Therapy Neurosurgical Options Pudendal Pain Ischialgia Chronic Pelvic Pain Syndrome Ilioinguinal Pain Phantom Pain and Stump Pain Polyneuropathy Refractory Endometriosis
Therapy & Treatment
Neuropelveology concentrates on three different surgical approaches:
- Maximum preservation of the pelvic nerves in the case of radical surgery of the small pelvis. The objective is to preserve all sexual, vesical and intestinal functions in interventions such as surgical treatment of endometriosis, myoma hysterectomy or resection of malignant tumours (oncological surgery)
- Minimally invasive pelvic nerve laparoscopy to determine the aetiology of pain in the abdomen and pelvic cavity and optimal treatment, including neurosurgical procedures
- Electrode implantation on pelvic nerves. This laparoscopic method, which consists in implanting a neuroprothesis, is also called the LION procedure. It is used in the following cases:
as a means to control pain in the small pelvis subsequent e.g. to surgical damage of a pelvic nerve or in the case of pudendal nerve pain (pudendal neuralgia), nerve disease (polyneuropathy) in the lower limbs associated with conditions such as diabetes, or phantom pain following amputation.
as a means to control and restore vesical, intestinal and sexual functions.
as a means to restore mobility in paralyzed patients (paraplegia, Spina bifida, multiple sclerosis, etc.).
Because open surgery does not provide adequate access to the pelvic nerves, all these different treatments only became possible with the advent of laparoscopy in general and pelvic nerve electrostimulation (LANN) in particular. This latter technique makes it possible to identify the function of a nerve during the course of surgery.