These sessions require pre-registration for an additional fee.
Surgical Tutorial: Pubo-vaginal Slings
Thursday, October 11 | 10:45 am – 11:45 am
Speakers: Victor Nitti, MD; Melissa Kaufman, MD, PhD
Over the past decade, the synthetic mid-urethral sling (MUS) overwhelmingly emerged as the primary surgical treatment option for stress urinary incontinence (SUI), arguably relegating the pubovaginal sling (PVS) to second-line therapy. Contemporary application of PVS is typically reserved for concomitant use in reconstructive procedures in the presence of a fistula, diverticula, or urethral reconstruction; or, in the setting of a mesh failure or severe intrinsic sphincter deficiency. However, a plethora of well publicized MUS issues has promoted a resurgence of the PVS as a primary surgical treatment option for SUI in the index patient. This clinical seminar will discuss the indications for PVS, discuss the evidence base for use of PVS, allow the participant to understand the steps and nuances of the surgical procedure, as well as recognize complications of PVS and appropriate management.
Surgical Tutorial: Fistulas
Thursday, October 11 | 4:30 pm – 5:30 pm
Speakers: Chi Chiung Grace Chen, MD, MHS; Christina Lewicky-Gaupp, MD
The World Health Organization estimates that obstetric fistula affects 2 to 3.5 million women globally with an annual incidence of 50,000 – 100,000. Although most obstetric fistula occur in lower resources settings, rectovaginal fistula and pelvic fistula from iatrogenic causes such as pelvic surgery can be present in any context. This clinical seminar will cover essential surgical principles in vaginal repair of pelvic fistula and review evidence on the efficacy of repair techniques. Although many of the examples may be from obstetric fistula cases, the surgical principles and techniques shown are also applicable to other types of pelvic fistula.