Endometriosis of the sciatic nerve

A special form of pelvic nerve pain is deep infiltrating endometriosis of the sciatic nerve. This disorder is accompanied by excruciating sciatic pain - cyclical with the period at the onset of the condition, which becomes permanent after only a few short months. In addition, there are disruptions to or loss of mobility in the foot. The disease develops deep in the sciatic nerve and gradually destroys it. Hormone therapies do not bring about any healing. A surgical intervention must be performed immediately before irreversible nerve damage occurs. This operation is performed with the assistance of laparoscopy.



Careful diagnosis and therapy using laparoscopy

With the help of laparoscopy, the organic causes of chronic pelvic pain can be reliably and carefully determined and treated. The known causes of pain are adhesions, endometriosis and inflammation of the pelvic organs, but also a variety of diverse conditions. Through laparoscopic exploration of the pelvic nerves, irritations, compressions, injuries or tumours of the pelvic nerves can be diagnosed and treated minimally invasively. Neurosurgical procedures using laparoscopy are applied:  

  • Intrafascicular neurolysis, in which the constriction of the nerve and the pressure exerted by it are surgically removed.
  • The partial removal (resection) of destroyed parts of the sciatic nerve when endometriosis of the sciatic nerve is present.
  • Decompression (pressure relief) of the affected nerves
  • Reconstruction of nerves after surgical injuries
  • The removal (resection) of neurogenic pelvic tumours (swannomas, teratomas etc.) or orthopaedic pelvic tumours (oestochondro-sarcoma)
Stimulation of the nerves

Stimulation of the nerves

Pain reduction through electrical stimulation of the nerve

In the case of irreversible damage to the nerves, due to operation-related injuries for example or in the case of diseases affecting the nerves such as multiple sclerosis, Parkinson's etc., the mere release of the nerves will not have the desired result. In such cases, neuromodulation is the preferred method. A micro-stimulation electrode is placed directly on the damaged nerve by laparoscopy using the so-called LION method. Electrical stimulation of the nerve with low energy leads to pain reduction. By means of a remote control, the patient can independently determine the intensity of the current delivery. This method also enables the normal function of the nerves to be restored if the patient suffers not only from pain but also from functional disorders of the pelvic organs such as irritable bladder, faecal or urinary incontinence, or from sexual disorders such as erectile dysfunction in men or loss of libido in women.

Prof. Marc Possover MD

To help people in difficult situations to improve their quality of life has become his life's passion. Continuous research, decades of clinical experience and the focused determination to find a solution for previously unsolved medical problems, have enabled Prof. Possover to help often quite discouraged patients find release from their seemingly insurmountable problems.

Possover International Medical Center

Our center of excellence for Neuropelveology in Zürich is equipped with state of the art technical equipment, offering world-class treatment at the highest level. Enjoy individual attention in the most private and comfortable of settings.

Our team will take care of you

Here at our center, you will be treated not only as our valued patient but as our guest. Everyone in Prof. Possover's team is committed to making you feel completely at ease and in very safe hands. Our internationally experienced team members have an intuitive feel for the particular needs of every individual. We will accompany you every step of the way, from the initial contact right through to the conclusion of your treatment - with detailed personal attention, sincerity, courtesy and careful understanding.

Back to a better quality of life

We will dedicate our expertise and know-how to help you find the solution that is right for you.

Audrey Schroller

Practice Assistant

„As a cheerful, open and communicative person, I really appreciate coming into contact with people from all over the world. The well-being of others is very important to me.

Involvement of your own physician in your treatment

If it is your preference, your attending doctor is welcome to accompany you to Zürich. You will then have a person at your side who is familiar with your medical concerns. At the same time, your doctor will have the opportunity to be present during the planned operation and gain unique insights into the applied practice of Neuropelveology.

Photo Neuropelveology Nerve Tracts

Discovering the pelvic nerves

Neuropelveology is a medical discipline developed by Prof. Possover. It is based on the discovery of the pelvic nerves and includes the diagnosis of the diseases of these nerves by means of gynaecological examination methods and their treatment by means of laparoscopy.

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