Gabriel Mitroi, M.D., Endometriosis Specialist, Obstetrics & Gynecology,
City: București, Romania.
Philosophy: Scientific studies point towards a genetic origin. I think, for now, until a specific method of treatment is found, excision remains the only method that offers various benefits to the patients.
Medications: I prescribe birth control pills after surgery for a few months and before surgery if the patient is in too much pain and painkillers do not work. For adenomyosis, I prescribe the Coil.
Imaging: I have a radiologist in my team specialized in MRI for endometriosis. I use the MRI in cases with suspicion of extensive Deep Infiltrating Endometriosis to be able to plan my time better and to have all specialists on stand-by/assisting me and of course, to inform the patients about the stay in the hospital, possible complications and the complexity of the surgery (bowel, bladder, ureteral reimplantation, etc).
Approach to persistent symptoms: I maintain contact with all patients after surgery for as long as is needed, so in case of persisting pain, I reassess the potential sources of pain and make recommendations based on the type of pain and symptoms and I usually recommend a nonsteroidal anti-inflammatory drug or Mirena coil if the source of pain points towards adenomyosis. I also refer patients to pain therapy. Unfortunately, I am not aware of any pelvic floor therapists in my country.
Dr Mitroi and his specialist team changed my life, I highly recommend for excision, and expertly resolving complex endo on bowels, bladder, urethra, ovaries. Also excellent surgical options for adenomyosis. The care pre op and post op is also exceptional. Travelled from Canada because of long delays in getting surgery and superior techniques.
I had a very bad experience with Mitroi in august 2020.
I didn’t get to meet him until a few minutes before the surgery and he seemed so rushed doing the consult that I didn’t really get the chance to ask about all my concerns. He didn’t stay more than 5 minutes and left me feeling very uncertain about the surgery.
When I was brought to the surgery room, I was told to take off all my clothes so I had to stand naked in front of the entire team. It was so humiliating.
In addition to evaluating my pelvis, we had agreed that he should also look for endo on my diaphragm and decide if I needed VATS. When I woke up, I was told that he had performed a PSN despite that we had not even discussed this. He had phoned my boyfriend during surgery and told him that I had adenomyosis and that a PSN was the only right thing to do, so he convinced my boyfriend to allow it. But I didn’t want a PSN and felt like he just didn’t care about my right to decide for my body.
He removed stage 2 endo from my pelvis, but I have no incision below my right ribs and the video from the surgery does not show the diaphragm (and I still have all my thoracic symptoms), so I do not believe that he looked at it.
After surgery they completely removed the opioid treatment which I had been on for several months before and then yelled at my and didn’t take me seriously when I complained about the withdrawal symptoms. Mitroi made fun of “us women from the north” because I cried and to me I only had myself to blaim for the horrific head pain because “I wouldn’t stand up” but I couldn’t because the withdrawal symptoms made me sick.
All in all it was a horrible experience that has left me traumatized and in the need for a second surgery. Most of my pelvic pain is gone, but the thoracic symptoms has just kept getting worse.
Response from Dr. Mitroi:
I know the case very well. Unfortunately her pain wasn’t and it isn’t from endometriosis and surgery didn’t help her too much.
We did and do our best with all of our patients. Since then our team has grown stronger and our patients have better care in the preop and postop period. As you know, we cannot satisfy all of our patients. Sometimes, even you do all that you can, some patients are not satisfied.
Thank you again for your feedback!
What an ignorant answer. Endometriosis was confirmed in the biopsies taken at my surgery, so yes my pain was from endometriosis. The surgery helped with some of it, though not all. This year, I had surgery with another specialist, who looked at the video from Mitroi and said he believed it was very superficial. And he found more endometriosis in my pelvis (which was covered with inflammation) and also on my right lung.
If what you did to me was “all you can” I can only feel sorry for anyone who gets in your hands. Everyone makes mistakes and can have a bad day, but the least you could do is acknowledge it instead of gaslighting people. I guess that is what separates you from some of the very highly skilled surgeons out there.
I had a good experience with Dr Mitroi at the Bucharest Endometriosis Centre. Communication with both Dr Mitroi and Manuela prior to my arrival was great. Once I arrived and had my MRI with Dr Livia I knew exactly what I could expect and learned of the need for my pudendal nerve to be decompressed and dissected. I don’t think that would have been found back home and was causing a lot of my symptoms.
I had a total hysterectomy as well with both ovaries removed (my choice given my age) and excision of DIE in areas of my pelvis.
The care I received was better than anything I would have received at home. There was one issue with pain relief (I can’t use morphine) and once I alerted Dr Mitroi and Manuela it was corrected immediately.
Dr Mitroi continued to answer all my questions while I was still in Romania and when I got home. I didn’t have the opportunity to go over my report with him during post op appointment but any questions I had, I emailed him and he explained.
I am so grateful to Dr Mitroi and all of his colleagues behind the scenes, nurses etc at BEC.
I am now pain free and look forward to the future.
the best!
After many years of delayed diagnosis, partially effective hormonal treatments, and long wait times for (ablation) surgery in the Canadian public healthcare system, I was truly blessed to be under the care of Dr. Gabriel Mitroi and his team.
From the very first interaction with Dr. Livia Stanciulescu (the amazing radiologist who conducted my pelvic MRI), to the consultation with Dr. Mitroi, and the interactions with his administrative staff, I was compassionately listened to, and welcomed by medical professionals who understood exactly what I was going through, having seen it many times before, and knew exactly how to help me.
During the initial consultation, Dr. Mitroi had a conversation with me on the approach for surgery based on the pelvic MRI results, and then he responded with a lot of detail and care by email to my very long list of follow-up questions. After the initial consultation, I was scheduled for surgery 6 weeks later, which gave me ample time to make the proper arrangements for work, travel, and post-operative care, while not having to wait for too long for the procedure itself.
In the day of the surgery, I had a conversation with Dr. Mitroi and his colleague Dr. Anda Simbotin to go over the procedure and re-iterate my symptoms, which was very reassuring, especially since I never had surgery before or undergone general anesthesia.
Travelling abroad for surgery can be quite overwhelming. The day before the surgery was packed with pre-operative tests and appointments, but I found a lot of support from the administrative team, in particular Manuela Cutina, who helped me navigate through everything, and made sure every step is completed before the big surgery date.
Dr. Mitroi is very knowledgeable, passionate, and has a very positive and optimistic attitude. His team is wonderful, during my stay in the hospital everyone took the time to help me recover and encouraged me every step of the way. I benefited from amazing care from the nurses in the hospital and even got to do some physiotherapy exercises to help with a faster recovery. Some of the team members even shared their own endometriosis story, which only goes to further show their dedication and understanding, having gone through that themselves.
The team has a comprehensive pre- and post-operative protocol focusing on a specific pre- and post-op diet and treatment, and guidelines on what to expect after the surgery in terms of symptoms and recovery. I found this to be extremely helpful in guiding me through the process. Dr. Mitroi and his team were also very prompt and helpful in addressing my questions and concerns by email after I was released from the hospital. I also had a post-op appointment 1 week after the surgery with Dr. Mitroi focused on examining my progress and addressing my questions on longer term care.
The severe pelvic, back, and leg pain that I was experiencing is completely gone after the excision surgery. I couldn’t be happier with the outcome so far. I cannot thank Dr. Mitroi and his team enough and I strongly recommend them. He is not only a leading expert in endometriosis care, but he also runs his practice with a lot of care and compassion for his patients!
Nearly a year after my last surgery, the results have been deeply disappointing. Despite undergoing surgery with the highly regarded endometriosis surgeon Gabriel Mitroi and his team, my condition has not improved. In fact, I continue to experience daily pain, especially when standing, going to the bathroom, and during menstruation. This situation is a complete disaster for my life and well-being.
I still experience pain every day, especially when standing, going to the bathroom, and during menstruation. I am practically in the same situation as before the surgery. This is a disaster for me and my life. To make matters worse, the surgeon performed a presacral neurectomy, a useless, outdated, and risky procedure that doesn’t prevent adenomyosis pain. He didn’t explain the negative consequences of neurectomy of presacral nerves before surgery, leaving me unaware of the potential risks.
Additionally, the surgeon left endometriosis tissue behind, which is absolutely terrible and has had significant consequences on my life. His failure to remove all the tissue has caused a horrible impact, leaving me to suffer with ongoing pain and complications.
I was also surprised by his insistence on taking contraceptives. He repeatedly told me that if I didn’t take them, the endometriosis could reappear. Later, when I consistently reported ongoing pain, he blamed it on not taking the contraceptive pills, despite me explaining multiple times that I couldn’t take them due to severe side effects.
Background: I had deep pelvic endometriosis, several endometriomas, a nodule on the uterosacral ligament, endometriosis in the intestine, and adenomyosis. I expressed my doubts and limitations regarding undergoing such a surgery to Gabriel, emphasizing that due to my age and the presence of adenomyosis, he should do whatever was necessary to ensure I would not have pain since I could not afford the financial cost of another surgery.
I know that this doctor has many good reviews, but my experience has been far from satisfactory. Honestly, I don’t think I am the only one. I refuse to believe that the pain is my fault. To me, recommending contraceptives as a key element seems like a major red flag. A surgeon should specify what procedure they recommend after surgery to make this clear and avoid attributing the pain to not taking contraceptives later on. I traveled from Spain to another country to have surgery and find myself in the same situation as I was in Spain, but having paid a considerable amount of money.
It is important to mention that this doctor sees many patients and performs many surgeries, but he is always too rushed. He only saw me for a 10-minute consultation the day before the surgery. On the last day before leaving Bucharest, he removed my stitches, leaving one suture to be removed days later in Spain. To my surprise, one of the stitches he removed was not completely taken out and had to be removed later in Spain.
The consultation room was full of girls, and he kept repeating that he didn’t have time. Not to mention the terrible treatment by the nurses at the hospital. They were rough and inconsiderate, especially since they didn’t speak English, making communication impossible. In a circumstance like this, communication is essential.
In short, what I’ve observed is that rather than being a doctor committed to his patients, he is a surgeon more concerned with gaining more clients at all costs.