Zurich, Switzerland
Treatment of pain
Hirslanden Neuropelveology Centre
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Hirslanden Neuropelveology Centre has been established as a specialist centre within Klinik Hirslanden, the main hospital of Switzerland's largest private healthcare group. It is home to a team of physicians specialised in the integral diagnosis and treatment of pain, diseases and functional disturbances of the small pelvis that have a neurological origin.
Professor Marc Possover, MD, the medical director of the Neuropelveology Centre, is recognised worldwide as a leader in laparoscopic surgery of the nerves located in the small pelvis.
Thanks to ultramodern techniques and close interdisciplinary collaboration with other Hirslanden clinics, every patient can be sure of receiving the best advice and treatment possible.
Prof. Marc Possover
FMH Specialist for gynaecology and obstetrics
neuropelveology
FMH Specialist for gynaecology and obstetrics
neuropelveology
Dr Klaus-Peter Henle
FMH Specialist for gynaecology and obstetrics
neuropelveology
FMH Specialist for gynaecology and obstetrics
neuropelveology
Chronic abdominal pain, sciatica, phantom pain following leg amputation, multiple sclerosis, extensive endometriosis and bladder and bowel dysfunction are treated in close interdisciplinary collaboration with other specialists at this new centre.
People who are weary of their long case histories can start kindling hope again.
People who are weary of their long case histories can start kindling hope again.
Laparoscopy is the method of choice to identify and treat the different organic causes of chronic lower abdominal pain (such as adhesions, endometriosis or inflammation). Neuropelveology goes one step further by offering the possibility to directly treat the pelvic nerves responsible for pain.
For instance, a nerve lesion that results from a surgical stitch is treated by removing the stitch altogether. Such corrective action must take place at an early stage. Indeed, the presence of a nerve lesion over a prolonged period of time may cause the brain to develop pain memory, resulting in chronic pain, and thus requiring significantly more complex antalgic treatment.
Restoring function
Neuropelveology offers the possibility to restore specific pelvic functions by electrostimulating the relevant nerves. This approach is used to treat neurogenic vesical and intestinal dysfunction. Thus, nerve electrostimulation can be used to treat incontinence, hypercontinence (urinary retention), vesical sphincter dyssynergia and rectum sphincter dyssynergia (dysharmony in contractions).
Dyssynergia is caused by insufficient interactions between the muscles needed for a given function. In paralyses caused by lesions of the spinal cord, important signals originating in the central nervous system are prevented from reaching the peripheral regions (the organs) even if the peripheral nerves in the pelvis are preserved and capable of stimulating the muscles they target, the intestines and the bladder.
Functional electrostimulation (FES) of the small pelvis nerves may help restore function in such cases.
Preserving functions in women
The most important clinical application is laparoscopic surgery in the small pelvis. Thanks to this technique, intervention is possible without interfering with the sexual, vesical and intestinal functions of the different organs.
Examples include laparoscopic resections of uterine myomas and partial removal of the uterus with the preservation of the cervix (LASH) in the treatment of benign uterine tumours (Uterus myomatosus). This method helps reduce surgery to a minimum and fully preserves the nerves that are located in the operated region.
A clear decrease in previously high frequencies of postoperative vesical dysfunction was demonstrated in a study conducted on 273 patients who underwent radical laparoscopic surgery for cervical cancer or rectal endometriosis.
In radical pelvic surgery (such as radical hysterectomy for uterine or cervical cancer or radical prostate or rectum resection), pelvic function can only be preserved if the nerves are identified individually by the LANN technique and if they are subsequently protected during the intervention.
Thanks to the techniques employed, only 1% of the patients experienced functional disturbances compared to 20 to 40% in traditional surgery as reported in the literature.
Specialist treatments < Neuropelveology < Neuropelveology centres < Hirslanden Neuropelveology Centre
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MHL (Medilux Healthcare Ltd.) promotes individual hospitals or hospital groups which we believe offer high standards of care. We provide you with general information and details of how to make contact with the centre, but we shall not be responsible for the quality of any diagnosis or treatment given or for the failure to diagnose or treat any condition. We cannot advise or enter into correspondence about individual cases and we do not arrange or facilitate treatments.
Important note to all patients
Treatment enquiries to Hirslanden Neuropelveology Centre
Treatment enquiries
Please complete our multi-centre on-line enquiry form and select Switzerland - Hirslanden.
Neuropelveology Centre treatments for women include conservative hysterectomy, cervical cancer surgery and endometriosis surgery.
Neuropelveology Centre restoration of function treatments include bladder and prostate complaints, Fowler's Syndrome, postoperative vesical atonia, vesical and intestinal incontinence, spina bifida, and paraplegia induced by spinal cord trauma.
Neuropelveology Centre pain treatments include neurosurgical options, pudendal pain, ischialgia, chronic pain syndrome, illinguinal pain, phantom and stump pain, polyneuropathy and refractory endometriosis.
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