What is EndoCARES?

We recognize how complex endometriosis can be, with its ability to affect other organs besides the uterus and ovaries — causing a range of bladder, bowel, and pain symptoms — and can even impact fertility. Our vision for the MUHC EndoCARES program is to bring together experts in the fields of minimally invasive gynecologic surgery, fertility, radiology, colorectal surgery, urology, and thoracic surgery with one goal – providing patients with multi-system endometriosis the highest standard of care possible.

Bowel surgery

Thoracic surgery

Urology

How do I get referred to the EndoCARES clinic?

To be seen at the EndoCARES clinic, please ask your doctor to complete and send the following referral form either by fax to 514-843-2888, or by email to endocares@muhc.mcgill.ca. Please note that this specialty clinic exclusively manages complex endometriosis, that is, patients with either:

evidence of deep endometriosis on ultrasound or MRI
(i.e. endometriomas, obliterated cul-de-sac, rectovaginal nodule, bowel or bladder lesion, diaphragmatic endometriosis), or

deep endometriosis diagnosed at prior surgery
(including colonoscopy or cystoscopy)

REFERRAL FORM

* For chronic pain: consider referring to the Alan Edwards Pain Management Unit.

Link: www.mcgill.ca/paincentre/clinicians/refer-your-patient

Who are the gynecologic surgeons in the team?

Dr. A. Zakhari

MD, FRCSC, MGSC

Dr. Zakhari is an Assistant Professor at McGill University. He holds a fellowship in Advanced Gynecologic Surgery from Mt. Sinai Hospital in Toronto, and holds a Masters in Global Surgical Care from the University of British Columbia.

Dr. F. W. Mansour

MD, FRCSC, BSc, MSc

Dr. Mansour is an Associate Professor at McGill University. He holds a fellowship in Minimally Invasive Gynecologic Surgery from St-Michael's Hospital in Toronto, and a Masters of Science in Epidemiology.

Dr. J. Papillon Smith

MD, FRCSC, MEd

Dr. Papillon Smith is an Assistant Professor at McGill University. She holds a fellowship in Advanced Gynecologic Surgery from Mt. Sinai Hospital in Toronto, and a Masters in Medical Education from the University of Johns Hopkins.

Dr. S. Krishnamurthy

MD, FRCSC (Ed), FRCOG

Dr. Krishnamurthy is a Professor at McGill University, and the Vice Chair of Education. He holds the position of Chief of the Division of Gynecology at the MUHC, and is the Program Director of the MIS Fellowship program.

Dr. D. B. Nguyen

MD, FRCSC

Dr. Nguyen is an Assistant Professor at McGill University. He holds fellowships in Minimally Invasive Gynecologic Surgery from The Ottawa Hospital, Bowel Endometriosis from IFEM Endo in France, and simulation from DIME.

Dr. T. Tulandi

MD, MHCM, FRCSC, FACOG

Dr. Tulandi is a Professor at McGill University, and Chief of Department of OBGYN at the MUHC. He holds a Masters in Health Care Management from Harvard University, is editor-in-chief of the JOGC, and was named a "Surgical Legend" by the ASRM.

What is endometriosis?

Endometriosis is a condition in which cells similar to those normally found within the uterus (lining the cavity) are also found in other parts of the body, such as on the ovaries or in the pelvis. Endometriosis affects 1 in 10 women, and is a common cause of painful periods, pain with intercourse, pain with bowel movements and infertility.

When endometriosis penetrates deeply into pelvic walls or surrounding organs, such as the bladder, bowel or diaphragm, it is referred to as deep infiltrating endometriosis. Its management requires a multi-disciplinary approach that includes gynecologic surgeons, expert radiologists, fertility specialists, and bowel, urological or thoracic surgeons. To learn more, click on the following resources: