01/16/2026
Dr. José D. Eugenio-Colón - DrEndometriosis
Deep Infiltrating Endometriosis (DIE) is a complex and advanced form of , characterized by lesions that extend more than 5 mm beneath the peritoneal surface, and can involve critical structures such as the , , , and even the .
📌 Bowel involvement is seen in 9–37% of cases, often presenting as cyclical re**al , painful bowel movements and occasionally re**al bleeding.
📌 tract involvement, affecting either the bladder or ureters, can occur in up to 20% of patients. Symptoms may include painful urination, flank pain, and in some cases, swelling of the kidney.
📌 Pelvic ligament and lesions—especially in the ligaments—are found in up to 70% of those with DIE, commonly causing deep pelvic pain and pain during s*xual in*******se.
While imaging techniques such as transvaginal ultrasound with bowel preparation and MRI have improved the ability to detect DIE, these lesions are still frequently overlooked or misdiagnosed. In many cases, diagnosis is only confirmed through expert surgery and histological analysis, which underscores the need for referral to specialists trained in endometriosis care.
💛 Why This Deserves Attention
DIE significantly affects a patient’s physical health, s*xual well-being, , and .
👉🏽 If you’re experiencing cyclical bowel or bladder pain, deep pelvic discomfort, or persistent pelvic floor pain, consider seeking evaluation for DIE.
💬 Ask for advanced imaging performed by experienced professionals who understand endometriosis, and don’t hesitate to request a referral to a specialist in laparoscopic .
