FPMRS Fellows Course: Perspectives on Female Pelvic Surgery

    Course Description

    This advanced vaginal surgery course is for specialist fellows in Female Pelvic Medicine and Reconstructive Surgery and Female Urology, already well versed in basic vaginal surgery, who are looking to increase their knowledge about more complex vaginally approached and laparoscopic/robotic operations. As minimally invasive approaches have been stressed in gynecologic surgery, there is concern that robotic and laparoscopic cases are replacing cases that can be successfully accomplished vaginally and this will be addressed in a timely debate. Advanced topics such as neovagina creation, prolapse repair (with and without graft augmentation), management of mesh complications, MIS surgeries, neuromodulation, botulinum toxin, and sexuality will be covered by nationally recognized experts in the field of gynecologic surgery and female urology.

    In addition to a variety of topics, fellow participants will be able to present difficult cases from their programs to generate group discussion. In addition to the didactic lectures, debate, and case discussions, we will have cadaver labs for 3 hours both days to demonstrate surgical anatomy and procedures. Each cadaver will have a dedicated faculty member demonstrating anatomy dissections and surgical techniques to fellow learners in small groups. At the conclusion of the course, participants will have more extensive knowledge and feel more confident using vaginal and MIS surgical techniques to help their patients with difficult pelvic floor problems.

    Course Objectives

    1. Identify patients who can benefit from vaginal, laparoscopic, and robotic surgery for complex gynecologic and urologic problems.
    2. Manage the patient who presents with vaginal stricture, shortening, or obliteration due to prior surgery or congenital abnormalities with surgery to restore normal caliber and length.
    3. Select patients who are appropriate candidates for mesh and native tissue vaginal prolapse repair.
    4. Identify, appropriately work-up, and surgically manage simple and complex stress and urge urinary incontinence and overactive bladder to include neurogenic and idiopathic cases.
    5. Recognize and manage complications that can arise during reconstructive pelvic surgeries.

    Course Information

    Course Dates
    January 19-20, 2017

    Location
    Center for Advanced Medical Learning and Simulation (CAMLS)
    124 S. Franklin Street
    Tampa, FL 33612

    Program Directors

    John Gebhart, MD 
    Robert Gutman, MD

    Course Faculty

    Kimberly Kenton, MD, MS
    Catherine Matthews, MD
    Elizabeth Mueller, MD
    Sandip Vasavada, MD
    Jim Whiteside, MD, MS, MA
    Mark Walters, MD
    Marie Fidela Paraiso, MD
    Holly Richter, MD, PhD
    Allison Wyman, MD  

    Schedule of Events 

    Click here to download the 2017 Fellows' Course agenda

    Thursday, January 19, 2017 - Urinary and fecal incontinence focus

    7:00-7:45 am – Breakfast (Dining Room, 2nd Floor)
                              Registration Desk Open (Pre-Function Area Outside Auditorium, 2nd Floor)

    7:45-8:00 am – Welcome and Introduction (Auditorium, 2nd Floor)

    8:15-11:45 am – Divide Groups for Lab and Lectures

                   Lectures:

    1. 8:15-9:00 –  Native Tissue repair of pelvic organ prolapse – Mark Walters
    2. 9:05-9:50 –  Innovative Management of fecal incontinence – Holly Richter
    3. 9:55-10:40 –  Surgical Management of constricted vagina – John Gebhart
    4. 10:40-11:45 – Laparoscopic Anatomy Demonstration – Marie Fidela Paraiso

                   Lab: (8 stations, 25-minute rotations)

    1. Interstim +/- fluoro on cadaver and models - Sandip Vasavada
    2. Cysto/stents/retrograde images and technique - Beth Mueller
    3. Burch and retropubic space - Kim Kenton
    4. Sphincteroplasty/Perineal sphincter anatomy - Catherine Matthews
    5. Rectus fascial sling - Rob Gutman
    6. Obturator Anatomy in Relationship to Sling - Jim Whiteside
    7. MUS (TO, RP, mini) - Marie Fidela Paraiso and Allison Wyman
    8. Cysto/Botox, Cysto/Coaptite and Durasphere - Industry Representatives

    11:45-12:45 pm – Lunch (Dining Room at CAMLS)

    12:45-4:15 pm – Switch groups for lecture/lab rotations and repeat 

    1. 12:45-1:30 –  Native Tissue repair of pelvic organ prolapse – Mark Walters
    2. 1:30-2:15 –  Innovative Management of fecal incontinence – Holly Richter
    3. 2:15-3:00 –  Surgical Management of constricted vagina – John Gebhart
    4. 3:00-4:15 – Laparoscopic Anatomy Demonstration – Marie Fidela Paraiso

                   Lab: (8 stations, 25-minute rotations)

    1. Interstim +/- fluoro on cadaver and models - Sandip Vasavada
    2. Cysto/stents/retrograde images and technique - Beth Mueller
    3. Burch and retropubic space - Kim Kenton
    4. Sphincteroplasty/Perineal sphincter anatomy - Catherine Matthews
    5. Rectus fascial sling - Rob Gutman
    6. Obturator Anatomy in Relationship to Sling - Jim Whiteside
    7. MUS (TO, RP, mini) -  Marie Fidela Paraiso and Allison Wyman
    8. Cysto/Botox, Cysto/Coaptite and Durasphere - Industry Representatives

    4:15-4:30 pm – Transition time to get back from lab

    4:30-5:00 pm – Wrap up in Auditorium

    6:30-8:30 pm – Fellows Reception at 211 Restaurant in the Hilton Tampa Hotel. Fellows and Industry Representatives invited to attend.

    Friday, January 20, 2017 - Prolapse focus

    7:00-7:45 am – Breakfast with Laborie (Pre-Function Area Outside Auditorium, 2nd Floor)

    7:45-8:00 am - Transition time to get to lab

    8:00-10:30 am – Divide Groups for Lab and Lectures

                   Lectures:

    1. 8:00-8:30 – Refractory OAB – Sandip Vasavada
    2. 8:30-9:00 – Management of Urinary Tract Injury – Beth Mueller
    3. 9:00-9:30 – Title/Speaker TBD
    4. 9:30-10:30 – Panel on Prolapse: Rob Gutman (moderator); Kim Kenton, Beth Mueller, Sandip Vasavada, Jim Whiteside

                   Lab: (6 stations, 25-minute rotations)

    1. Sacrospinous ligament fixation - Mark Walters
    2. Uterosacral ligament suspension - Catherine Matthews
    3. Sacral colpopexy - Marie Fidela Paraiso
    4. Vaginal mesh repair (Uphold) - Holly Richter
    5. Laparoscopic suturing (box trainers, models) - Allison Wyman
    6. Ureteral injury and repair - John Gebhart

    10:30-10:45 am – Short break, transition time for group to get together in auditorium

    10:45-11:30 am – Lunch 

    11:30-11:45 am – Transition time to get to lab

    11:45-2:15 pm – Switch groups for lecture/lab rotations and repeat 

       Lectures:

    1. 11:45-12:15 – Refractory OAB – Sandip Vasavada
    2. 12:15-12:45 – Management of Urinary Tract Injury – Beth Mueller
    3. 12:45-1:15 – Title/Speaker TBD
    4. 1:15-2:15 – Panel on Prolapse: Rob Gutman (moderator); Kim Kenton, Beth Mueller, Sandip Vasavada, Jim Whiteside

                   Lab: (6 stations, 25-minute rotations)

    1. Sacrospinous ligament fixation - Mark Walters
    2. Uterosacral ligament suspension - Catherine Matthews
    3. Sacral colpopexy
    4. Vaginal mesh repair (Uphold) - Holly Richter
    5. Laparoscopic suturing (box trainers, models) - Marie Fidela Paraiso and Allison Wyman
    6. Ureteral injury and repair - John Gebhart

    2:15 pm – Course adjourns. Shower/Check-Out/Depart. AUGS will be providing shuttle transportation to the airport for all attendees. The shuttle will depart from the Hilton Tampa at 3pm.

    3:00 pm – Shuttle departs from Hilton Tampa Hotel to Airport. Shutlle will pick up on the Jackson street side of the Hilton hotel. 

    Course Supporters

    Allergan
    Bard
    Boston Scientific
    Caldera
    Coloplast
    Ethicon
    Invuity
    KARL STORZ
    Medtronic
    Stryker

     


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