The wide array of specialty fields and diverse branches of medicine along with ever increasing knowledge has been responsible for the continuous division of medicine into increasingly specialized fields and sub-divisions. The foundation of medical science is built on the natural sciences and principally on the oldest of all the natural sciences – namely that of human anatomy. In order that the structures of the human body could be as thoroughly researched as they have been to date, a number of obstacles had to be surmounted over the course of several centuries. Although the doctrine of human anatomy appears to have moved away from center stage, there are again increasingly signs of green shoots sprouting in various sub-disciplinary categories. So it was that the Nobel Prize for Medicine 2017, was awarded to a research scientist in just such an innovative disciplinary field- the exploration of the circadian rhythms. The field of Neuropelveology represents a further innovation in the specialty branches of medicine. It has been introduced as a new discipline focused on pathologies of the pelvic nervous system and the possibilities for improved neurologic diagnosis and treatments for pelvic nerves and plexuses dysfunctions1-2. Because of growing interest from the medical community, the International Society of Neuropelveology (ISoN, www.theison.org) was founded in 2014 to provide universal access to education in this area. This new medical discipline is founded on the oldest branch of human medicine – the field of anatomy and more specifically the anatomy of the pelvic nerves. Neuropelveolgy makes good use of the most modern advances in field of neuro-surgery: advances in video endoscopy and microsurgical instruments enable good access to all areas in the retroperitoneal pelvic space3, providing the necessary visibility with magnification of the structures and possibility to work with appropriate instruments for adequate neurofunctional procedures such as nerve decompression and neurolysis4-6. Laparoscopy is also the only technique that enables selective placement of electrodes to all pelvic nerves and plexuses. This technique of Laparoscopic Implantation of Neuroprothesis, also called “LION procedure”, enables the selective placement of electrodes in direct contact with the nerves under direct visualization7. The LION procedure to the pelvic somatic nerves allows for control of neurogenic pain syndromes and pelvic organ dysfunction8 and may also represent a potent alternative to current methods for neuromodulation in the treatment of visceral pain mediated by the autonomous nerve system9. Recent studies have demonstrated that pelvic nerve stimulation might also induce changes that affect the central nervous system to engage residual spinal and peripheral pathways for recovery of voluntary motion of the legs in chronic paraplegics10-11.
In this way Neuropelveology makes use of two of the oldest forms of human medicine: the field of topographic anatomy in order to discover the optimal access routes to the pelvic nerves and the field of neuro-functional anatomy in order to determine which nerves and plexuses steer which physical functions in the body, using the following to do so:
  • modern endoscopic surgical techniques, including robotic surgery
  • latest techniques in bio-technology where electrical currents are applied to the nerves – pacemaker technology 
With even further advancements in endoscopic and pacemaker technologies, the vision for neuropleveology knows no limits and can be applied in the fields of space and anti-aging medicine.

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