital owns does not have this function available.

As this service cannot be guaranteed anymore, and since transparency is one of our core principles, we will provide patients with pictures of the surgeries. But since there are technical limitations, there might still be cases where this will also not be possible. Please consider that all patients receive, upon discharge, a detailed report of the surgery, where every surgical gesture is documented. Patients also have direct access to Dr. Mitroi by phone and email, from the first contact, and even years after surgery. We provide medical reports and letters as needed, in addition to the standard discharge report.

We are doing our best to compensate for any issues that we might face. We are always available and patients can count on us for any clarification they might need.

10/04/2025

Another milestone reached in the continuous process of learning and improvement. We are very proud of our Dr. Mitroi!

12/03/2025

𝐏𝐫𝐞𝐠𝐧𝐚𝐧𝐜𝐲 𝐚𝐟𝐭𝐞𝐫 𝐞𝐧𝐝𝐨𝐦𝐞𝐭𝐫𝐢𝐨𝐬𝐢𝐬 𝐬𝐮𝐫𝐠𝐞𝐫𝐲 - 𝐝𝐨𝐞𝐬 𝐬𝐮𝐫𝐠𝐞𝐫𝐲 𝐢𝐦𝐩𝐫𝐨𝐯𝐞 𝐟𝐞𝐫𝐭𝐢𝐥𝐢𝐭𝐲?
In our center’s experience the answer is YES. But don’t take our word for it. By browsing the medical literature we find a lot of studies that confirm what our patients are reporting after surgery:

A study from 2020 - A total of 456 patients who underwent stage III/IV endometriosis surgery. After surgery, 65.8% (79/120) of patients who wished to have children became pregnant. (https://pmc.ncbi.nlm.nih.gov/articles/PMC7358195/)
A study from 2023 - A subgroup of patients who desired to be pregnant after laparoscopic intervention (102 patients) was followed up for 36–197 months after the surgery. 71 (69.9%) and 60 (58.8%) of the patients achieved pregnancy and live birth, respectively. In the group of patients who became pregnant, the duration of infertility was significantly lower (2.7 ± 2.1 years vs. 4.7 ± 3.2 years). The median time until pregnancy after laparoscopic intervention was 8 months (the average was 10 months). After 38 months, no pregnancy occurred.(https://obgyn.onlinelibrary.wiley.com/doi/full/10.1002/ijgo.14849)
A study from 2024 - A retrospective analysis was conducted on clinical records and 1-year postoperative pregnancy outcomes of 335 patients diagnosed with endometriosis-related infertility via laparoscopic surgery. The overall pregnancy rate for patients with endometriosis (EMs) related infertility 1-year post-surgery was 57.3 %, with the highest pregnancy rate observed between 3 to 6 months after surgery. Factors such as Body Mass Index (BMI) (P = 0.515), presence of dysmenorrhea (P = 0.515), previous pelvic surgery (P = 0.247), type of EMs pathology (P = 0.893), and preoperative result of serum carbohydrate antigen 125 (CA125)（P = 0.615）had no statistically significant effect on postoperative pregnancy rates. The duration of infertility (P = 0.029), coexistence of adenomyosis (P = 0.042), surgery duration (P = 0.015), intraoperative blood loss (P = 0.050), preoperative result of serum anti-Müllerian hormone (AMH) (P = 0.002) and age greater than 35 (P = 0.000) significantly impacted postoperative pregnancy rates. The post-surgery pregnancy rate in patients with mild (Stage I-II) EMs was notably higher than those with moderate to severe (Stage III-IV) EMs (P = 0.009). Age (P = 0.002), EMs stage (P = 0.018), intraoperative blood loss (P = 0.010) and adenomyosis (P = 0.022) were the factors that affected the postoperative live birth rate. (https://www.ejog.org/article/S0301-2115(24)00209-4/fulltext)

01/03/2025

Another year, another March, another opportunity to bring awareness on endometriosis. Every year, in March, we celebrate the international month of endometriosis. Let’s talk about endometriosis, as surgeons, as patients, as the family and friends of women with endometriosis. The more we talk about it the harder it becomes to be gaslighted. Be your own advocate and don’t get discouraged by the false and toxic opinions that you are too sensitive, that you are complaining too much, that it’s all in your head.