A groundbreaking approach to treating chronic pelvic pain
At EndoGlobal, we apply the most advanced medical strategies to care for women suffering from deep infiltrating endometriosis (DIE). One of the most significant breakthroughs in this field is neuropelveology—a discipline that integrates neuroscience with pelvic surgery to address complex neuropathic pain caused by endometriosis invading critical pelvic nerves.
Deep endometriosis can affect major nerve structures such as the superior hypogastric plexus, sciatic nerve, and sacral nerves, resulting in chronic pain that often does not respond to traditional painkillers or hormonal therapies.
Precise diagnosis with neuroanatomical mapping
At EndoGlobal, we use high-resolution pelvic MRI with neuroanatomical mapping to accurately detect nerve infiltration. This advanced imaging, combined with expert clinical evaluation, allows our team to plan safer and more effective surgeries, significantly reducing the risk of neurological complications.
Advanced laparoscopic surgery with nerve preservation
All procedures are performed using state-of-the-art laparoscopic techniques with intraoperative nerve mapping, utilizing electrical stimulation to identify and protect essential nerve branches. This technique enables us to:
Precisely remove endometriotic lesions.
Preserve motor and sensory nerve function.
Minimize the risk of persistent postoperative pelvic pain.
Multidisciplinary care for neuropathic pain
The treatment of nerve-related endometriosis pain goes beyond surgery. Our multidisciplinary team combines:
Pharmacological therapies, including tricyclic antidepressants, anticonvulsants like gabapentin and pregabalin, and advanced analgesics.
Neuromodulation techniques, such as sacral nerve stimulation or spinal cord stimulation for patients with resistant chronic pain.
This comprehensive approach offers better pain control, lowers relapse rates, and supports long-term recovery.
Recent studies confirm that this approach also decreases the need for repeat surgeries and improves long-term outcomes in women with advanced endometriosis.
