ISON

The International Society of Neuropelveology (ISON) hereby reaffirms the standards defined in the International Consensus Guidelines on Neuropelveology. Neuropelveology is a distinct medical discipline requiring structured education, validated operative experience, and strict adherence to ethical principles. According to Section 7.2 and 7.3 of the Guidelines:

• Level 1 represents theoretical completion of the official curriculum.
• Level 2 represents supervised workshop and anatomical training.
• Level 3 represents independent operative competence validated through documented surgical cases, academic contribution, peer review, and oral defense.

Only physicians certified at ISON Level 3 or higher are entitled to use the protected professional title: “Neuropelveologist”

ISON strongly emphasizes the ethical obligation of transparent qualification disclosure to patients, colleagues, and referring physicians. Misrepresentation of certification level contradicts the ethical framework of the discipline. The purpose of this clarification is not exclusion, but patient protection, transparency, and preservation of scientific integrity. Neuropelveology must remain a discipline defined by competence, not by terminology.

Issued by:
International Society of Neuropelveology (ISON) – Executive Board

Official Publication of the International Society of Neuropelveology (ISON)

 

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The International Society of Neuropelveology (ISON) is pleased to announce the publication of the International Consensus Guidelines on Neuropelveology, representing the first globally agreed framework dedicated to the diagnosis, management, education, certification, and ethical practice of pelvic nerve disorders.

These guidelines have been developed under the auspices of the International Society of Neuropelveology and formally endorsed by its Executive Board. They are the result of more than two decades of clinical experience in pelvic nerve diagnostics and surgery, combined with multidisciplinary expert consensus and systematic analysis of clinical patterns, imaging findings, neurophysiology, and therapeutic outcomes.

Neuropelveology is defined in these guidelines as an integrative, cross-disciplinary medical field addressing disorders of the pelvic nervous system. It bridges gynecology, urology, neurology, neurosurgery, pain medicine, and functional pelvic surgery, focusing on neuropathic pelvic pain, pelvic nerve dysfunctions, and their etiological treatment.

The guidelines establish evidence-based standards for: 1. Clinical evaluation and neuropathic pain phenotyping – 2. Diagnostic algorithms and targeted imaging strategies – 3. Indications for conservative, neuromodulatory, and surgical treatments – 4. Structured education and training pathways in neuropelveology – 5. Professional transparency, patient safety, and scientific integrity

By providing a unified conceptual and clinical framework, these International Consensus Guidelines aim to improve diagnostic accuracy, optimize therapeutic strategies, and support structured education and future research in pelvic nerve disorders.

They serve as the international reference document for the emerging discipline of Neuropelveology.

Possover M, on behalf of the International Society of Neuropelveology (ISON).
International Consensus Guidelines on Neuropelveology.
Zenodo, 2026.

DOI: https://doi.org/10.5281/zenodo.18318190

Access – The full guideline document is available as an open-access publication under the Creative Commons Attribution 4.0 International License (CC BY 4.0).

We are thrilled to announce a collaboration between the International Society for Gynecologic Endoscopy (ISGE) and the International Society for Neuropelveology (ISON). This partnership fills us with pride and joy. Our aim is to support, enhance, and disseminate surgical procedures in endoscopic surgery, as well as in diagnostics.

Even though neuropelveology in diagnostics may seem unrelated to gynecology, it transitions from laparoscopic to exploring/decompressing pelvic nerves, and even to implanting stimulation electrodes. As one delves into pelvic surgery, they inevitably encounter diagnostic boundaries. Neuropelveology emerges as a specialized discipline not concerned with the ailments of pelvic regions and organs, but with their innervation. Thus, neuropelveology becomes indispensable for any pelvic specialist, whether they be gynecologists, urologists, coloproctologists, or pain therapists.

We are elated to embark on this fruitful collaboration with ISGE. More than colleagues, we see each other as friends sharing the same ultimate goal: enhancing patient care, even in the most remote corners where “modern medicine” may not yet have reached.

 

Link: Workshop 28-30 Sept

www.possover-neuropelveology.com

The VIP-Faculties meeting on Neuropelveology took place from 11 to 12 December 2015 in the Institute of Anatomy – University of Aarhus – DK.

The aim of this meeting was to provide a common platform for the future activities in the ISoN. In an informal atmosphere, all Faculties of the ISoN spent also two days of theory and cadaver dissections going through the essentials of neuropelveology.

All participants have completed successfully both the Level 1 and Level 2 requirements.

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