Specialist FMH for Gynecology & Obstetrics
Prof. Possover, born on January 22nd, 1963 in France, completed his schooling at the age of fifteen. Immediately afterwards he began medical school at the University of Nancy. He qualified "Summa cum laude" at the age of 22 and began a specialist training as a heart surgeon. During this time he gained extensive experience and specialized skills in the areas of Visceral Surgery and Urology. In 1991 he began a second specialist training in the area of Obstetrics & Gynecology at the University of Homburg/Saar, Germany. In this field he specialized in advanced laparoscopic surgery.
In 1995 he completed a formation by Professor Daniel Dargent at the University of Lyons, where he learned the techniques of the radical vaginal hysterectomy by Schauta and the radical vaginal trachelectomy by Dargent for treatment of cervical cancer. He brought these surgical techniques to Germany and further developed these methods at the University of Jena. More Details >
There he developed the laparoscopic assisted radical vaginal hysterectomy type III and wrote his postdoctoral thesis on this operative method which makes an extended resection of the cervical bands as a conventional method in the therapy of cervical cancer possible. Parallel to this he developed the laparoscopic vaginal radical excision of severe endometriosis of the septum rectovaginal with bowel affectation and stenosis. To date he has performed over 1300 laparoscopic lymphadenectomies, over 600 radical vaginal hysterectomies including radical trachelectomy, and 180 laparoscopic bowel resections for severe endometriosis.
As this method demands a high radicality which results in a high morbidity in relation to bladder and bowel voiding dysfunction he concentrated on the motoric innervation of the various organs in the pelvis. Based on the technique of laparoscopic exposure of the motoric pelvic nerves of the bladder and of the rectum, he was the first to develop the principle of the “parasympathetic nerve-sparing” radical surgery of the pelvis, a method which can be used not only in the therapy of cervical cancer and the surgery of deep infiltrating endometriosis but can also be used in further areas such as visceral surgery (rectal surgery) and urology (prostatic surgery) in order to significantly reduce the postoperative bladder, bowel and sexual dysfunction without reducing the radicality of the surgery. Through this gained knowledge of the neuroanatomy of the pelvis he began the dissection of nerves in the pelvis for other indications such as sciatalgy, pudendal neuralgia or the Alcock´s canal syndrome and was the first to have the idea of implanting electrodes on pelvic nerves – LION procedure – to control neural pain of the pelvis or of the lower extremities such the polyneuropathy or the phantom stump pain after lower extremity amputation.
In 2003 he was also the first worldwide to implant an electrode on pelvic nerves in a paraplegic patient to recover leg function (Brindisi) and 2006 also the firts worldwide to perform an implantation of electrode to pelvic nerves to recover bladder and rectal functions in a paralyzed women (+ erection and ejaculation in a paralyzed men).
All these new techniques pushed him to reassemble all these new techniques and therapies into one speciality, the Neuropelveology®, which branch of medicine deals consequently with the pathgologies of the pelvic nerves and with the pathologies of the pelvis which involve the pelvic nerves, a new branch of medicine.