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. 64 Vulvovaginal Disorders: Diagnosis and Treatment Approaches with Dr. Hope Haefner

Ep. 64 Vulvovaginal Disorders: Diagnosis and Treatment Approaches with Dr. Hope Haefner

Vulvovaginal disorders can be very complex to manage, and many OBGYNs struggle with diagnosis and treatment, especially if topical steroids don’t improve symptoms. In this episode of the BackTable OBG...

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BackTable Brief: Definition and Diagnosis of Recurrent UTI's with Dr. Anne Cameron

BackTable Brief: Definition and Diagnosis of Recurrent UTI's with Dr. Anne Cameron

OBGYN Brief - Definition and Diagnosis of a Clinical UTI Cultures are key when it comes to managing UTIs. In this brief, Dr. Anne Cameron discusses the definitions, symptoms, prevalence, and manageme...

27 Elo 202410min

Ep. 63 RVUs in Gynecologic Surgery: Equity and Reform with Dr. Louise King and Christopher Robertson

Ep. 63 RVUs in Gynecologic Surgery: Equity and Reform with Dr. Louise King and Christopher Robertson

Women’s health has a history of being underfunded in the United States, leading many women to receive suboptimal care. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Am...

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Ep. 62 Price Transparency in Healthcare with Dr. Keith Smith

Ep. 62 Price Transparency in Healthcare with Dr. Keith Smith

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Ep. 61 Evaluating Female Urinary Incontinence: Essential Steps for the Generalist, GYN and Urologist with Dr. Sarah Boyles

Ep. 61 Evaluating Female Urinary Incontinence: Essential Steps for the Generalist, GYN and Urologist with Dr. Sarah Boyles

With contemporary treatment options, your female patients don’t have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from Unive...

6 Elo 20241h 5min

BackTable Brief: Exam Techniques and Advanced Imaging for Endometriosis with Dr. Ted Lee

BackTable Brief: Exam Techniques and Advanced Imaging for Endometriosis with Dr. Ted Lee

Often the first practical thing we’re taught in medical school is the importance of taking a thorough patient history. In this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Ted Lee bring us back to ...

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Ep. 60 Transforming Gynecologic Surgery with Robotics with Dr. Arnold Advincula

Ep. 60 Transforming Gynecologic Surgery with Robotics with Dr. Arnold Advincula

In the modern era of rapid technological progress and AI, the medical community is abuzz with discussions on how medicine will change and how practice will adapt. In this episode of the BackTable OBGY...

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BackTable Brief: Diagnosis and Management of Endometriosis with Dr. Ted Lee

BackTable Brief: Diagnosis and Management of Endometriosis with Dr. Ted Lee

In this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Ted Lee discuss the clinical approach to diagnosing endometriosis through physical exam and imaging, and the collaborative surgical approach to ...

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