Nicholas Kongoasa, MD, MB BCh, facog, NOTED EXCISION SURGEON
The Center for Endometriosis Care (CEC) | Kenny R. Sinervo, MD FRCSC, LLC was delighted to welcome Dr. Nicholas Kongoasa back to our practice in 2015. He is a compassionate, highly skilled surgeon who looks forward to helping you with your care (complete CV here).
Dr. Kongoasa received his medical training in the United Kingdom and completed Residency at Saint Peter's University Hospital in New Jersey. He was also formerly a CEC FMIGS Fellow, having completing an extensive LAPEX and MIGS training under Dr. Sinervo. A skilled Minimally Invasive Gynecologic Surgeon specializing in Laparoscopic Excision of endometriosis and treatment of pelvic pain, Dr. Kongoasa also maintains a keen research interest and his work has been acclaimed throughout his career. It is Dr. Kongoasa’s goal to make excision more readily available for individuals with endometriosis.
Dr. Kongoasa says:
“At least 30% of women with pelvic pain have endometriosis. Unfortunately, the mainstream first-line treatment for endometriosis and pelvic pain in general is medical therapy. This involves putting patients on oral contraceptives or medical suppression that puts women into temporary menopause. Needless to say, the side effects of these drugs are considerable, sometime incapacitating and frequently quite expensive. When endometriosis is found during surgery, the vast majority of gynecologists will only treat the disease superficially by ''ablating'' the lesions. Many times, this superficial treatment leaves behind the remainder of disease beneath, which allows for subsequent adhesion formation. The disease covered by these adhesions actually increases pain. Hence the endometriosis recurrence rate for surgeries done this way is very high; about 80%. Consequently, almost always, patients are placed back on the medical therapy - until the pain is again unbearable and another surgery is indicated. Many patients fall into this ablation-suppression cycle which is quite frustrating both for them and their physicians alike."
"During my early Fellowship with the CEC, I was taught that advanced Laparoscopic Excision (LAPEX) of endometriosis should be the standard for definitive treatment of the disease. With LAPEX, all endometriosis is removed. Any adhesions that may form will do so immediately post op, because no disease has been left behind to create new ones on an ongoing basis. The recurrence rate after LAPEX has been reported to be only around 15% - which means that more than 80 of every 100 individuals will have no new endometriosis. LAPEX requires advanced surgical expertise, which commands intense training and a thorough understanding of the etiology of the disease and its consequences. I am very fortunate to have been trained in the technique of advanced Laparoscopic Excision of endometriosis.”
In addition to his ardent research efforts and application of gold standard surgical techniques to improve patient outcomes, Dr. Kongoasa also practices in accordance with Catholic medical ethics and the NaProTechnology® protocols. He will complete the Creighton Medical Consultant training in the near future as well. On infertility and NaProTechnology®, "around 30-50% of infertile women have endometriosis," says Dr. Kongoasa. "Many times, with conventional medical treatment, women with endometriosis undergo artificial reproductive techniques where they are exposed to high doses of hormonal medication to stimulate their ovaries to produce as many eggs as possible for harvest. As you expect, these women will have very severe flare up of their disease during this time. I am happy to say that the NaProTechnology® is gaining popularity, and there is definitely more awareness. Patients are researching and are highly educated about their conditions. They are also advocating more for themselves - and each other, which, in my opinion, is very important.”
An award-winning former Research Fellow of the Mayo Clinic, Dr. Kongoasa is also the 2013 Recipient of the AAGL Special Resident in Minimally Invasive Gynecology Award, the 2008 recipient of the Thrasher Research Fund Early Career Award grant for his winning research on pre-eclampsia, the 2005 Royal College of Obstetrics & Gynecology Richard Johansen Obstetric Prize Winner, and a finalist in the 2005 Royal Society of Medicine Research Presentation Prize for his research on stroke, to name but a few. Dr. Kongoasa was also recently named to the IAHCP "Top Doctor" listing (October 2105).
Dr. Kongoasa comes back to the CEC with his excellent credentials and tremendous clinical and research experience; he is a wonderful addition to the CEC family, bringing his compassionate expertise to patients and enhancing our continuous patient-centered, multidisciplinary approach to endometriosis and pelvic pain. Dr. Kongoasa is assisted in surgery by Wendy K. Winer, RN, BSN, CNOR, RNFA.
Originally from Indonesia, Dr. Kongoasa received his Medical Degree from the University of Manchester School of Medicine in the United Kingdom. Following his previous Fellowship with the Center, he re-joined Saint Peter's Healthcare System in New Brunswick, NJ wherein he had previously completed his OB/GYN Residency. He is a Fellow of ACOG, ABOG (Member, Board Eligible), AMA (Member) and the AAGL, wherein he serves on the Endometriosis Special Interest Group. He is licensed to practice medicine in New Jersey and Georgia. “I am blessed to utilize my clinical and surgical skills, research expertise and dedicated involvement in the global endometriosis community to support the CEC’s mission to transform the state of endometriosis care,” he said.
Dr. Nick and his wife are the proud parents of their beautiful young children. He has previously lived in Indonesia, Singapore, the United Kingdom and now the USA. Fun fact: he is also an avid traveler and badminton champ in his down time!