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. 68 Single Port Robotics in GYN: Advancing Minimally Invasive Surgery with Dr. Johnny Yi

Ep. 68 Single Port Robotics in GYN: Advancing Minimally Invasive Surgery with Dr. Johnny Yi

Stay up to date on the latest advancements in gynecologic surgery. In this episode of the BackTable OBGYN Podcast, hosts Dr. Amy Park and Dr. Mark Hoffman invite Dr. Johnny Yi, a pioneer in the field ...

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BackTable Brief: Genitourinary Syndrome of Menopause: Mitigating Risks and Enhancing Treatment with Dr. Rachel Rubin

BackTable Brief: Genitourinary Syndrome of Menopause: Mitigating Risks and Enhancing Treatment with Dr. Rachel Rubin

How can we address barriers to care for women with genitourinary syndrome of menopause? In this episode, host Dr. Suzette Sutherland and Dr. Rachel Rubin discuss the challenges and misconceptions arou...

25 Loka 202411min

BackTable Brief: Debunking Estrogen Myths with Dr. Rachel Rubin

BackTable Brief: Debunking Estrogen Myths with Dr. Rachel Rubin

How can we educate women about vaginal estrogen for genitourinary syndrome of menopause, especially given the black box warning? In this Brief, Dr. Rachel Rubin and host Dr. Suzette Sutherland discuss...

22 Loka 202413min

Ep. 67 Non-Opioid Pain Management in GYN Surgery with Dr. Paula Bilica and Dr. Steven McCarus

Ep. 67 Non-Opioid Pain Management in GYN Surgery with Dr. Paula Bilica and Dr. Steven McCarus

Everyone knows about the dangers of opioids, but how can physicians provide quality postoperative pain control without opioids? This episode of the BackTable OBGYN podcast, hosted by Dr. Amy Park, fea...

15 Loka 202444min

BackTable Brief: Managing Genitourinary Syndrome of Menopause with Dr. Rachel Rubin

BackTable Brief: Managing Genitourinary Syndrome of Menopause with Dr. Rachel Rubin

OBGYN Briefs - Managing Genitourinary Syndrome of Menopause Frequent UTIs and vaginal atrophy/dryness are common signs of genitourinary syndrome of menopause (GSM). In this Brief, Dr. Rachel Rubin di...

8 Loka 202412min

Ep. 66 Peripartum Pelvic Floor Disorders Explained with Dr. Lisa Hickman

Ep. 66 Peripartum Pelvic Floor Disorders Explained with Dr. Lisa Hickman

Pregnancy and childbirth have a significant impact on the pelvic floor, often more than patients realize and even more still than most of our current postpartum care models are designed to address. In...

1 Loka 202454min

Ep. 65 Thoracic Endometriosis: Beyond the Pelvis in Diagnosis with Dr. Shanti Mohling

Ep. 65 Thoracic Endometriosis: Beyond the Pelvis in Diagnosis with Dr. Shanti Mohling

Thoracic endometriosis occurs in about 12% of patients with advanced endometriosis. Due in part to its lower incidence and inherent diagnostic challenges, many providers are not well-versed in the wor...

17 Syys 202449min

BackTable Brief: Do Cranberry Supplements Work for UTI Prevention? and Other Recommendations with Dr. Anne Cameron

BackTable Brief: Do Cranberry Supplements Work for UTI Prevention? and Other Recommendations with Dr. Anne Cameron

Can cranberry juice prevent UTIs? In this BackTable OBGYN Brief, Dr. Suzette Sutherland and Dr. Anne Cameron discuss various strategies for preventing recurrent UTIs, including which supplements are e...

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