General Session V | Telesurgery Session: Genital Nerves Stimulation


Day 5: Thursday, November 15, 2018




Room: Premier Ballroom


Marie Fidela R. Paraiso, Cleveland, Ohio


Marc Possover, Zurich, Switzerland


John A. Thiel, Regina SK, Canada


This case provides a live surgical demonstration of a laparoscopic transperitoneal exploration with decompression of the sacral plexus/sciatic nerve and of the pudendal nerve for treatment for intractable pudendal neuraphy with suspected fibrotic/vascular entrapment. This technique enables a unique surgical approach to the major pelvic somatic nerves for the exploration of possible etiologies and the treatment of neuropathic pelvic pain conditions. Because the patient being presented also suffers from an idiopathic overactive bladder, the decision will be made during the procedure whether to implant a stimulation electrode to the dorsal nerve of the clitoris during the same procedure, to facilitate postoperative “Genital Nerve Stimulation”

Learning Objectives

At the conclusion of this activity, the participant will be able to: 1) be highly motived to learn the pelvic neurofunctional anatomy; 2) be prepared to engage effort in learning the techniques of neuropelveology; 3) become aware that pathologies of the pelvic nerves may induce intractable pelvic neuropathic pain and pelvic organ dysfunctions; 4) become aware that laparoscopy offers a superb and unique surgical approach to the pelvic nerves for neurofunctional pelvic surgery

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