In the evolving landscape of gynecological surgery, few names command the level of global recognition and trust as Dr. Horace Roman. With an exclusive dedication to endometriosis for over a decade, Dr. Roman stands at the intersection of surgical mastery and evidence-based innovation. Now leading advanced gynecological care at Burjeel Medical City, he brings with him decades of pioneering work in France and internationally recognized contributions to endometriosis treatment, research, and education.
Educational Foundation and Clinical Formation
Dr. Horace Roman’s journey into advanced gynecology began with his medical education across Europe. He received his medical degree from the University of Cluj Napoca in Romania and Paris XII in France, followed by a residency in neurosurgery at Paris Hospitals (1994–1998). He further specialized in Obstetrics and Gynecology, completing his MD in 2003 and PhD in Epidemiology and Public Health in 2008 in France.
His clinical training was shaped at top-tier French institutions including Rouen University Hospital and Clermont Ferrand University Hospital, followed by a prestigious fellowship at the Medical University of South Carolina in the USA. These foundations enabled Dr. Roman to bridge clinical precision with public health insights—setting the stage for a career focused on complex gynecological pathologies, particularly deep endometriosis.
Clinical Expertise: Focus on Complex Endometriosis Surgery
Dr. Roman is one of the few surgeons globally whose entire clinical focus has been dedicated to the surgical management of endometriosis for over ten years. His experience is not just broad but profoundly deep:
- Over 1,400 cases of deep endometriosis infiltrating the digestive tract
- More than 250 cases involving the urinary tract
- Over 120 surgeries involving the sacral plexus or sciatic nerves
- 70 cases addressing diaphragmatic endometriosis
His techniques are defined by a clear emphasis on conservative approaches, prioritizing preservation of organ function and fertility wherever possible. For instance, he has performed more than 450 rectal disc excisions as an alternative to more radical resections. His ovarian endometrioma approach employs plasma energy ablation to preserve ovarian reserve—a critical innovation for patients seeking fertility preservation.
Minimally Invasive Surgical Mastery
A hallmark of Dr. Roman’s practice is his exclusive use of minimally invasive techniques—either via laparoscopy or with robotic assistance. From 2018 to 2023, he performed only one open surgery, underscoring his commitment to precision-based, less traumatic interventions.
His areas of surgical expertise include:
- Excision of endometriosis from bowel, bladder, diaphragm, sacral plexus, sciatic nerves, parametria, and inguinal areas
- Robotic-assisted excisions for deep pelvic and thoracic lesions
- Hysterectomy (abdominal or vaginal), with or without colpectomy
- Ovarian endometriosis treatment using excision, vaporization, or sclerotherapy
- Combined cystoscopic-laparoscopic approaches for urinary tract endometriosis
These surgical capabilities place him among the top global specialists in complex, multidisciplinary endometriosis care.
Global Research and Leadership Contributions
Dr. Roman’s impact extends far beyond the operating room. He is the principal investigator and driving force behind multiple randomized clinical trials that have shaped modern endometriosis treatment protocols:
- ENDORE Trial: Radical vs. conservative surgery for colorectal endometriosis
- MESURE Trial: Medical vs. surgical treatment for rectal endometriosis
- EFFORT Protocol: First-line IVF vs. first-line surgery in women with pregnancy intentions and colorectal endometriosis
These contributions have directly informed surgical best practices and reproductive decision-making in endometriosis care worldwide.
Additionally, he served as a Professor of Obstetrics and Gynecology at Rouen Medical University, further amplifying his role as a thought leader and educator. His current appointments include Honorary Professor at Aarhus University Hospital (Denmark) and member of the boards of leading organizations such as:
- European Endometriosis League
- World Endometriosis Society
- French Society of Gynecologic and Pelvic Surgery
He is also the head of the Surgical Task Force of the Society of Endometriosis and Uterine Diseases, underscoring his international leadership in advancing standards of care.
Awards and Global Recognition
Dr. Roman’s excellence has been acknowledged through numerous awards in medical congresses and academic circles:
- Best Surgical Video (multiple years, various societies including AAGL, SEUD, and WES)
- Robert B. Hunt Top Video Award, Journal of Minimally Invasive Gynecology, 2022
- Multiple grants for groundbreaking clinical trials (ENDORE, MESURE, and the CIRENDO registry)
- Best Medical Communication Award, SLS Congress, New York, 2010
These accolades highlight both his surgical creativity and commitment to continuous clinical advancement.
A New Chapter in the Middle East: IFEMEndo Middle East Clinic
As a co-founder of the IFEMEndo-Middle East Clinic at Burjeel Medical City, Dr. Roman now leads one of the region’s only specialized departments dedicated exclusively to the management of severe endometriosis. This clinic represents the expansion of the highly respected IFEMEndo model from Bordeaux to Abu Dhabi, ensuring patients in the region have access to world-class, multidisciplinary care.
The clinic has already earned recognition as a Center of Excellence in Multidisciplinary Endometriosis Care (COEMEC, 2019–2026), and Dr. Roman holds the distinction of Master Surgeon in Multidisciplinary Endometriosis Care.
This review affirms that Dr. Horace Roman is not only a world-class gynecological surgeon but a transformative figure in endometriosis care. His commitment to research, conservative surgical practice, and global education has set new benchmarks in the field. Patients and referring physicians alike can trust that under his care—now available at Burjeel Medical City—treatment plans are grounded in both surgical excellence and a deep respect for quality of life and reproductive health.
Learn more about Dr. Horace Roman’s expertise, surgical specialties, and patient care philosophy on his official profile at Better by MTA. View Profile »
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