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!

12/11/2025

05/11/2025

04/11/2025

Uneori, afectarea nervoasă este atât de severă, încât pacienții devin imobilizați, în scaunul cu rotile. Iar uneori, aceiași pacienți, ajunși la limită, se trezesc după operație și își dau seama că pot merge din nou, fără durere.
La rândul nostru suntem recunoscători pacientelor pentru încrederea cu care ne onorează. Știm că decizia de a suferi o intervenție chirurgicală la nivelul nervilor pelvini nu este una ușoară, iar recuperarea poate fi dificilă. Vă mulțumim pentru cuvintele frumoase și pentru încredere!

01/11/2025

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.

01/11/2025

🇬🇧 Neuro-pelveology case – Schwannoma of the sacral plexus/ pudendal nerve/left sciatic nerve

About six months ago, we treated a rare and challenging case — a schwannoma, a tumor arising from the nerve sheath, located deep within the sacral plexus, extending toward the pudendal and sciatic nerves on the left side.

The patient suffered from severe pelvic pain, worsened by sitting and walking, with continuous discomfort that significantly impaired daily life and mobility.

The role of imaging – MRI as a key diagnostic tool
Diagnosing these tumors can be difficult, as symptoms often mimic other pelvic or spinal pathologies.
Pelvic and lumbosacral MRI plays a crucial role by:
• precisely visualizing the course of the pelvic nerves,
• identifying the tumor’s size, morphology, and anatomical relationships,
• and guiding surgical planning, which is essential for successful outcomes.

Surgical intervention

The operation was performed using laparoscopic approach, allowing careful identification, dissection, and excision of the schwannoma while preserving the main nerves function.
The result: pain relief and excellent functional recovery.

Conclusion:
Severe, persistent pelvic pain radiating to the lower limbs often hides pathologies of the pelvic nerves.
Early MRI diagnosis and modern neuro-pelveological surgical techniques can transform these patients’ quality of life, restoring comfort and mobility.



🇹🇩 Caz de neuropleveologie – Schwannom al plexului sacrat/nervului rușinos/nervului sciatic stâng

În urmă cu aproximativ 6 luni, am tratat un caz complex și rar de schwannom – o tumoră benignă a tecii nervoase – localizată profund, la nivelul plexului sacrat, cu extensie către nervul rușinos și nervul sciatic stâng.

Pacienta prezenta dureri pelvine insuportabile, accentuate la șezut și la mers, dureri continue ce îi afectau activitățile zilnice și calitatea vieții.

Rolul imagisticii – importanța examenului RMN
Diagnosticul acestor tumori este adesea dificil, deoarece simptomatologia se poate confunda cu alte afecțiuni pelvine sau lombare.

Examenul RMN pelvin și lombosacrat are un rol crucial:
• permite vizualizarea precisă a traiectului nervilor pelvini,
• evidențiază formațiunea tumorală, dimensiunile și raporturile sale cu structurile învecinate,
• ghidează planificarea chirurgicală, contribuind decisiv la succesul intervenției.

Intervenția chirurgicală:
Operația a fost realizată printr-un abord de laparoscopic, care a permis identificarea, disecția și excizia aproape completă a schwannomului, cu păstrarea integrității plexului lombo-sacrat si sacrificarea nervului rusinos extern stang si a plexului sacrat stang.

Rezultatul: dispariția durerilor și recuperare funcțională excelentă.

Concluzie:
Durerile pelvine intense, persistente, mai ales cele care iradiază către membrele inferioare, pot ascunde patologii ale nervilor pelvini.
Diagnosticul precoce prin RMN și abordul chirurgical neuroplevelogic pot schimba complet evoluția acestor cazuri, redând pacienților o viață fără durere.

Surgery video:
https://youtu.be/VyH38KBCqIA?si=7OI4A2IdgS_OlH4J

27/10/2025

24/10/2025

22/10/2025

18/10/2025

🇬🇧 Below is a case of a patient who came to our center with severe locomotor disorders (wheelchair dependency). In addition to this symptomatology, the patient had clinical signs of pudendal neuralgia (pudendal pain) on the left side.
The result of the surgery was spectacular (decompression of the lumbo-sacral trunk, vasculo-nervous entrapment), the patient managing to move normally from the first postoperative day, similar results to those of surgical interventions on the lumbar spine. In fact, as I tell both our patients and colleagues, the causes of these locomotor disorders are the same - nerve compression; the only difference is the level at which these nerve structures are affected. In cases of lumbar discopathy, the compression is at the level of the spine and is addressed to the neurosurgeon; at the Medlife Pelvic Neurosurgery Center, we address the compression of the nerve roots, after they have left the intervertebral foramina, in their intra-abdominal and intra-pelvic path.
Below is a very didactic presentation of the anatomy of the sacral plexus and external pudendal nerve following robotic decompression surgery. Robotic surgery offers, as it can be seen from the images, some important advantages in these cases of pelvic neurosurgery.

🇹🇩 Mai jos este prezentat un caz al unei paciente care a venit in centrul nostru cu tulburari severe locomotorii (dependenta de scaun cu rotile). In afara de aceasta simtpomatologie, pacienta semne clinice de nevralgie pudendala (durere pudendala) pe partea stanga. Rezultatul interventiei chirurgicale a fost unul spectaculos (decompresia trunchiului lombo-sacrat - conflict vasculo-nervos), pacienta reusind sa se deplaseze normal din prima zi postoperatorie, rezultate asemanatoare pe care le au interventiile chirurgicale de la nivelul coloanei vertebrale lombare. De fapt, asa cm le spun atat pacientilor nostri, cat si colegilor, cauzele acestor tulburari locomotorii sunt aceleasi - compresia nervoasa; difera doar nivelul la care aceste radacini sunt afectate. In cazurile de discopatie lombara, compresia este la nivelul coloanei vertebrale si se adreseaza neurochirugului; in cadrul centrului de Neurochirurgie Pelvina Medlife, ne adresam compressilor radacinilor nervoase, d**a ce acestea au parasit gaurile intervertebrale, in traiectul lor intraabdominal si intrapelvin.
Mai jos este prezentata foarte didactic anatomia plexului sacrat si a nervului rusinos extern, in urma operatiei de decompresie robotica. Chirurgia robotica ofera, asa cm reiese si din imagini, niste avantaje importante in aceste cazuri de neurochirurgie pelvina.

16/10/2025