Episode # 81 • 08 Apr 2025
Surgical Considerations in Chronic Pelvic Pain
When should you consider surgical management of chronic pelvic pain conditions? In this episode of the BackTable OBGYN podcast, Dr. Mark Dassel, a MIGS surgeon at Intermountain Health in Salt Lake City, joins hosts Dr. Mark Hoffman and Dr. Amy Park to discuss medical and surgical management strategies for chronic pelvic pain, particularly endometriosis.
Timestamps
00:00 - Introduction
07:55 - Differentiating Causes of Chronic Pelvic Pain
10:13 - Multidisciplinary Care and Costs
14:26 - Acute vs Chronic Pain
17:00 - Centralized Pain
18:46 - When to Offer Surgery
23:42 - Fertility and Endometriosis
33:25 - Hormonal Suppression Post-Surgery
37:24 - Pelvic Floor Botox and Physical Therapy
44:42 - Hysterectomy for Pelvic Pain
51:53 - Nerve Ablation and Pain Management
57:10 - Final Thoughts
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More about this episode
Dr. Dassel emphasizes the importance of stopping the hormonal triggers associated with pain and explores various medical treatments, including hormonal therapies and the role of contraceptives. He also highlights his approach to surgical interventions such as endometriosis excision, endometrioma removal, and hysterectomy, and the importance of holistic treatment plans involving pelvic floor physical therapy and central pain modulators. The episode also covers the complexities of diagnosing and treating pelvic pain, the role of early intervention, and the value of multidisciplinary care.
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