PFD Week 2018

Oct 9, 2018 ‐ Oct 13, 2018


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PFD Week is an inclusive meeting that offers access to internationally recognized leaders in the field and the opportunity to network with the most highly respected health professionals in Female Pelvic Medicine and Reconstructive Surgery.

Sessions Included:

Avoiding and Managing Complications During Robotic and Straight Laparoscopic Sacrocolpopexy (Oct 09, 2018 01:30 PM)

Surgical Failures: Practical Approaches for the Next Time (Oct 10, 2018 01:30 PM)

Enhanced Recovery Programs: Bringing Evidence-based, Standardized Preoperative Care to your Patients and Overcoming Institutional Obstacles: An Interactive Session (Oct 10, 2018 08:30 AM)

Surgical Round Robin: Apical Prolapse How to Handle It? Hysteropexy vs. Supracervical Hysterectomy/ Cervicopexy vs. Total Laparoscopic Hysterectomy /ASC vs. Vaginal Hysterectomy/ASC (Oct 11, 2018 01:30 PM)

Multi-disciplinary Defecation Disorders (Oct 12, 2018 09:05 AM)

Thieves’ Market (Oct 12, 2018 10:20 AM)

Multi-disciplinary Opioid Panel (Oct 13, 2018 09:35 AM)

Master Surgeon Presentation: 30 Years of practicing MIGS at the Teaching Institution and Avoiding Complications (Oct 13, 2018 10:30 AM)

Multidisciplinary Evaluation and Management of Vulvar Disorders (Oct 09, 2018 08:30 AM)

General Session I (Oct 11, 2018 08:15 AM)

Concurrent Session #1: Basic Science (Oct 11, 2018 10:45 AM)

Concurrent Session #2: Surgical (Oct 11, 2018 10:45 AM)

Concurrent Session #3: Non-surgical (Oct 11, 2018 10:45 AM)

General Session II (Oct 11, 2018 03:00 PM)

Concurrent Session #4: UTI (Oct 11, 2018 04:30 PM)

Concurrent Session #5: Surgical (Oct 11, 2018 04:30 PM)

Concurrent Session #6: Education & Imaging (Oct 11, 2018 04:30 PM)

General Session III (Oct 12, 2018 08:15 AM)

General Session IV (Oct 12, 2018 11:25 AM)

Concurrent Session #7: Microbiome/Basic Science (Oct 12, 2018 02:45 PM)

Concurrent Session #9: GI/Pain (Oct 12, 2018 02:45 PM)

Concurrent Session #8: Laser/Surgery (Oct 12, 2018 02:45 PM)

General Session V (Oct 13, 2018 08:35 AM)

General Session VI (Oct 13, 2018 11:15 AM)

State of the Society Presidential Address (Oct 11, 2018 09:15 AM)

SUFU Update (Oct 12, 2018 11:05 AM)

Special Lecture: Narrative Matters-The Paradox of Telling our Stories (Oct 12, 2018 12:20 PM)

Raymond A. Lee Lecture:  A Primer in Ureteral Injury (Oct 11, 2018 02:15 PM)

Approach to Urethral Prolapse (Nov 09, 2018 09:27 AM)

Techniques for Difficult Bladder Dissection during Laparoscopic Hysterectomy (Nov 09, 2018 09:27 AM)

Robotic Repair of Recurrent Intravesical Mesh Erosion following Sacrocolpopexy with Omental Interposition Graft (Nov 09, 2018 09:27 AM)

Sacrospinous Hysteropexy in the Setting of Procidentia (Nov 09, 2018 09:27 AM)

Sacrospinous Ligament Suspension Utilizing Porcine Urinary Bladder Extracellular Matrix and Polyetheretherketone Anchor Fixation (Nov 09, 2018 09:27 AM)

Laparoscopic Burch Colposuspension: Tips and tricks (Nov 09, 2018 09:27 AM)

Vaginal Salpingectomy via Posterior Transverse Colpotomy as an Option for Female Sterilization (Nov 09, 2018 09:27 AM)

Preoperative Simulation of Midurethral Sling to Decrease Resident Bladder Perforation Rate (Nov 09, 2018 09:27 AM)

The cyclist’s nodule: A rare vulvar entity (Nov 09, 2018 09:27 AM)

A Guide for Sexual Pain Disorders (Nov 09, 2018 09:27 AM)

Bridging the Gap: A Novel Approach to Communicate in the Surgical Suite in the era of Minimally Invasive Surgery. The K-Code in Laparoscopic Hysterectomy (Nov 09, 2018 09:27 AM)

Simple resection of a high partial longitudinal vaginal septum in a woman with uterine didelphys (Nov 09, 2018 09:27 AM)

Silent Hand Signals in Obstetric and Gynecologic Surgery (Nov 09, 2018 09:27 AM)

Cervical Elongation in the Setting of Uterine Preservation (Nov 09, 2018 09:27 AM)

A Cost-Effective, Reproducible and Novel Vaginal Hysterectomy Model (Nov 09, 2018 09:27 AM)

A Low-Cost, High-Fidelity Simulation Model for Vaginal Hysterectomy (Nov 09, 2018 09:27 AM)

Development and Hierarchical Task Analysis of a Robotic Pelvic Surgery Training Model (Nov 09, 2018 09:27 AM)

Robotic Uterosacral Ligament Suspension (Nov 09, 2018 09:27 AM)

A Comparison of Two Suture Techniques for Vaginal Mesh Attachment during Robotic-Assisted Sacrocolpopexy (Nov 09, 2018 09:27 AM)

Robotic Mesh Excision (Nov 09, 2018 09:27 AM)

Robot Assisted Vesicovaginal Fistula Repair via Transvesical Approach (Nov 09, 2018 09:27 AM)

Management of recurrent posterior prolapse, perineal descent, and defecatory dysfunction in a patient with a prior sacrocolpopexy: a combined repeat sacrocolpoperineopexy and modified anterior rectopexy approach (Nov 09, 2018 09:27 AM)

Dissection of the vesicorectal space at the time of vaginoplasty for the transgender woman (Nov 09, 2018 09:27 AM)

Repair of colonic neovagina using a biological graft in a transgender patient (Nov 09, 2018 09:27 AM)

Repair of recto-neovaginal fistula with interposition of Singapore posteriorly based fasciocutaneous axial flap on male-to-female trans-sexual (Nov 09, 2018 09:27 AM)

Introitoplasty and urethroplasty revision surgery in the post-vaginoplasty transgender woman (Nov 09, 2018 09:27 AM)

Tips and Tricks for Performing a Retrograde Pyelogram (Nov 09, 2018 09:27 AM)

Cystoscopy, Retrograde Pyelography, and Ureteral Stenting – A Primer (Nov 09, 2018 09:27 AM)

Tips and Tricks: Diagnosis and Management of Midurethral Sling Mesh Complications (Nov 09, 2018 09:27 AM)

Extraperitoneal uterosacral ligament suspension. (Nov 09, 2018 09:27 AM)

Ergonomics: Making the O.R. a Comfortable Place (Nov 09, 2018 09:27 AM)

Urinary Choline Levels are Decreased in Women with Urgency Urinary Incontinence (Oct 13, 2018 02:00 PM)

A 10-year Longitudinal Analysis of Urologic Symptom Onset in Women with Multiple Sclerosis (Oct 13, 2018 02:00 PM)

Intraoperative Variations of the retropubic TVT-Procedure and their immediate and mid-term Effects on Patients’ Outcome. A Prospective Randomized Controlled Multicenter Trial. (Oct 13, 2018 02:00 PM)

Do patients with positive preoperative testing for stress urinary incontinence regret declining a midurethral sling at time of apical suspension? (Oct 13, 2018 02:00 PM)

Correlation of POPQ Points C and D with Cervical Width and Length in Hysterectomy Patients (Oct 13, 2018 02:00 PM)

EP4 Receptor Expression in Pelvic Organ Prolapse and Radiation-Induced Vaginal Stenosis: A Novel Therapeutic Target (Oct 13, 2018 02:00 PM)

Site-specific repair of posterior vaginal wall prolapse: Long-term efficacy (Oct 13, 2018 02:00 PM)

The Appropriateness of Referrals to a Urogynecological Practice (Oct 13, 2018 02:00 PM)

Surgical Complications and Month of Performed Surgery - Does timing make a difference? (Oct 13, 2018 02:00 PM)

Associated changes in the Patient-Reported Outcomes Measurement Information System scores following Sacral Neuromodulation for Fecal Incontinence (Oct 13, 2018 02:00 PM)

What is the cost of surgical site infections and extended length of stay for obese patients undergoing open sacrocolpopexy? (Oct 13, 2018 02:00 PM)

Current practice trends: Postoperative guidelines following prolapse repair (Oct 13, 2018 02:00 PM)

Healthcare Cost and Resource Utilization Associated with use of Laparoscopy with Vaginal Hysterectomy: 5-Year Single Institutional Study of 697 Patients (Oct 13, 2018 02:00 PM)

A Survey of Practice Patterns of Combination Anti-incontinence and Prolapse Repair Procedures Amongst Female Pelvic Medicine and Reconstructive Surgery Providers (Oct 13, 2018 02:00 PM)

Are pelvic floor ultrasound parameters affected by aging? A Comparison between Young and Old nulliparous women (Oct 13, 2018 02:00 PM)

DESCRIPTION AND SIGNIFICANCE OF AN ANATOMIC VARIATION OF SUBURETHRA (Oct 13, 2018 02:00 PM)

Patient characteristics associated with successful PTNS therapy for overactive bladder symptoms after 12 weekly sessions (Oct 13, 2018 02:00 PM)

The Impact of Prior Prolapse Repairs on Surgical Outcomes With Minimally Invasive Sacral Colpopexy. (Oct 13, 2018 02:00 PM)

Relationship between Interstitial Cystitis (IC) with or without Cystoscopic Findings and Gastroenterological (GI) Functional and Mucosal Disorders (Oct 13, 2018 02:00 PM)

Comparison of Clinical Outcomes in Robotic Assisted Sacrocolpopexies with the DaVinci S and DaVinci Xi (Oct 13, 2018 02:00 PM)

Changes in the Patient-Reported Outcomes Measurement Information System scores following Sacral Neuromodulation for Lower Urinary Tract Symptoms (Oct 13, 2018 02:00 PM)

Six year experience in teaching pelvic floor ultrasonography using pelvic floor phantoms (Oct 13, 2018 02:00 PM)

Real-world Performance of onabotulinumtoxin A (BOTOX) and Sacral Nueromodulation (SNM) (Oct 13, 2018 02:00 PM)

Urinary incontinence among competitive female Rope Skipping athletes: A cross-sectional study (Oct 13, 2018 02:00 PM)

Postpartum contraception after obstetric anal sphincter injury (Oct 13, 2018 02:00 PM)

Guided Vaginal Biofeedback Leads to Higher Absolute Pelvic Floor Muscle Strength in Kegel-naïve Patients (Oct 13, 2018 02:00 PM)

Is Video-urodynamic superior to traditional urodynamic study in changing treatment decision for female lower urinary tract symptom? (Oct 13, 2018 02:00 PM)

Intraperitoneal Drain Placement at the Time of Mesh Removal is associated with a Lower Risk of Postoperative Fluid Collection: A Quality Improvement Project (Oct 13, 2018 02:00 PM)

Surgical Outcomes Comparing Patients With Prior Versus Concomitant Hysterectomy Undergoing Minimally Invasive Sacral Colpopexy. (Oct 13, 2018 02:00 PM)

Perceptions of Pelvic Floor Disorders in Community Dwelling Women in the United States (Oct 13, 2018 02:00 PM)

Long term clinical outcome of Simple Excision of Eroded Mesh with Vaginal Estrogen after Urogynecologic surgery. (Oct 13, 2018 02:00 PM)

Do Symptom Impact and Quality of Life Improve after Obtaining a Diagnosis of Interstitial Cystitis/Painful Bladder Syndrome? A Cross-Sectional Questionnaire Based Study (Oct 13, 2018 02:00 PM)

Increasing Age Predicts Increasing Residual Urine Volume (Oct 13, 2018 02:00 PM)

Can We Trust the Math: A Quality Assurance Project Evaluating the Validity of Postvoid Residual Estimation by Subtraction (Oct 13, 2018 02:00 PM)

Implementation of a Multifaceted Intervention in Support of Transvaginal Hysterectomy (TVH) in an Academic Center and Its Effect on TVH Rates (Oct 13, 2018 02:00 PM)

Soft Tissue Mobilization for Lumbopelvic Pain in the Third Trimester of Pregnancy (Oct 13, 2018 02:00 PM)

Patient Experience Scores Before and After the Implementation of Electronic Medical Records in an Academic Urogynecology Practice (Oct 13, 2018 02:00 PM)

Intraperitoneal Colpopexy with Complete Vaginal Reconstruction: A Retrospective Case Series (Oct 13, 2018 02:00 PM)

Iliococcygeus fixation compared with Abdominal sacral colpopexy to treat Uterine prolapse for Elderly patients (Oct 13, 2018 02:00 PM)

Impact of age on long-term outcomes of midurethral sling surgery in female (Oct 13, 2018 02:00 PM)

Transvaginal Foley assisted repair of high vesicovaginal fistulas (VVF) for recurrent difficult to manage cases: a case series (Oct 13, 2018 02:00 PM)

The Role of Pelvic Organ Prolapse and Menopause Status in Gene Expression of Proteins in Smooth Muscle in the Vagina: A Prospective Analysis. (Oct 13, 2018 02:00 PM)

Demographic Changes and Effects on the Mode of Delivery. A retrospective Analysis of a large Birth Registry containing 27,767 Singleton Deliveries in a Level I Center (Oct 13, 2018 02:00 PM)

Extended First Uninterrupted Sleep Period in Nocturia Patients with Nocturnal Polyuria Following Treatment with AV002, an Emulsified Microdose Vasopressin Analog Nasal Spray for Nocturia (Oct 13, 2018 02:00 PM)

Increase in Percentage of Nights with ≤1 Nocturic Voids per Night in Nocturia Patients with Nocturnal Polyuria Following Treatment with AV002, an Emulsified Microdose Vasopressin Analog Nasal Spray for Nocturia (Oct 13, 2018 02:00 PM)

A Pilot Study of Percutaneous Tibial Nerve Stimulation for the treatment of Interstitial Cystitis/ Bladder Pain Syndrome (Oct 13, 2018 02:00 PM)

Standard: $200.00

Sessions

Multidisciplinary Evaluation and Management of Vulvar Disorders

Oct 9, 2018 8:30am ‐ Oct 9, 2018 12:00pm

Identification: session1116_0

This workshop will cover how to perform a thorough vulvar history and exam; normal vs abnormal findings; when to biopsy and vulvar treatment guidelines; skin care; dilator use; compounding formulas; and physical therapy for the patient with dyspareunia. Interesting case studies will be presented covering dealing with patients with vulvodynia.

Learning Objectives:

  • Identify the anatomy and pathophysiology of vulvar dermatology/vulvodynia conditions
  • Perform a history and physical to evaluate the female patient with vulvar symptoms
  • Identify abnormal vulvar exam findings
  • Discuss the appropriate treatment plan for the patient with vulvodynia and vulvar dermatologic abnormalities including: medications, life-style modifications, compounded preparations, and sexual pain (including partner education/ participation)
  • Verbalize the physical therapist exam and treatment modalities for the patient with secondary vulvar pain, dyspareunia and pelvic floor hypertonus dysfunction (resulting from vulvar dermatosis) and identify which patients are appropriate for a PT referral

Speaker(s):

Avoiding and Managing Complications During Robotic and Straight Laparoscopic Sacrocolpopexy

Oct 9, 2018 1:30pm ‐ Oct 9, 2018 5:00pm

Identification: session1080_0

This “video-heavy”, practical, clinical course is designed to provide detailed surgical tips used regularly by three busy urogynecologists who perform hundreds of laparoscopic sacrocolpopexies per year. The course will touch briefly on patient selection and optimal surgical steps. It will primarily focus on avoiding or getting out of trouble during difficult cases as well as ways to recognize and deal with post-op adverse events. Designed for even the most experienced attendees, participants will come away with specific and useful ideas that may lead to greater efficiency, success, autonomy and/or safety.

Learning Objectives:

  • At the conclusion of this workshop, participants will be able to describe optimal steps of laparoscopic sacrocolpopexy with and without the robot
  • At the conclusion of this workshop, participants will be able to describe patient positioning and room set-up techniques designed to avoid complications
  • At the conclusion of this workshop, participants will be able to describe ways to prevent and / or manage intraoperative and postoperative surgical complications of this operation.

    Speaker(s):
    • Patrick J. Culligan, MD, New York Presbyterian Hospital - Weill Cornell Medical Center
    • Peter L. Rosenblatt, MD, Assistant Professor, Boston Urogynecology Associates; Beth Israel Deaconess Medical Center; Mount Auburn Hospital; Harvard Medical School
    • Kristie A. Greene, MD, University of South Florida

    Enhanced Recovery Programs: Bringing Evidence-based, Standardized Preoperative Care to your Patients and Overcoming Institutional Obstacles: An Interactive Session

    Oct 10, 2018 8:30am ‐ Oct 10, 2018 12:00pm

    Identification: session1092_0

    Enhanced Recovery Programs (ERP) are evidence-based protocols designed to improve functional rehabilitation after surgery. Creating standardized surgical protocols has been shown to improve patient safety. During this time, attendees will review the component of ERPs in each phase of care and present the existing literature of outcomes of ERPs in the benign gynecologic population. Participants will also be instructed on how to implement ERP protocols by providing examples of current perioperative protocols and order sets.

    Learning Objectives:

    • Identify the principles of enhanced recovery programs (ERP) and list the important components of ERP in each phase of care
    • Identify the current evidence base, as well as gaps in understanding and controversies of enhanced recovery programs in the benign gynecologic literature
    • Identify approaches and strategies to create multi-disciplinary teams to lead and gain organizational buy-in for practice change and improvement of peri-operative outcomes
    • List practical steps to develop an enhanced recovery program within an organization

    Speaker(s):

    Surgical Failures: Practical Approaches for the Next Time

    Oct 10, 2018 1:30pm ‐ Oct 10, 2018 5:00pm

    Identification: session1081_0

    This workshop will be heavily weighted for the practicing pelvic floor surgeon. The content will span the breadth of surgical practice and provide actual patient examples from presentation to treatment to follow up. Options will be presented with the actual solution provided. This session will be bolstered by reviewing the existing data on repair choices and our expert presenters will share their input when information gaps exist.

    Learning Objectives:

    • Identify examination techniques and tools to diagnose specific anatomic defects in patients with recurrent prolapse. Identify factors contributing to failure including: diagnositic accuracy, surgical technique limitations, and patient issues
    • List techniques to address repair after failures, including role of augmentation options
    • List tips on how to counsel patients, manage expectations, and the use evidence to inform and develop shared decision making strategies.
    • List methods to avoid pitfalls and optimize vaginal and bladder function. Consider staged vs concomitant use of flaps in vaginal reparative surgery.

      Speaker(s):

      General Session IGeneral Session I

      Preview Available

      General Session I

      Oct 11, 2018 8:15am ‐ Oct 11, 2018 9:15am

      Identification: session1157_0

      Speaker(s):

      State of the Society Presidential Address

      Oct 11, 2018 9:15am ‐ Oct 11, 2018 10:15am

      Identification: session1177_0

      Speaker(s):
      • Charles R. Rardin, MD, FACOG, FACS, Associate Professor of Obstetrics and Gynecology, Alpert Medical School of Brown University

      Concurrent Session #1: Basic Science

      Oct 11, 2018 10:45am ‐ Oct 11, 2018 11:45am

      Identification: session1158_0

      Speaker(s):

      Concurrent Session #2: Surgical

      Oct 11, 2018 10:45am ‐ Oct 11, 2018 11:45am

      Identification: session1159_0

      Speaker(s):

      Concurrent Session #3: Non-surgical

      Oct 11, 2018 10:45am ‐ Oct 11, 2018 11:45am

      Identification: session1160_0

      Speaker(s):

      Surgical Round Robin: Apical Prolapse How to Handle It? Hysteropexy vs. Supracervical Hysterectomy/ Cervicopexy vs. Total Laparoscopic Hysterectomy /ASC vs. Vaginal Hysterectomy/ASC

      Oct 11, 2018 1:30pm ‐ Oct 11, 2018 2:15pm

      Identification: session1104_0

      Come cheer on your favorite team when surgical experts from across our field meet to compete for the title of best uterine/apical mesh suspension technique. While use of the anterior longitudinal ligament has become widely popular for uterine and apical suspension, there is hot debate over the “best” method of performing these procedures as well as the risks and benefits of mesh-augmentation. Our experts will meet in a round robin competition to present the benefits of their specific surgical technique.  The victors of the first round will then present further evidence in round two, in order to determine a final champion. Audience participation will be used throughout the competition and to determine the ultimate champion.  May the best team win!

      Learning Objectives:

      • Consider different bases for preserving the uterus when pursuing apical repair
      • Discuss risks and benefits of different surgical routes for sacrocolpopexy
      • Discuss the evidence supporting TLH/ASC
      • Employ surgical different techniques for sacral and vagina mesh fixation with sacrocolpopexy
      • Determine optimal patient selection for different surgical routes of sacrocolpopexy

      Speaker(s):
      • Geoffrey W. Cundiff, MD, FACOG, FACS, FRCSC, Centre for Health Evaluation Sciences, University of British Columbia, OB/GYN
      • Shawn Menefee, MD, Kaiser-
      • Kimberly Kenton, MD, MS, Northwestern University
      • Robert E. Gutman, MD, Associate Professor, Fellowship Director, MedStar Washington Hospital Center, Georgetown University