ISON

Dear ISoN community,

Dear Colleagues and Friends

it is with great pleasure and humility that I take over the presidency of ISON.

First, I’d like to thank Axel Forman and Benoit Rabischong, who since 2018 have led our society through a very difficult period, that of Covid. It’s time, however, to start afresh with our efforts to promote neuropelveology not only within our community of Gynecologists, but to all our colleagues’ specialists in pelvic medicine, but also to our fellow specialists in the treatment of neuropathic pain and pathologies of the peripheric and central nervous system – our colleagues’ neurosurgeons.

Neuropelveology was born almost 20 years ago with the development of techniques for preserving pelvic nerves during pelvic surgery. Although the identification and endoscopic dissection of pelvic nerves remains the cornerstone of this specialty, over the last two decades endoscopic surgery has enabled us to develop new surgical techniques for these same nerves, but above all has demonstrated the absolute necessity of a precise preoperative Neuropelveological Diagnosis. This is not based on a suspicion of nerve pathology, which simply authorizes endoscopic nerve dissection, but on a “neurological” diagnosis of nerve pathology, adapted to pelvic nerves – Neuropelveological diagnosis. Therefore, all my efforts over the coming years will be focused on neuropelveology diagnostic education with “Educational Webinars”, “Educational Video-e-learning program” and webinar-courses – ISON Level 1 certification. For this reason and to prepare our future colleagues, we have created a board of young endoscopists who will show us and help to educate our future generations in neuropelveology.

Over the past years, we have had the pleasure and honor of certifying numerous colleagues for both the ISON Level 1 and Level 2.

Neuro-functional surgery of the pelvic nerves, in particular neuromodulation of the pelvic nerves, represents a whole new world to be discovered, where the indications and techniques to come will shape the neuropelveology of the future. Of course, robotic surgery will undoubtedly play an important role in the future, but research into neuropelveology will be directly linked to the development of MedTech, in particular the miniaturization of neuromodulators. Not the neurostimulation will be the future, but the neuromodulation. Together, we will exploit the great potential of this new discipline.

Prof. Prof (DK) Prof. hc (China) Dr. med. Marc Possover, MD, PhD
Founder, Chairman & current President of the International Society of Neuropelveology