FEELING PAIN IS NOT NORMAL

Neuropelveology (NP) is a specialty that combines concepts from neurology and complex pelvic surgery. It was initially described by Prof. Dr. Marc Possover in 2001 in an article discussing the treatment of neuropathic pain (originating from nerve injury) after surgery. This field covers everything from a detailed clinical diagnosis to the treatment of conditions involving nerves and nerve roots in the pelvis. It focuses on making an accurate diagnosis of the nerve pathology and its exact topography, as well as its treatment, whether clinical or surgical. Among these conditions are pelvic nerve vascular entrapment, endometriosis, deep pelvic tumors (teratomas, schwannomas, etc.), post-surgical lesions, birth trauma, and more. NP also focuses on the use of neuromodulators to treat pelvic floor urinary and intestinal dysfunctions and improve mobility for patients with spinal cord injury through the LION Procedure.

“Neuro” refers to the nervous system, “pelveo” is related to the pelvis, and “logia” refers to the study or knowledge:

Neuropelveology is a term used to describe a medical field focused on the diagnosis and treatment of conditions and disorders involving both the autonomic and somatic nervous systems of the pelvis.

Neuropelveology encompasses:

• Pathologies of pelvic structures/organs that can impact the pelvic nerves.
• Pathologies of the pelvic nerves/plexuses or the Central Nervous System that affect the pelvic nerves.

Neuropelveology treats both men and women; the main symptom of pelvic nerve pathology is pain, which can be “visceral pain” in cases involving the autonomic pelvic nerves and “neuropathic pain” in cases involving the somatic nerves. These pains manifest in the pelvis, genital-anal areas, lower back, buttocks, and lower limbs. Typically, the pain is associated with functional disorders of the pelvic organs, especially urinary and intestinal dysfunctions, with potential impacts on the lower limbs and balance/gait.

Pelvic pain is a complex and multifaceted symptom that can arise from various underlying causes, ranging from benign to severe. Its diverse origins, along with the intricate anatomy of the pelvic region, make an accurate diagnosis essential for effective treatment and patient well-being.