QC: Beyond Endometriosis: Understanding Nerve Pain in the Pelvis

Endo Battery

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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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Chapters

1. Introduction to Neuropelviology (00:00:00)

2. Differentiating Nerve Pain from Endometriosis (00:01:47)

3. Explaining Neuropelviology to Providers (00:02:26)

4. Nerve Sparing in Pelvic Surgery (00:03:12)

5. EDS and Nerve Sensitivity (00:03:27)

6. Episode Closing and Contact Information (00:05:06)