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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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Introduction to Neuropelviology
Speaker 1
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
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remember
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general
information
and
not
for
personalized
medical
advice
.
Always
consult
your
provider
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.
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alana
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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
Differentiating Nerve Pain from Endometriosis
Speaker 1
1:47
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
Explaining Neuropelviology to Providers
Speaker 1
2:26
?
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
Nerve Sparing in Pelvic Surgery
Speaker 2
3:12
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
.
EDS and Nerve Sensitivity
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
.
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Keep
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Episode Closing and Contact Information
Speaker 1
5:06
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