BackTable / OBGYN / Podcast / Episode #81

Surgical Considerations in Chronic Pelvic Pain

with Dr. Mark Dassel

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.

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Surgical Considerations in Chronic Pelvic Pain with Dr. Mark Dassel on the BackTable OBGYN Podcast)

Ep 81 Surgical Considerations in Chronic Pelvic Pain with Dr. Mark Dassel

00:00 / 01:04

BackTable, LLC (Producer). (2025, April 8). Ep. 81 – Surgical Considerations in Chronic Pelvic Pain [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Mark Dassel

Dr. Mark Dassel is a MIGS surgeon at Intermountain Health in Salt Lake City, Utah.

Dr. Mark Hoffman

Dr. Mark Hoffman is a minimally invasive gynecologic surgeon at the University of Kentucky.

Dr. Amy Park

Dr. Amy Park is the Section Head of Female Pelvic Medicine & Reconstructive Surgery at the Cleveland Clinic, and a co-host of the BackTable OBGYN Podcast.

Synopsis

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.

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

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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