Ep. 81 Surgical Considerations in Chronic Pelvic Pain with Dr. Mark Dassel
BackTable OBGYN8 Huhti 2025

Ep. 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. --- SYNPOSIS 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

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Ep. 10 What is a Surgical Coach, and Why Do I Need One? with Dr. Cara King

Ep. 10 What is a Surgical Coach, and Why Do I Need One? with Dr. Cara King

In this episode, Dr. Cara King, the Fellowship Director for Minimally Invasive Gynecologic Surgery at Cleveland Clinic and a member of the Board of Directors of the Academy for Surgical Coaching, disc...

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Ep. 9 Creating Culture Through Leadership and Mentoring with Dr. Christopher Kane

Ep. 9 Creating Culture Through Leadership and Mentoring with Dr. Christopher Kane

In this episode, Dr. Bagrodia discusses cultivating a healthy culture inside and outside of the operating room with Dr. Chris Kane, Dean of Clinical Affairs at UCSD and CEO of the UCSD Physician Group...

19 Joulu 202256min

Ep. 8 Virtual Reality in Labor with Dr. Melissa Wong

Ep. 8 Virtual Reality in Labor with Dr. Melissa Wong

In episode 8, Dr. Mark Hoffman invites Drs. Melissa Wong of Cedars-Sinai and Tony Shanks of Indiana University to share the mic and talk about the use of virtual reality (VR) in labor. --- EARN CME ...

15 Joulu 202250min

Ep. 7 Advanced Ultrasound for Endometriosis with Dr. Mathew Leonardi

Ep. 7 Advanced Ultrasound for Endometriosis with Dr. Mathew Leonardi

On this episode, Dr. Mathew Leonardi of McMaster University Medical Centre joins Drs. Park and Hoffman at the mic to discuss his experience with advanced ultrasound for endometriosis. --- EARN CME ...

1 Joulu 20221h 12min

Ep. 2 Surgeon Ergonomics with Dr. Amy Park

Ep. 2 Surgeon Ergonomics with Dr. Amy Park

On this episode of BackTable OBGYN, we introduce our co-host Dr. Amy Park, the Section Head of Female Pelvic Medicine & Reconstructive Surgery at the Cleveland Clinic. She and Dr. Mark Hoffman raise a...

17 Marras 202256min

Ep. 4 IR/OB Collaboration in Treating Postpartum Hemorrhage with Dr. Roxane Rampersad and Dr. Anthony Shanks

Ep. 4 IR/OB Collaboration in Treating Postpartum Hemorrhage with Dr. Roxane Rampersad and Dr. Anthony Shanks

On this episode, BackTable VI host Dr. Christopher Beck shares the mic with two Maternal Fetal Medicine (MFM) specialists, Drs. Roxane Rampersad at Washington University and Tony Shanks at Indiana Uni...

17 Marras 202250min

Ep. 5 Roe vs. Wade and Reproductive Justice with Dr. Louise P. King

Ep. 5 Roe vs. Wade and Reproductive Justice with Dr. Louise P. King

For this episode of BackTable OBGYN, Drs. Park and Hoffman invite Dr. Louise King, MD, JD of Brigham and Women’s Hospital to talk about the legal perspective of Roe v. Wade. --- EARN CME Reflect on...

17 Marras 202249min

Ep. 6 Sustainability in Surgery with Dr. Kelly Wright

Ep. 6 Sustainability in Surgery with Dr. Kelly Wright

In this episode, Dr. Kelly Wright of Cedars-Sinai Medical Center in Los Angeles joins Drs. Park and Hoffman to discuss sustainability in surgery. --- EARN CME Reflect on how this Podcast applies to...

17 Marras 20221h

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