Services

BRI Is Different!

Here you will find doctors and staff who are dedicated to providing you with compassion and the very highest standard of care.

Services

When do we need to consult Dr. Andrea Vidali?

Now! We know many of you have been through fertility treatments and been unsuccessful. We also know that many of you have been frustrated by the lack of support from doctors who just don’t seem to listen to your pain and suffering.
 
We address both your Endometriosis concerns and if it is appropriate, how they may be impacting Fertility.
 
If you have a more urgent concern, you may elect to bypass the TeleMed Consultation and schedule and In-Person Appointment with Exam.

why choose us

Why Choose Us?

Many patients have had prior surgery, where the surgeons were unable to excise all the adhesions due to the location on the Bowel, Diaphragm, Lung and Bladder.

Dr. Vidali works with a team of surgical specialists, so that your Endometriosis can be excised safely With One Surgical Intervention.

 

We Address it All!

Here to serve

Dr. Vidali’s Services

Dr Vidali successfully treats the Most Complex cases involving the Bowel, Rectum, Diaphragm, Lung, Bladder working with a Team of Specialists while placing a High Priority on Preserving Fertility.

Here you will find a staff who will address your questions & concerns with compassion and provide you with the support you deserve throughout this process.

Endometriosis

Endometriosis is an often-Painful Disease that grows Outside your Uterus. It can affect other areas of the female reproductive system and most commonly involves the ovaries, fallopian tubes and the tissue lining your pelvis, and can often penetrate other organs.

Endometriomas & Ovarian Cysts

Endometriomas are Cystic lesions that stem from the process of Endometriosis. Endometriomas are most commonly found in the ovaries. They are filled with dark brown endometrial fluid and are sometimes referred to as “chocolate cysts.” The presence of endometriomas indicates a more severe stage of endometriosis. Most times we can “Save” the ovary and perform an Ovarian Reconstruction in order to preserve the Ovary and the Patients Fertility.

Bowel Endometriosis

Bowel Endometriosis is when the Endometrial Tissue grows on the surface or inside the Intestines, the Rectum, or other parts of the Bowel. As many as one-third of our patients who have Endometriosis have Bowel Endometriosis.

Rectal Endometriosis

Endometriosis lesions and masses implanted in the Rectal Wall and or Rectal space often cause severe painful bowel movements, constipation, and even rectal bleeding. Lesions can also lay in the perianal area (directly behind the anus), which can result in back pain.

Thoracic Endometriosis

The Diaphragm is a dome-shaped sheet of skeletal muscle that separates the abdomen from the chest and allows a person to breathe. Diaphragmatic Endometriosis is a rare form of Endometriosis where tissue that resembles the uterine lining, called the endometrium, grows on the Diaphragm. For our patients who have Endometriosis that has spread to the Diaphragm, Lung or the upper chest cavity, we work with at Thoracic Specialist for these very difficult cases.

Fertility Preservation

Dr. Vidali has made it His Professional Priority, to provide the safest standard of care with an emphasis on Fertility Preservation critical to many of our Surgical Patients.

request consultation

here to help guide you

Signs & Symptoms

Endometriosis is chronic inflammatory disease where tissue similar to but not the same as the endometrial tissue is found outside the uterus. It causes any combination of pain, inflammation, GI dysfunction, dyspareunia, painful menstruation, and for some, infertility. As the disease deepens symptoms may be no longer limited to menstruation but can be all month long.

Endometriosis

Endometriosis is complex, not everyone with endometriosis may have the same symptoms. Common symptoms of endometriosis include (but are not limited to):
 

  • Painful periods
  • Bloating or Endo Belly
  • Constipation and/or diarrhea
  • Back pain
  • Painful Sex
  • Recurrent Miscarriage
  • Bladder pain, urgency and frequency
  • Nausea during periods
  • Pelvic Pain
  • Pain inserting a tampon
  • Crippling fatigue
  • Cysts, Chocolate cysts and/or endometriomas
  • Failed Implantation

Bowel Endometriosis

80-90% of people with endometriosis feel some sort of bowel discomfort. Many seek out care from gastroenterologists for years with the pain attributed to IBS or have their symptoms ignored. Others have tried elimination diets and holistic measures that may help, but are not eliminating their symptoms. Unfortunately, bowel endometriosis is rarely embraced as the cause of these symptoms despite that bowel endometriosis is fairly common. Typically, bowel endometriosis will be on the outside of the bowel, not inside the lumen, making it hard to detect during colonoscopies. Additionally, bowel endometriosis can be subtle making detection on scans difficult or bowel endometriosis can be deeply invasive, creating adhesions that bind the bowel. Bowel endometriosis symptoms may worsen with the period but many experience symptoms all month long.

Symptoms of bowel endometriosis can include (but are not limited to):
 

  • Bloating or Endo Belly
  • Pain and pressure in the abdomen
  • Sensitive Stomach
  • Diarrhea
  • Constipation
  • Pelvic Floor Dysfunction
  • Difficulty passing stool
  • Chronic Nausea
  • Food Allergies
  • Abdominal cramping and pain
  • Painful bowel movements
  • Vomiting

Bladder and Urogenital Endometriosis

It is estimated that up to 80% of people with endometriosis have disease surrounding the ureters and the urogenital system. Bladder and urogenital endometriosis are one of the most misdiagnosed forms of endometriosis. People with endometriosis related bladder issues are often normalize their pain, thinking they just have a small bladder or that getting up at night to go to the bathroom is normal. They are often told they have recurrent infections, or that they have interstitial cystitis (IC). Similar to bowel endometriosis, bladder endometriosis is typically on the outside of the ureters or bladder making it undetectable during a cystoscopy. Furthermore, the bladder itself is a sensory driver to the pelvis, so once pelvic pain is present bladder pain can ensue. Bladder pain and endometriosis are so common the two are thought of to be the “evil twins” of pelvis pain.

Symptoms of bladder and urogenital endometriosis include (but are not limited to):
 

  • Urinary urgency
  • Urinary frequency
  • Urinary burning
  • Lower abdomen pain above the pubic bone
  • Bloating
  • Leg pain
  • Constipation
  • Pain with a full bladder
  • Pelvic floor spasms
  • Food sensitivities
  • Painful sex
  • Back or flank pain
  • UTI symptoms with negative culture

Silent Endometriosis

While endometriosis commonly causes pain, up to 25% of people with endometriosis experience no overt symptoms. You can have endometriosis without heavy periods, abdominal pain and pelvic pain. Silent endometriosis bonds close to unexplained infertility. Up to 50% of those with unexplained infertility have endometriosis Many with silent infertility experience miscarriages, pregnancy loss, failed IVF cycles and pre-term labor or they cannot conceive at all. It is important to understand that endometriosis cannot be fully ruled in or ruled out by ultrasounds, blood tests, and scans. Fertility success rates increase when the disease is directly managed.

Symptoms of silent endometriosis include (but are not limited to):
 

  • Inability to get and stay pregnant
  • Inexplicable Low AMH
  • Miscarriage and recurrent miscarriage
  • Chocolate cysts or endometriomas
  • History of bowel issues and bloating
  • Back pain
  • Blocked tubes
  • Pre-term labor
  • Pregnancy loss

    • While endometriosis can be silent, many people with “silent endometriosis” have normalized their painful periods, stomach issues, painful sex, or pelvic pain for years. Something you may be just accepting can be a crucial piece to the puzzle that is your infertility.

Consultation

Request a
Consultation

REQUEST CONSULTATION

Dr. Vidali would be happy to meet or speak with you over the phone to understand your current situation.

For more information about Dr. Vidali,
Please visit his social profiles here:

Dr. Andrea Vidali
WordPress Lightbox Plugin