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.
This course will train one fellow from each fellowship program who has not attended this course in the past.
- Identify patients who can benefit from vaginal, laparoscopic, and robotic surgery for complex gynecologic and urologic problems.
- 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.
- Select patients who are appropriate candidates for mesh and native tissue vaginal prolapse repair.
- Identify, appropriately work-up, and surgically manage simple and complex stress and urge urinary incontinence and overactive bladder to include neurogenic and idiopathic cases.
- Recognize and manage complications that can arise during reconstructive pelvic surgeries.