Bucharest Endometriosis Center-Dr Gabriel Mitroi

17/11/2025

🤰Motherhood is a dream out of reach for a lot of women with endometriosis. When a pregnancy is confirmed after surgery, without any exception, the patient feels like a miracle has happened.
👶For us, it's the most wonderful thing and extremely rewarding to receive such wonderful news. We are thrilled for our patient, and we wish her a happy, pain-free life together with her miracle!

05/11/2025

✨We’re so lucky to have Dr. Livia Stanciulescu on our team!
She’s a Consultant Radiologist and one of the most experienced radiologists in Romania, and even in Europe when it comes to endometriosis and oncology imaging.
💪Together with her small but amazing team, the skilled MRI operator, Cristina, and Ioana, the kind and dedicated medical nurse, Dr. Stanciulescu performs highly detailed MRI scans using a special endometriosis protocol for hundreds of patients from all over Romania and abroad.
❤️Patients love her for her kindness, empathy, and the way she explains everything so clearly. Her incredible attention to detail and passion for her work make every investigation a true “map” that helps our surgeons plan the best possible treatment.
✨We’re proud and grateful to have her with us, a professional, a perfectionist, and a person with a huge heart.

29/10/2025

𝐓𝐡𝐞 𝐄𝐱𝐩𝐞𝐫𝐭𝐢𝐬𝐞 𝐓𝐡𝐚𝐭 𝐌𝐚𝐤𝐞𝐬 𝐭𝐡𝐞 𝐃𝐢𝐟𝐟𝐞𝐫𝐞𝐧𝐜𝐞
💪Behind every successful operation lie years of study, careful observation, and courage.
💯Pelvic neurosurgery is not just a technique; it’s an art of precision.
☑️Dr. Mitroi and his team practice a specific medical approach that combines gynecologic surgery, neurosurgery, and pain medicine into a single vision.
🧑‍⚕️Dr. Gabriel Mitroi is one of the few surgeons with complete expertise in complex pelvic surgery. His multidisciplinary training in gynecology, oncologic surgery, and pelvic neurosurgery allows him to treat cases involving extensive damage to pelvic organs and nerve structures. The procedures he performs, whether for deep endometriosis, gynecologic cancers, or pelvic nerve injuries, require a profound understanding of pelvic anatomy and exceptional surgical precision.
✅Drawing on years of experience and skilled hands, Dr. Mitroi helps patients recover their comfort, confidence, and quality of life.
✨The right surgery doesn’t just take away pain. It gives you your life back.

15/10/2025

𝐓𝐡𝐞 𝐩𝐚𝐢𝐧 𝐭𝐡𝐚𝐭’𝐬 𝐧𝐨𝐭 𝐢𝐧 𝐲𝐨𝐮𝐫 𝐡𝐞𝐚𝐝 𝐢𝐭’𝐬 𝐢𝐧 𝐲𝐨𝐮𝐫 𝐧𝐞𝐫𝐯𝐞𝐬.
❗In recent years, a growing number of patients have come to our center with severe chronic pelvic pain, initially suspecting endometriosis. However, following thorough clinical evaluation, endometriosis was ruled out in many of these cases. Further investigations revealed that their pain was neuropathic in nature, caused by the compression of various pelvic nerves.

❗Pelvic nerve damage can have a profound impact on quality of life, significantly affecting daily activities, social relationships, and emotional well-being. Nerve compression may lead to a broad range of conditions, from pelvic peripheral neuropathies to complex neurogenic dysfunctions involving the pelvic organs, including the ge***al organs, bladder, and re**um. The predominant symptom is chronic, debilitating pelvic pain, often radiating to the lower back, perineal area, or lower limbs, typically resistant to medication and sometimes accompanied by autonomic disturbances. Some cases are so severe that they end up in a wheelchair, not being able to walk.

⚡The Pelvic Neurosurgery Center, founded by Dr. Gabriel Mitroi, offers comprehensive, high-performance care based on the latest medical standards. The center integrates advanced neurosurgical and neuropelvic expertise with interdisciplinary collaboration to ensure optimal outcomes.
Inspired by the pioneering work of Dr. Marc Possover, the “father” of neuropelvology, Dr. Mitroi has built extensive experience over the years, successfully managing an increasing number of cases involving pelvic nerve compression. His clinical journey, guided by careful observation and dedication, has led to the precise diagnosis and treatment of pelvic neurological disorders.
With the same passion and commitment to our patients, our team performs surgeries addressing both endometriosis and pelvic neurological conditions.

𝗙𝗼𝗿 𝘁𝗵𝗼𝘀𝗲 𝘄𝗵𝗼 𝗹𝗶𝘃𝗲𝗱 𝘄𝗶𝘁𝗵 𝗽𝗮𝗶𝗻 𝗳𝗼𝗿 𝘆𝗲𝗮𝗿𝘀, 𝗵𝗼𝗽𝗲 𝗯𝗲𝗴𝗶𝗻𝘀 𝗵𝗲𝗿𝗲.

06/10/2025

So many women come to us from abroad, tired, in pain, unheard. They’ve been told it’s “just bad cramps,” that it’s “all in their head.” Some have had multiple surgeries, yet no relief.
At the Bucharest Endometriosis Center, we understand what that kind of exhaustion feels like, the fear, the doubt, the loneliness. That’s why we take the time to listen. To believe. To treat not just the disease, but the person behind it.
Our mission is not only to restore health but also to rebuild trust, confidence, and quality of life.
At the Bucharest Endometriosis Center, you are not just another case.
You are a person, and your journey matters.
Lydia’s journey brought her to us. After the surgery, she sent this message:

⭐ Heartfelt Thank You to the Bucharest Endometriosis Centre & the Incredible Nurse Nita ⭐
Travelling from Ireland to the Bucharest Endometriosis Specialist Centre for complex surgery was one of the biggest decisions of my life — and truly one of the best. After weeks of being in acute and chronic pain, I arrived in Bucharest feeling exhausted and scared.
The moment I met Nita, my shoulders dropped, and I knew I was in the safest hands. What can I say about her, her professionalism, compassion, kindness, and caring nature were felt from the moment I came onto the ward. Her hard work, warmth, and amazing energy played such a profound part in my journey from admission to recovery. I feel incredibly lucky to have had such a wonderful, hardworking lady looking after me.
Nita is a true ray of light, she puts both your mind and body at ease, and you know instantly you are in the best and safest hands.
To Dr. Mitroi, Dr. Florea, and the entire team, thank you from the bottom of my heart. From the very first email, through every test, the complex and miracle surgery itself, and even discharge, the kindness, professionalism, and skill shown at every stage were exceptional.
I don’t think you all know how much it means. From the moment I arrived, I felt seen, heard, listened to and, most importantly safe. Every single member of staff cared for me with such compassion and made me feel at peace throughout.
Your hard work has given me back a quality of life I thought I had lost. Already the pain and pressure have left me; I can feel healing beginning. I can return home to Ireland to my girls as the mother they deserve all healed and happy — and return to my work, feeling whole again.
You have a very special place in my heart forever.
Thank you, from the bottom of my heart, for the incredible work you do and for the difference you make every single day. You are truly changing lives for the better. 💛

Lydia 🌻

29/09/2025

11/09/2025

🇬🇧 Complex case of bowel endometriosis successfully treated in a patient from Ukraine.
A 35-year-old female patient from Ukraine was diagnosed in our center with severe endometriosis with re**al localization and multiple infiltrative lesions extending to the small intestine (ileum). The medical history was particularly complex, including several open abdominal surgeries, including an operation for intestinal occlusion. Due to the severity of the disease and postoperative adhesions, we performed a very extensive surgery.
The operation, performed by a multidisciplinary team with experience in advanced cases of endometriosis, lasted approximately 10 hours. An extensive laparoscopic adhesiolysis was performed as well as complete excision of the lesions in the pelvis. Subsequently, due to the extension of the ileal lesions, we performed a mini-laparotomy (see attached video) during which the extension of the lesions in the small intestine was correctly assessed and the integrity of the digestive tract was reconstructed. The postoperative course was excellent, without complications, and the patient was discharged on the 5th postoperative day.
A very remarkable aspect is that, shortly after discharge, the patient returned to the front line in Ukraine, showing extraordinary courage and determination. This case highlights both the complexity of treating deep endometriosis and the extraordinary resilience of affected patients.

11/08/2025

Neuropelveology is a highly specialized medical discipline that has emerged over the past 10–15 years, focused on diagnosing and treating pelvic nerve disorders, conditions that are often complex and difficult to identify.

At our center, these cases are approached through evaluation and a personalized treatment plan developed by a multidisciplinary team of neurologists, gynecologists, urologists, and neurosurgeons. By combining their expertise, our specialists work together to better understand each patient’s experience and to create a medical path tailored to the specific needs and complexity of every individual case.

31/07/2025

A new complex case of pelvic neurosurgery was performed in our center by Dr. Gabriel Mitroi.

🇬🇧 Case Presentation – Pelvic Neurosurgery
Bucharest Endometriosis Center

Below it is presented a case of pelvic neurosurgery in a female patient suffering from chronic, severe pelvic and perineal pain, radiating to the right thigh, and unresponsive to conservative treatments.

The patient had a history suggestive of neuropathic pelvic pain in the obturatory and pudendal nerve sensitive territory. Intraoperatively, she was found to have perineural fibrosis and dilated veins, affecting the right obturator nerve and the right pudendal nerve, most likely seondary to chronic pelvic inflammation amd repetitive trauma.

A complete neurolysis of both the right obturator nerve and the right pudendal nerve was performed, releasing the neural structures from fibrotic adhesions and surrounding compressive tissue.

The procedure was carried out by robotic assisted laproscopy by a multidisciplinary team at our center, combining advanced gynecologic surgery with pelvic neurosurgical expertise.

Postoperative evolution was favorable, with significant reduction in pain and gradual recovery of motor and sensory function in the affected areas.

🇹🇩 Prezentare caz – Neurochirurgie pelvină
Bucharest Endometriosis Center

Mai jos este prezentat un caz complex de neurochirurgie pelvină la o pacientă cu dureri pelvine și perineale cronice, severe, cu iradiere în coapsa dreaptă, rezistente la tratament conservator.

Pacienta, cu antecedente de durere pelvină de tip neuropatic, a fost diagnosticată intraoperator cu fibroză intensă perineurală la nivelul nervului obturator drept și al nervului pudendal drept, cel mai probabil în contextul inflamației cronice pelvine.

S-a efectuat o neuroliză completă a nervului obturator drept și a nervului pudendal drept, cu eliberarea structurilor nervoase de aderențele fibroase și compresiunile vemoase locale.

Intervenția a fost realizată minim-invaziv, laparoscopic, de către echipa multidisciplinară a centrului, cu expertiză în chirurgie ginecologică avansată și neurochirurgie pelvină.

Postoperator, evoluția a fost favorabilă, cu ameliorare semnificativă a simptomatologiei dureroase și reluarea treptată a funcției motorii și senzitive în aria inervată.

Surgery video:
https://youtu.be/tXZb2GwboC4?si=3chZK3j3gZBLBsoX

10/07/2025

𝐍𝐚𝐧𝐭𝐞𝐬 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐭𝐢𝐜 𝐂𝐫𝐢𝐭𝐞𝐫𝐢𝐚 𝐟𝐨𝐫 𝐏𝐮𝐝𝐞𝐧𝐝𝐚𝐥 𝐍𝐞𝐮𝐫𝐚𝐥𝐠𝐢𝐚
Pudendal neuralgia is a significant cause of pelvic pain and is often diagnosed only after a long period of painful symptoms. These symptoms can easily be mistaken for other conditions. Therefore, to ensure an accurate diagnosis, the following criteria are applied:

Essential Criteria:
➡️ Pain in the area served by the pudendal nerve
➡️ Pain predominantly felt while sitting
➡️ Pain does not awaken the patient during the night
➡️ Pain without objective sensory impairment
➡️ Pain relieved by a diagnostic pudendal nerve block

Complementary Diagnostic Criteria:
➡️ Burning, shooting, stabbing pain, or numbness
➡️ Presence of allodynia or hyperpathia
➡️ Sensation of a foreign body in the re**um or va**na
➡️ Pain that worsens as the day progresses
➡️ Pain predominantly unilateral
➡️ Pain triggered by defecation
➡️ Localized tenderness upon palpation of the ischial spine

Exclusion Criteria:
❌ Pain limited only to the coccyx, gluteal, p***c, or hypogastric regions
❌ Pruritus
❌ Exclusively paroxysmal pain
❌ Abnormalities on imaging that may explain the pain

Associated Signs That Do Not Exclude the Diagnosis:
➡️ Buttock pain while sitting
➡️ Referred sciatic pain
➡️ Pain radiating to the medial thigh
➡️ Suprap***c pain
➡️ Frequent urination or pain with a full bladder
➡️ Dyspareunia or post-coital pain

29/05/2025

𝐏𝐮𝐝𝐞𝐧𝐝𝐚𝐥 𝐍𝐞𝐮𝐫𝐚𝐥𝐠𝐢𝐚 is a significant cause of pelvic pain, usually being diagnosed after many years of painful symptoms. The delay in diagnosis occurs because there is not yet a well-established specialty for this pathology. It is caused by irritation, inflammation, or entrapment of the pudendal nerve, a key nerve that supplies feeling to the lower pelvis, including the ge***als, perineum, and a**s. When this nerve becomes damaged or compressed, it can cause severe and persistent pain that significantly impacts daily life.

Many patients suffer for years without a correct diagnosis because the symptoms for this condition can be misdiagnosed as a series of other conditions (e.g., gynecological, urological, gastrointestinal issues).

A few of the causes of the pudendal neuralgia are:
✅Childbirth injuries due to stretching of the pelvic musculature from the fetal head;
✅Chronic constipation;
✅ Direct trauma, including falls, motor vehicle accidents, and pelvic surgeries (pelvic organ prolapse repair with mesh);
✅Prolonged sittings (sewists, computer operators, office workers, judges, concert pianists, commercial drivers, chess players and locomotive engineers).

The diagnosis is made following a discussion with the patient. This conversation may reveal a combination of specific symptoms that could suggest the presence of the condition. MRI investigation and clinical examination can rule out other pathologies such as endometriosis or adenomyosis