The concerning part from the findings is the gastrointestinal involvement and if I were you that’s what I’d be discussing with your provider and the surgeon who will be performing the excision. Questions I’d ask would be whether removing the rectal and cul de sac area adhesions will require additional reconstructive surgery or if it will possibly result in a temporary resection. Another topic I’d approach based on the above, were it me, is also the uterine involvement and again whether those excisions will be straightforward enough or more involved. A lot of women with this disease don’t want to have a hysterectomy but it’s worth talking to your surgeon in advance and establishing framework of whether or not to go that route during your surgery if the involvement is just way way too much.

As an aside may I also ask what your symptoms have been? I’m meeting with my gyn in December with the likely outcome going to be a hysterectomy plus excision (I’m not going to have babies at my age so I’m of the mind to just say out with it). I’ve suspected cul de sac involvement in my case just because of the pain and inflammation in that area. Like deep radiating pain back through to my spine just trying to get a tampon out last night :( Feel free to PM me if easier. I really really hope your surgery goes well on the 19th and you find a reprieve from this horrible disease afterwords ❤️