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

Episoder(128)

Ep. 87 Evaluating Hormone Therapy in Menopause Management with Dr. Yahir Santiago-Lastra

Ep. 87 Evaluating Hormone Therapy in Menopause Management with Dr. Yahir Santiago-Lastra

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Ep. 86 Understanding Fetal & Maternal Interventions: Procedures & Outcomes with Dr. Hiba Mustafa

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Ep. 85 Understanding Single Port Laparoscopy: Techniques and Outcomes with Dr. Kevin Stepp

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Ep. 84 Personalizing Pelvic Pain Treatment: Tools and Challenges with Dr. Frank Tu

Ep. 84 Personalizing Pelvic Pain Treatment: Tools and Challenges with Dr. Frank Tu

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Ep. 83 Promoting Parity in Maternal Care and Academia with Dr. Ebony Carter

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Ep. 82 Building Effective Endometriosis Case Conferences with Dr. Peter Movilla and Dr. Anu Shenoy-Bhangle

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Curious how cross-specialty teamwork is reshaping endometriosis care? In this episode of BackTable OBGYN, host Dr. Mark Hoffman speaks with Dr. Peter Movilla, Associate Medical Director at Newton Well...

22 Apr 202557min

Ep. 80 Endometrial Ablation: Past, Present, and Future with Dr. Ted Anderson

Ep. 80 Endometrial Ablation: Past, Present, and Future with Dr. Ted Anderson

Endometrial ablation has become a cornerstone procedure in the treatment of abnormal uterine bleeding, but is it the right solution for every patient that meets the indication? In this episode of the ...

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