Sciatic Endometriosis Surgery Using the Neuronavigation Method

Imagine a patient limping into your office, unable to sit comfortably or close their legs. What could be causing these debilitating symptoms? Unfortunately, many cases of nerve involvement in endometriosis, including sciatic and pudendal-sacral endometriosis, are missed in the early stages. Diagnosis often comes late, usually in a woman’s 30s, when the condition has already worsened.

A common pattern emerges. Most patients experience right-sided symptoms flaring up with periods. This key clue is often overlooked, delaying diagnosis and treatment. As symptoms progress, many women struggle with increasing nerve dysfunction. For too long, these patients have been left without answers or relief.

A cutting-edge Neuronavigation Method (Intraoperative Neurophysiological Monitoring) often utilized in neurosurgery is now offers a solution in challenging endometriosis surgery. It meticulously maps and explores each nerve in the sacral area. This prevents nerve injury and allow precise excision of endometriotic lesions in a shorter duration of time!

What Is Neuronavigation and How Does It Work?

The sciatic nerve, one of the largest and most critical peripheral nerves, can become entrapped due to vascular compression, fibrosis, muscle abnormalities, or even endometriosis. These conditions can cause severe lower extremity pain, pelvic discomfort, and painful menstruation—often overlooked in conventional treatments.

This advanced technique integrates laparoscopic surgery with neuronavigation to monitor nerve function in real-time, allowing for greater accuracy, fewer complications, and faster recovery than traditional methods.

The Science Behind the Cutting-Edge Approach

We optimize surgical safety through:

Spontaneous EMG Monitoring – Detects nerve irritation early to prevent damage.  

Transcranial Electrical Stimulation (TcMEP) – Tracks motor signals, ensuring nerve integrity.  

Direct Nerve Root Stimulation – Precisely maps and protects critical nerves during surgery.

Think of it as GPS navigation for your nerves, ensuring a smoother, safer procedure with life-changing results! 

Her frustration was clear:

“My doctor told me that he was afraid of doing such a major surgery and wanted me to take meds instead because of the dangers of surgery. But I can’t go on this way.”

The key detail everyone overlooked? Her symptoms flared up with every menstrual cycle—a critical clue pointing to deep sciatic endometriosis.

With the Neuronavigation-Assisted Sciatic Nerve Surgery, we discovered a sciatic mass with intravascular and lymphatic invasion—a rare but serious finding, confirming that deep infiltrating endometriosis had affected her sciatic nerve.

Following her surgery, she finally found relief. This was not just another case of endometriosis—it was a missed nerve entrapment that had been dismissed for years.

Her Post-Op Words Say It All

“One week post-op, and I have been searching for the words to explain this feeling. I have battled endometriosis for over 25 years, and you made me feel heard, believed, and respected.

The team completed a very challenging surgery that many doctors wouldn’t even consider and simply said NO to.

My recovery is long, but it feels incredible to have those small milestones—like being able to bend my right leg again after months of not being able to. The disease was like cancer, spreading on my right side, affecting everything in its path—even my lymph nodes and vessels.

No amount of words can express my gratitude to you and your team! The work you do is so important, and I hope many more doctors follow your lead. Thank you for giving me hope and my life back!”

Join the Future of Sciatic Endometriosis Surgery

We’re not just talking about advancements—we’re leading the way. Ready to reclaim your life? Let’s get you back to your hustle, workouts, and weekend getaways—pain-free!