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Tuesday, September 24 | 8:00 am - 12:00 pm

Diagnosis and Repair of Third/Fourth Degree Obstetric Tears

Hands-On Workshop

Workshop Director: Abdul H. Sultan, MD, FRCOG (United Kingdom)
Faculty: Ivilina Pandeva, MRCOG (United Kingdom); Ranee Thakar, MD, FRCOG (United Kingdom)

The attendee will become familiar with the new classification of OASIS and develop clinical skills and techniques to accurately diagnosis anal sphincter injury. Attendees will participate in hands-on training using the anal sphincter model to learn repair techniques of the internal and external sphincter. Prevention and management of subsequent pregnancy will also be discussed.
 

Leveraging Intentional Awareness of Your Leadership and Work Style to Navigate Challenging Encounters and Conflict in the Work Place

Workshop Directors: Sylvia Botros-Brey, MD (United States); AnnaMarie Connolly, MD (United States)
Faculty: Vivian C. Aguilar, MD (United States); Grace Chen, MD, MHS (United States); Aparna Hegde, MD (India)

Having a working knowledge of positive communication strategies, emotional intelligence frameworks and different leadership and work styles can help increase productivity while building positive relationships in the work place. This workshop offers some basic insight into how attendees can communicate more effectively and confront difficult issues, while building and maintaining strong relationships.
 

Management of Mesh Complications

Workshop Director: Geoffrey W. Cundiff, MD, FACOG, FACS, FRCSC (Canada)
Faculty: David J. Quinlan, BSC, MB BCh, FRCOG, FRC (Canada); Lieschen H. Quiroz, MD (United States); Magali Robert, MD, FRCSC; Mark Slack, MB BCh, MMed, FCOG(SA), FRCOG (United Kingdom); Kobus van Rensburg, MB BCh, MMed, FCOG(SA) (South Africa)

The focus of the workshop will be to present an evidence-based treatment algorithm with a focus on details of surgical management. Following a presentation, a panel will discuss cases and apply the treatment algorithm to determine how it works.
 

Native Tissue Anti-Incontinence Surgery

Course Director: Zainab Khan, MRCOG (United Kingdom)
Faculty: Wael Agur, MBCHB, MSC, MD, FRCOG (United Kingdom); Victoria Asfour, MBChB, BMedSci, MRCS, PGCert, MSc, MRCOG (United Kingdom); Stergios Doumouchtsis, MSc MPH PhD MRCOG (United Kingdom); Simon Emery, MB ChB, MRCOG, FRCOG, MD (United Kingdom)

This session will provide an overview of the AFS sling-on-strings technique as an alternative to TVT, a review of the literature available, and a video of the surgical technique.
 

Native Tissue Repair (NTR) for Pelvic Organ Prolapse (POP)

Course Director: Kwok Weng Roy Ng, MBBS, LRCPS, FRCOG, MOG (Singapore)
Faculty: Chi Chiung Grace Chen, MD, MHS (United States); Leslie Kammire, MD (United States); Tsia Shu Lo, MD (Taiwan); Douglas W. Miyazaki, MD, FAOG (United States)

This workshop is designed for the individual who would like to learn how to perform a native tissue repair, improve their techniques or simply increase their armamentarium. Throughout the workshop, attendees will have access to sophisticated and simple simulation training models, edited life surgical videos and sequential diagrams/photographs.
 

Office Evaluation and Management of Common Female Urological Concerns: Hematuria, Recurrent UTIs, Nocturia, Interstitial Cyst itis (IC)/Painful Bladder Syndrome (BPS)

Hands-On Workshop

Course Director: Suzette Elisabeth Sutherland, MD, MS (United States)
Faculty: Elizabeth A. Miller, MD (United States); Jane L. Miller, MD (United States); Una Lee, MD (United States); Lora A. Plaskon, MD, MS (United States)

Utilizing the AUA guidelines, the discussion will focus on the diagnosis, evaluation and treatment of female urological issues commonly seen in standard urogynecology/female urology practices. Following the didactic portion, attendees will have a hands-on training with common cystoscopic procedures, such as diagnostic cystoscopy – both rigid and flexible – with identification of common normal vs abnormal findings, bladder biopsy and fulguration, temporary ureteral stent placement/removal, and bladder injection.
 

Solving Your Tough Cases: Essential Musculoskeletal Assessment for Physicians, Nurses, and Physician Assistants

Hands-On Workshop

Course Director: Harm-Ernandes, PT, WCS, BCB-PMD (United States)
Faculty: Valerie Boyle, PT, DPT, OCS (United States)

Medical training is often limited in regard to the musculoskeletal system. This is particularly true of the pelvic region. As a result, internal pelvic floor and pelvic musculoskeletal assessments are not performed, resulting in inaccurate diagnoses.. There is also some limitation in understanding exactly what a pelvic health physical therapy session entail. This workshop will have both didactic and lab sessions that will not only explain the involvement of the MSK system in pelvic conditions but also instruct the participant in how to accurately assess both internal and external pelvic MSK conditions. In addition, we will discuss what a physical therapist may do within a physical therapy session and how it relates to all other practitioners.
 

Practical Pelvic Floor Ultrasonography, Didactics and Demonstration

Hands-On Workshop 

Course Directors: Jonia Alshiek, MD, MSC (United States); S. Abbas Shobeiri, MD, MBA (United States)
Faculty: Aparna Hegde, MD (India); Ghazaleh Rostami Nia, MD, MSc (United States); Milena M. Weinstein, MD (United States); Talia Friedman, MD (Israel); Lieschen H. Quiroz, MD (United States)

This program is designed to demonstrate how to obtain optimal images of pelvic floor muscles, mesh, tapes and anorectal disorders. Attendees will learn how to obtain useful images of pelvic floor, and how to interpret clinical implications of alterations of the anatomy. In addition, emerging techniques of “dynamic” pelvic floor ultrasound and three-dimensional ultrasound will be introduced. Attendees also will have the opportunity to review the ultrasound machine orientation, observe pelvic floor ultrasonography on live models, and review case studies on work stations to optimize patient management and decision making.
 

Repair of Vesico-vaginal Fistula on Animal Model

Hands-On Workshop

Course Director: Raheela M. Rizvi, FCPS (Pakistan); Pushpa Srichand PS Sachdev, MBBS, MCPS, DGO, FCPS (Pakistan)
Faculty: Nazli Hameed, FCPS, FRCOG (Pakistan); Fozia Shaikh, FCPS (Pakistan); Shagufta Tahir, FCPS (Pakistan)

Attendees will enhance surgical skills while learning the anatomy of the urogenital tract and identifying ways to prevent and recognize urinary tract injuries during gynecological and obstetrical surgeries. During the hands-on portion, attendees will be able to repair bladder rent and simple vesico-vaginal fistula.
 

Surgical Databases – Tips and Tricks on How to Get Involved

Course Director: Fiona Bach (United Kingdom); Philip Toozs-Hobson (United Kingdom)
Faculty: Justin O. Daly, MBBS (Australia); Gunnar Lose (Denmark); Paul Moran (United Kingdom); Gert Naumann (Germany)

This workshop aims to set out the importance and relevance of surgical databases and give practical instruction on how to get involved. It is well known that clinicians overestimate success and it is unlikely that many know the long-term outcomes of the procedures they have performed. There is an increasing demand and expectation from both regulators and patients to have data available on outcomes and complications and so there is a need for routine and systematic data capture, where the emphasis falls on the clinicians.
 

Urogynecology Office Practice: Practical Ideas to Increase Efficiency and Workflow

Course Director: Raymond T. Foster Sr., MD, MS, MHSc (United States)
Faculty: Mikio A. Nihira, MD, MPH (United States); Federico Spelzini, MD (Italy); Julie A. Starr, PhD, APRN, FNP-BC (United States); Ryan R. Stratford, MD, MBA (United States)

There are no clearly established standards for setting up and running an FPMRS subspecialty office. Topics covered in this workshop include ways to function more efficiently, successful strategies for incorporating advanced practice nurses into the office practice as well as how to incorporate learners (students/residents/fellows) into outpatient care without sacrificing productivity.

 

Tuesday, September 24 | 1:00 pm - 5:00 pm 


Birth Trauma and Translabial Ultrasound Imaging

Hand-On Workshop

Workshop Director: Ka Lai Shek, FRANZCOG, PhD (Australia)
Faculty: Jessica Caudwell-Hall, FRANZCOG (Australia); Hans Peter Dietz, MD, PhD (Australia); Moshe Gillor, PhD (Israel); Victoria L. Handa, MD, MHS (United States)

Obstetric anal sphincter tears and levator ani injuries are two major forms of maternal birth trauma. They are associated with pelvic floor dysfunction, such as anal incontinence, increased pelvic floor and vaginal laxity and pelvic organ prolapse. Apart from physical morbidity, they are also associated with psychological morbidity including post-traumatic stress disorder. It is important for perinatal healthcare providers to understand the significance and diagnosis of maternal birth trauma. There is increasing use of transperineal ultrasound to assess pelvic floor functional anatomy. The technique has been validated to image the levator ani muscle and anal sphincter. The workshop will familiarize participants the technique to assess pelvic floor trauma.
 

Complications of Incontinence and Prolapse Surgery: Evaluation, Intervention, and Resolution—A Review from Both Urology and Gynecology

Workshop Director: Howard B. Goldman, MD, FACS (United States)
Faculty: Javier Pizarro Berdichevsky, MD (Chile); Catherine A. Matthews, MD (United States); Sandip Prasan Vasavada, MD (United States)

Pelvic floor reconstructive surgeons will experience complications and will have patients with complications referred to them. It is thus imperative to learn how to avoid, evaluate and manage them successfully. The workshop will cover sling complications - both obstruction and other types - prolapse complications (native tissue as well as mesh) and dyspareunia after pelvic floor repairs. 
 

Evaluation, Decision-making Process and Surgical Approach in Cases with Complex Voiding Dysfunction and Pelvic Floor Diseases: An Interactive Case-based Discussion

Workshop Director: Ayman Mahdy, MD, PhD (United States)
Faculty: Ahmed M. El-Zawahry, MD (United States); Gamal M. Ghoniem, MD, FACS (United States); Angelo Gousse, MD (United States); James L. Whiteside, MD, MS, MA (United States)

Complex female voiding dysfunction and pelvic reconstruction cases can be challenging and usually create a decision-making and surgical management dilemma. This workshop will cover a series of complicated, yet common, case scenarios from our practices. This interactive discussion will help the audience understand the thought process in managing those unique cases. Surgical videos at the end of the discussed cases will be showcased in order to cover the technical aspects of this workshop. The actual outcome of the presented cases will be also discussed to provide the audience with some retrospective feedback.
 

Modeling in Urogynecology

Workshop Directors: Renaud de Tayrac (France); Teresa Mascarenhas (Portugal)
Faculty: Michel Cosson (France); John O. L. DeLancey, MD (United States); Gery Lamblin (France); C. Luyun (United States); Rajeev Ramanah (France); Zdenek Rusavy (Czech Republic)

Modeling in urogynecology is developing in some expert centers and the resulting medical data are not always accessible to urogynecologists. The main objective of this workshop is to show the existing models and their capacity to evaluate situations inaccessible to clinical research.
 

Postpartum Rehabilitation: Does Every Woman Really Need It?

Hands-On Workshop

Workshop Director: Julie E. Brewer, PT, DPT (United States)
Faculty: Katie Beckham, PT (United States); Pamela Fairchild, MD (United States); Albina Heidebrecht, PT, DPT (United States)

When treating post-partum women, it is key to understand what to look for. This workshop will review the musculoskeletal impact of pregnancy and delivery, the current evidence on birth injuries, identification of women who have occult birth trauma, assessment of abdominal and pelvic floor function and decision-making strategy for referral to physical therapy postpartum. Practice guidelines for physical therapy in the postpartum patient will be explored as well as cultural issues that impact the management of postpartum women.
 

PROTECT - Perineal and Anal Sphincter Trauma - Train the Trainer Program

Hands-On Workshop

Workshop Directors: Abdul H. Sultan, MD, FRCOG (United Kingdom); Ranee Thakar, MD, FRCOG (United Kingdom)
Faculty: Jan Willem De Leeuw, MD (The Netherlands)

Goal: To promote knowledge of obstetricians and midwives worldwide in the management of perineal trauma and episiotomy through structured training with a view to minimizing pelvic floor and perineal morbidity associated with childbirth.

Objective: To minimize pelvic floor and perineal morbidity associated with childbirth.

How to register: The PROTECT Workshop is Step 3 in a 4-Step program. To be eligible to register for the PROTECT Workshop, registrants must meet 2 prerequisites: 

  1. Have completed and passed the Theoretical Test on the IUGA website (Step 1).
  2. Have attended an OASIS hands-on repair workshop (Titled: Diagnosis and Repair of 3rd/4th Degree Obstetric Tears) offered by a PROTECT-trained trainer or be registered to attend this workshop during the 2019 AUGS/IUGA Scientific Meeting (Step 2).
  3. Upon successful completion of the PROTECT Workshop (Step 3), registrants may complete Step 4 of the PROTECT program:
  4. Upload personal videos or photographs* which demonstrate your live surgical technique to the IUGA PROTECT website within 2 years of completing Step 2.

*NOTE: Those submitting videos or photography must secure consent forms from the subject/patients and should use the forms that are typically used within their own institution.

Following successful completion of these 4 steps, participants will be awarded a certificate of completion of the PROTECT train the trainer program. Registration for the PROTECT workshop closes on September 3, 2019.

Quality Improvement Bootcamp: Improve Anything!

Hands-On Workshop

Workshop Director: Robert F. Flora, MD, MBA, MPH (United States)

This course will teach the approach of quality improvement (QI) using the seven-steps method. The learners will bring a laptop, use an Excel add-on program, and a web-based flowcharting/mind mapping program to learn some QI tools through examples and exercises. By the end of the session, the learner is prepared to start performing QI projects as scholarly activity. A minimal amount of pre-work including watch short videos, downloading a program trial of QI Macro and Microsoft Excel, and obtaining a free account to a web-based flowcharting program is required. Further information will be sent upon registration.
 

Teaching the Teacher 2.0: Integrating Evidence-based Practices, Technology and Surgical Data Science to Enhance Learning and Surgical Coaching

Workshop Directors: Grace Chen, MD, MHS (United States); Anand Malpani, PhD (United States)
Faculty: Sylvia Botros-Brey, MD (United States); AnnaMarie Connolly, MD (United States); Joy A. Greer, MD (United States)

Surgeons are all involved in teaching, whether it is during training of students, residents, or fellows, or mentoring of colleagues. Furthermore, it is understood that surgical technical skills can directly impact patient outcomes. However, the acquisition of teaching skills and effective methods of giving feedback and surgical coaching does not naturally come with the acquisition of clinical and surgical expertise; most surgeons are not trained to teach and may not have had the opportunity to develop effective teaching skills. Therefore, it is paramount that surgeons become more effective and efficient teachers. In additional to specifically learning effective strategies of giving feedback and surgical coaching, in this workshop participants will also learn how to leverage technologic innovations to enable them to provide feedback in a more timely and efficient manner. Most of the time will be spent on practicing learned skills and role playing. Participants will gain knowledge and skills that will serve as a framework for immediate incorporation into daily practice.
 

The “SIG Laparoscopic Surgery” Hands-on Workshop: Minimal Invasive Prolapse Repair with Laparoscopic Sacro-colpo and Sacro-hysteropexy

Hands-On Workshop

Workshop Directors: Bruno Deval, MD (France); Nikolaus Veit-Rubin, MD, MBA (Austria)
Faculty: Igor But, MD (Slovenia); Stephen Jefferey, MD (South Africa); Federico Spelzini, MD, (Italy); Rufus Cartwright, MD, PhD, MRCOG (United Kingdom)

Sacrocolpopexy is considered the gold standard procedure for surgical repair of apical prolapse. There is now evidence that this procedure can effectively be realized laparoscopically. Given the current controversy around vaginal mesh implants, laparoscopy may be the approach of choice for any kind of female genital prolapse. However, many urogynecologists are not familiar with the laparoscopic approach due to limited experience and inability to suture endoscopically. This workshop is designed for those familiar with the open procedure and will address its limitations. The hands-on portion will focus on laparoscopic suturing and fixation of the mesh in a pelvic model and a theoretical course on the key surgical aspects of laparoscopic sacrocolpopexy.
 

Vaginal Pessaries: Assessment & Fitting for Pelvic Organ Prolapse and Urinary Incontinence

Hands-On Workshop

Workshop Director: Elizabeth G. Neustaedter, RN, MN, NCA (Canada)
Faculty: Christine Johnson, RN, NCA (Canada); Magali Robert, MD, MSc (Canada)

Vaginal pessaries are an alternative to surgery for the many women who have symptoms from pelvic organ prolapse (POP) and urinary incontinence (UI). There has been a trend to increasing use in both developed and developing countries. Many women find this alternative desirable and find that their pessaries relieve them of their symptoms in a non-invasive way, however, many healthcare providers are not familiar, trained or comfortable fitting pessaries or following pessary care This workshop will offer information and guidance on the use of a variety of different pessaries and indications for their use. Fitting and follow-up procedures, including dealing with complications will be addressed. Vaginal models with different prolapses will be provided so workshop participants can learn how to assess for different prolapses, and to insert and remove pessaries into the model. An interactive panel and discussion will focus on “tips and tricks” on pessary use and care in both developed and developing country settings. Collectively, this faculty has over 50 years of experience in working with pessaries.

 

Wednesday, September 25 | 8:00 am - 12:00 pm

An Update in the Assessment and Management of Genitourinary Syndrome of the Menopause (GSM)

Hands-On Workshop

Workshop Director: Linda D. Cardozo, OBE, MD, FRCOG (United Kingdom)
Faculty: Tim Hillard (United Kingdom); Angie Rantell (United Kingdom); Dudley Robinson, MD, FRCOG (United Kingdom); Stefano Salvatore (Italy)

This workshop will provide the learner with knowledge of conservative, pharmacological and laser treatment options for GSM and the evidence for their use in clinical practice. Contraindications and clinical exceptions will be discussed along with the role of patient education in the condition and treatment pathway.
 

Assessing Your Coding Skills: Are You as Good as You Think?

Workshop Director: Mitchell W. Schuster, MD (United States)
Faculty: Brad Hart, MBA, MS, CMPE, CPC, CPMA, COBGC (United States); Scott Poehlmann, MD (United States); Stephen A. Metz, MD, PhD (United States); Janet E. Tomezsko, MD (United States)

CMS constantly updates coding and reimbursement policies resulting in significant fiscal impact to providers in the United States. This workshop will present recent changes in E/M level coding/reimbursement and will teach attendees to appropriately document and code for provided services. Utilizing typical FPMRS case presentations and interactive media technology in a “winner-take-all” format, participants will initially self-evaluate their individual coding skill level and then learn correct E/M code selection for office visits predicated on the proposed 2020 E/M Guidelines. Typical FPMRS cases will be presented to correctly demonstrate office-based procedure coding with concomitant E/M encounters as well as surgical procedure coding with appropriate modifier use when indicated. 
 

Your Overactive Bladder Patients and BOTOX®: Ways You Can Make a Difference

Hands-On Workshop

Presented by Allergan

Speaker: Vincent Lucente, MD, MBA (United States)

Many of your overactive bladder (OAB) patients may be waiting for you to discuss the next step with them. Who are they and what can you offer? This workshop will help you learn to dig deeper to assess patient expectations with current treatments and readiness for BOTOX®. Tips and techniques for effectively introducing BOTOX® to patients will be discussed, as well as trends on the importance of the OAB Care Team in the BOTOX® patient journey. Hands-on BOTOX® procedure simulation with a pelvic model will also be available.

Your OAB* Patients and BOTOX®: Ways You Can Make a Difference

  • Assessing patient expectations with current treatments and readiness for BOTOX®
  • BOTOX® treatment and how to introduce it to patients
    • E = Efficacy
    • A = Administration and re-treatment
    • S = Safety
    • E = Expense
  • The importance of the OAB Care Team in the BOTOX® patient journey
    and your leadership role
  • Hands-on procedure simulation with pelvic model

Note: No CME will be provided

 

Implementing Enhanced Recovery Programs: Understanding the Evidence and Navigating the Obstacles

Workshop Director: Elisa R. Trowbridge, MD (United States)
Faculty: Sarah L. Evans, MD (United States)

The workshop will review the science and evidence supporting standardized enhanced recovery programs (ERP). Participants will also be instructed on best practices of multi-modal pain management strategies used in ERP to reduce dependence on post-operative narcotic. ERP protocols will be provided to participants as examples of standardized peri-operative protocols and order sets. Strategies to navigate the obstacles of implementing ERP will also be discussed.
 

Principles of Neuromodulation

Hands-On Workshop

Presented by Medtronic

Course Director: Kevin Benson, MD (United States)

This program is designed for physicians and allied health professionals interested in the use of Sacral Neuromodulation (SNM) using the InterStim™ system and Percutaneous Tibial Neuromodulation (PTNM) using the NURO™ system. Attendees and faculty will share best practices around Implementing InterStim™ therapy, InterStim™ tined lead placement, reading fluoroscopy, post-implant patient management and using the NURO™ system.

This workshop will include expert lectures and hands-on workshops to educate physicians and allied health professionals on the safe and effective use of InterStim™ therapy and NURO™ therapy. Attendees will increase their skills and understanding of:

  • Implementing InterStim™ therapy in to a clinical practice
  • Implant technique best practices
  • Patient Management
  • NURO™ therapy

Note: No CME will be provided
 

Vaginoplasty Surgery for the Transgender Woman, v3.0

Workshop Directors: Cecile A. Ferrando, MD, MPH (United States); Ervin Kocjancic, MD (United States)

Transgender surgery workshops have been offered at the last two AUGS scientific meetings and have provided an overview of the transition process for patients with an in-depth look at the surgical procedures patients undergo and the complications associated with these surgeries. This workshop is the version 3.0 of these previous courses and the focus of the entire workshop will be on vaginoplasty surgery – technique (step by step), tips and tricks, management of complications and perioperative care. This workshop is for individuals who are hoping to gain advanced surgical training in transgender surgery in the future or for those who are seeking more in-depth information on this surgery to help them better care for postoperative patients who have already undergone the procedure.
 

Women in Global Health: Why We Need Gender Equity in Global Health Leadership

Workshop Director: Rahel Nardos, MD, MCR (United States)
Faculty: Linda Brubaker, MD, MS (United States); Karolynn T. Echols, MD (United States); Holly E. Richter, PhD, MD (United States); Ambereen Sleemi, MD, MPH (United States)

This session will stimulate deep conversations about why women need to play a more prominent role in leadership roles in general but more specifically why it is even more critical to address the ubiquitous gender inequity in global health.
 

Urodynamics

Hands-on Workshop

Presented by Laborie

Faculty: Willy Davila, MD (United States); Mikel Gray, PhD (United States); Tim McKinney, MD (United States); Marie Fidela Paraiso, MD (United States); Peter Sand, MD (United States)

An interactive Urodynamics and therapeutic solutions workshop with key opinion leaders who will demonstrate hands-on experience, how to conduct a typical study, the physical aspects of testing, review of good urodynamics practices, and proper use of equipment.  Interpretation of studies will also be reviewed.  PTNS and pelvic floor therapy will also be covered. 

 

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IUGA Executive Office

14305 Southcross Dr, Suite 100
Burnsville, MN 55306, USA
P + 1 (952) 683-9037
Intl + 31 (0)75-647 63 65

meeting@iuga.org

 

American Urogynecologic Society

1100 Wayne Avenue, Suite 825
Silver Spring, MD 20910
P (301) 273-0570
F (301) 273-0778

info@augs.org

 

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