Marc Possover

ISON Neuropelveological Guidelines for the Diagnosis and Treatment of Pelvic Radiculopathies/Neuropathies by Vascular Entrapment These guidelines, developed by the International Society of Neuropelveology (ISON), present the first comprehen…

ISON Neuropelveological Guidelines for the Diagnosis and Treatment of Pelvic Radiculopathies/Neuropathies by Vascular Entrapment These guidelines, developed by the International Society of Neuropelveology (ISON), present the first comprehen…

Background : Many women suffer from undiagnosed pelvic pain, potentially due to pelvic neuropathies, but are often treated symptomatically without addressing underlying causes. Pelvic neuropathies can cause severe symptoms, affecting qualit…

Objective The aim of this study was to assess inter-rater reliability for components of the Visual-Numeric Endometriosis Scoring System (VNESS). VNESS is a novel system for describing surgical findings in each compartment of the pelvis in a…

Endometriosis involving the pelvic nerves is perhaps the most challenging scenario faced by the endometriosis surgeon. The diagnosis is difficult as in most cases imaging and other investigations can be unhelpful and the clinician needs to …

ObjectiveTo report neurologic follow-up of patients after laparoscopic large resection of deep infiltrating endometriosis of the sciatic nerve.DesignProspective clinical case series.SettingTertiary referral unit specializing in advanced gyn…

Chronic pelvic pain (CPP) is a common condition involving multiple, organ-specific medical specialties, each with its own approach to diagnosis and treatment. Management requires knowledge of the interplay between pelvic organ function and …

BACKGROUND: Some patients have pelvic, pudendal, or low lumbar pain radiating into the legs that is worse while sitting but differs from pudendal neuralgia. The purpose of this study was to present a new clinical entity of neuropathic pelvi…

Study objectiveTo demonstrate the technique of laparoscopic dissection for identification of sacral nerve roots and pelvic splanchnic nerves.DesignCase report (Canadian Task Force classification III).SettingPrivate practice hospital in São …

OBJECTIVE: To investigate pathophysiologic mechanisms involved in bladder retention after surgery for rectovaginal deeply infiltrating endometriosis (DIE). DESIGN: Retrospective case study. SETTING: Tertiary referral unit. PATIENT(S): Al…

Die Endometriose ist eine häufige aber wenig bekannte Erkrankung, unter der schätzungsweise 1 von 10 Frauen in ihren fruchtbaren Jahren leidet. Es handelt sich um eine chronische Erkrankung, die durch das Auftreten von Endometriumgewebe aus…

ObjectiveTo report our experience with endopelvic causes for sacral radiculopathies and sciatica.DesignProspective cohort study.SettingTertiary referral advanced laparoscopic gynecology and neuropelveologic unit.Patient(s)Two hundred thirte…

Study objectiveTo show the relationship between the neuropeptide-Y pelvic sympathetic nerves and neoangiogenesis in the development of endometriosisDesignProspective study.SettingAcademic community teaching hospital.PatientsFifteen consecut…

PURPOSE: The feasibility of the laparoscopic transperitoneal approach to the pelvic somatic nerves was determined for the diagnosis and treatment of anogenital pain caused by pudendal and/or sacral nerve root lesions. MATERIALS AND METHODS:…

BACKGROUND: The aim of this study is to report on the impact of neuromodulation to the superior hypogastric plexus in patients with bladder atonia secondary to pelvic surgery. METHODS: In 4 consecutive patients with bladder atonia secondar…

ObjectiveTo report the impact of the laparoscopic approach to the pelvic nerves in the management of neural pelvic pain in women secondary to pelvic surgery.DesignClinical prospective study.SettingDepartment of Gynecology and Obstetrics, St…

AIMS: To report on our anatomic and electrophysiologic findings about the sacral nerve roots and the pelvic splanchnic nerves during laparoscopic pelvic surgery. METHODS: The pelvic splanchnic nerves and the sacral nerve roots were dissecte…

ObjectiveTo report that isolated endometriosis of the sciatic nerve without further manifestation of endometriosis does exist.DesignWe describe our technique of laparoscopic neurolysis of the sciatic nerve and the sacral plexus.SettingDepar…

Objective: To demonstrate the feasability of the laparoscopic transperitoneal approach to the pelvic somatetic 10 nerves for the diagnosis and treatment of ano-genital pain caused by pudendal and/or sacral nerve roots lesions. Method: In a …

BACKGROUND: The aim of this study is to report on the feasibility of laparoscopic neurolysis of the plexus sacralis and the sciatic nerve in deep endometriotic infiltration of the lateral pelvic wall. METHODS: A transperitoneal approach to …