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Professor Marc Possover transforms our understanding of chronic pelvic pain by targeting the pelvic nerves directly when traditional treatments fail. His pioneering work in neuropelviology bridges gynecology, neurology, and minimally invasive surgery to bring relief to patients who’ve been told to simply live with their pain.
• Pain or disorder of pelvic organs always involves nerve issues, with endometriosis being one potential cause
• Gynecological examination, sonography, and MRI help determine if endometriosis is present
• Many doctors aren’t familiar with neuropelviology – if they don’t recognize the term, they likely have limited knowledge of pelvic nerves
• Nerve-sparing techniques are crucial for all patients undergoing pelvic surgery to avoid postoperative organ dysfunction
• In patients with Ehlers-Danlos Syndrome (EDS), atypical blood vessels can compress nerves causing pain
• Treatment often involves releasing the nerve by removing the problematic vein rather than treating the nerve itself
• Sickle cell disease can also cause compression of pelvic nerves through small areas of ischemia throughout the body
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0:00
Could it be endometriosis? Or could it just be nerve irritation that's giving you all this reoccurring pain? And how would you even try to describe neuropelviology to one of your clinicians? This and so much more with Professor Possover. Stick around. Life moves fast and so should the answers to your biggest questions. Welcome to EndoBattery's Quick Connect, your direct line to expert insights. Short, powerful and right to the point. You send in the questions, I bring in the experts and in just five minutes you get the knowledge you need. No long episodes, no extra time needed, and just remember expert opinions shared here are for general information and not for personalized medical advice. Always consult your provider for your case-specific guidance. Got a question? Send it in and let's quickly get you the answers. I'm your host, alana, and it's time to connect.
Speaker 1:
0:59
Today's guest has built his career on a bold but vital belief that suffering pain should not be a life sentence. And for Professor Mark Possover, that belief isn't just a philosophy, it's a mission as a world-renowned pioneer in neuropelviology. Yes, you heard that right. He has transformed how we understand and treat chronic pelvic pain, especially when the source is elusive or deemed untreatable. His work bridges the worlds of gynecology, neurology and minimally invasive surgery to target the pelvic nerve directly, often bringing relief to patients who've been told to simply live with it. His methods have given hope to countless people who have felt like they've run out of options. So if you've ever wondered what's really going on when no one seems to have answers, this episode is for you. How do we know that it's our nerves firing, or the pain from our nerves, and not endometriosis, if we've already had excision, or even prior to excision, deciphering if it's nerves or endometriosis?
Speaker 2:
2:01
So is the patient feels pain or disorder of the pelvic organ. It's always an issue with the nerve, and endometriosis is a cause that induces a dysfunction of the nerves and not the contrary. And now to know it is endometrial or something else, you have the gynecological examination and sonography and maybe MRI.
Speaker 1:
2:23
How do we talk to our providers about neuropelviology? This could be tricky.
Speaker 2:
2:30
That is a little bit tricky because I've seen a lot of colleagues. Even they will not know the name neuropelviology. Simply use the word neuropelviology. If the colleagues don't know what it means neuropelviology, they will have no knowledge of the pelvic nerves.
Speaker 1:
2:46
Yeah, how important is nerve sparing for talking to your doctors.
Speaker 2:
2:52
Nerve sparing is only one aspect in the neuropalveology. It's a simple part in neuropalveology but for all patients not just women, men as well who are undergoing pelvic surgery it's the key to avoid postoperative dysfunction with a pelvic organ. You will have to preserve even more because mostly the nerve has nothing to do with the pathology. The pathology is the endometriosis, not the nerve. There is nothing wrong with the nerve. The nerves are affected by the endometriosis. So you have to treat the endometriosis and not to reset the nerve.
Speaker 1:
3:27
Right. How, with the nerves and things like Ehlers-Danlos syndrome or EDS, is there a more heightened state of sensitivity on the nerves when you have conditions like EDS?
Speaker 2:
3:40
When patients are affected by hypermorbidity syndrome or Ehlers-Danlos syndrome they have likely atypical vessels in the pelvis not only enlarged. Sometimes the vessels are running in the wrong position and will induce an irritation by tying, by compressing the nerve and that will induce secondary pain. Then the treatment is not to do something with the nerve but to release the nerve by removing the vein. In our country we have Ehlers-Danlos Syndrome. I had yesterday a patient coming from South Africa and he told me that in America there is another disease, very, very often, which may induce as well compression of the pelvic nerves. It's skillet cell disease. Compression of the pelvic nerves is skillet cell disease. It's an autonomic nerve disease where the body develops everywhere small ischemia in the body. And this patient seemed to be a pathology with a very, very high incidence in South Africa but also in America. So I will for sure make an education video on that in the future.
Speaker 1:
4:49
Yeah, that would be an interesting topic to cover, for sure.
Speaker 2:
4:53
I will.
Speaker 1:
4:54
That's a wrap for this Quick Connect. I hope today's insights helped you move forward with more clarity and confidence. Do you have more questions? Keep them coming, send them in and I'll bring you the expert answers. You can send them in by using the link in the top of the description of this podcast episode or by emailing contact at endobatterycom or visiting the endobatterycom contact page. Until next time, keep feeling empowered through knowledge.