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We examined how advanced endometriosis is managed in the United Kingdom, and what support exists for the development of centres of excellence. A questionnaire was sent to all 1,447 registered consultants in the United Kingdom. Of the 617 who replied some 505 treated endometriosis, representing 267 of the 341 hospitals listed. Of the consultants 157 (31%) felt that they worked in a centre of excellence, representing 94 of the 267 hospitals. There were 169 consultants who treated rectovaginal disease themselves, but only 66 used excisional procedures. Support was expressed by 429 consultants (84.9%) for the development of centres of excellence for the treatment of advanced endometriosis.

Centres of excellence for the management of advanced endometriosis: where are they and what do they do?