Severe Endometriosis

Excruciating pain and a heavy psychological strain

Endometriosis is one of the most common gynaecological diseases, affecting millions of women and girls worldwide. The disease can cause agonizing pain and infertility. Often, patients have to undergo repeated surgeries. Surgery is usually inevitable if deep infiltrating endometriosis is suspected. If this is the case, the operation serves both the diagnosis and the therapeutic goals because if necessary, the endometriosis can, and indeed should, be treated during the same operation. The good news is that the use of laparoscopy facilitates extremely sparing and gentle procedures.

Removal of deeply infiltrating endometriosis by laparoscopy

Removal of deeply infiltrating endometriosis by laparoscopy

In laparoscopy, the surgeon works with the help of tiny cameras that make even the finest structures inside the body visible. A surgical laparoscopic procedure is therefore the gentlest and most effective method of treating severe endometriosis. The endometriosis is completely removed while the pelvic organs and their functions remain intact. In most cases, removal of the uterus or ovaries is not necessary or desirable if the patient wants to have children at a later stage.

Endometriosis of the rectum, bladder and uterus

Endometriosis of the rectum, bladder and uterus

Treatment of endometriosis of the rectum, bladder or ureter

Deeply infiltrating endometriosis in the rectovaginal septum - the region between the intestine and the vagina - is particularly difficult to treat. Endometriosis often infiltrates the rectum, ureter, bladder or even the pelvic nerves that control the rectum, bladder and sexual functions. Extensive endometriosis of the rectum can lead to bowel obstruction, bleeding from the bladder, blockage of the ureters and thus irreversible kidney damage or destruction of the bladder wall.

Surgical removal of the endometriosis is necessary in this severe form of the disease, possibly with simultaneous removal of parts of the affected organs. Such an operation can be performed either by laparoscopy or open access. The advantage of laparoscopy is that all pelvic nerves become visible, making their preservation possible. Complex neurosurgical procedures can also be performed using laparoscopy. The "Laparoscopic Neuro-Navigation" (LANN) is the result of this development. Prof. Possover has proven that the LANN technique can prevent postoperative nerve dysfunction, such as bladder, intestinal and sexual dysfunction, through its particularly nerve-sparing procedure, even during very extensive interventions.

Endometriosis of the sciatic nerve

Endometriosis of the sciatic nerve

Endometriosis can also affect the sciatic nerve and all nerves in the pelvis, including the obturatorius nerve, a nerve of the lumbar plexus, and the femoral nerves. About 15 years ago, Prof. Possover drew the attention of medical experts to this form of the disease. Since then, hundreds of operations of all types of endometriosis have been performed at the Possover International Medical Center.

In the case of endometriosis of the pelvic nerves, hormone therapy is not effective - it even carries the risk of unnecessarily delaying surgical treatment of the disease. However, surgical therapy is necessary in order to avoid irreversible damage to the nerves, which leads to motor deficits and particularly affects the movement of the lifting and lowering of the foot.

The removal of endometriosis of the sciatic nerve is the most demanding of all pelvic surgeries. It requires the surgeon to have a solid knowledge of the anatomical complexity of the pelvis - especially the pelvic nerves - and extensive surgical experience. In the Possover International Medical Center Prof. Possover performs these procedures laparoscopically. With more than 350 such operations, Prof. Possover is the world's leading expert in the laparoscopic treatment of endometriosis of the sciatic nerve. The use of tiny cameras enables minimally invasive, high precision treatment with the best possible preservation of the nerves.

The Endometriosis Centre Zürich

The Endometriosis Centre Zürich

An international centre of excellence for advanced treatment

The Endometriosis Center in Zurich, Switzerland, under the direction of Prof. Possover, offers personalized consulting and treatment based on the very latest medical and scientific expertise. All types of endometriosis are treated, from simple to complex cases. The surgical procedures are almost always performed using laparoscopic surgical techniques. Prof. Possover specializes in laparoscopic surgery of severe endometriosis and is the world's leading expert in laparoscopic treatment of endometriosis of the sciatic nerve.

At the endometriosis centre you will be accompanied and cared for individually - psychologically and in regards pain management also. Taking into account the personal needs of those affected and the involvement of their relatives are just as important to us as the quality of the medical treatment we provide. A comprehensive explanation and in-depth consultation as well as making careful joint decisions on treatment, are a matter of course for us.
Due to the complexity of endometriosis, there is also close cooperation with other specialist disciplines and external departments, for example in connection with fertility issues. In addition, we collaborate with a practice for Traditional Chinese Medicine (TCM) and integrate complementary forms of therapy in addition to surgical and hormonal ones.

The Endometriosis Centre was evaluated by international experts and was the first centre in Switzerland to be certified as a Level III Endometriosis Centre by the "Endometriosis Research Foundation" and the "European Endometriosis League". This is proof of the high clinical and international scientific level of the physicians working at the Center.

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

You can trust us with your health issues and your medical history. We will dedicate our expertise and know-how to help you find the  solution that is right for you.

Diana Neumann

Practice Assistant

Actively supporting people who need help is what fulfils me in my profession. It is important that our patients feel that they are being taken care of right from the start. I take care of this as the first contact person and greet you with a smile in our practice.

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.

Fiona Muir

International Coordinator

„We want you to feel at home with us from the very first moment. I will help you organise your treatment, even if you are travelling internationally.

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

Neuropelveology:
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.

Read more

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