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Fellows Hands on Course

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 year’s course will train one fellow from each fellowship program who has not attended this course in the past. 
 

Course Information

Date
January 15-16, 2018

Location
Tampa, FL
 

Faculty

Course Directors
John Gebhart, MD and Robert Gutman, MD

Kimberly Kenton, MD 
Elizabeth Mueller, MD 
Marie Fidela Paraiso, MD
Charles Rardin, MD
Holly Richter, MD 
Peter Rosenblatt, MD 
Mark Walters, MD
James Whiteside, MD 
Allison Wyman, MD
 

Schedule of Events

Monday, January 15
Time Session Location
7:00 am Registration Second Floor Pre-Function Area
7:00 am – 7:45 am Breakfast Second Floor Dining Room
7:45 am – 8:00 am Welcome and Introductions Second Floor Auditorium
8:15 am – 11:45 am Group A Lectures
Native Tissue repair of Pelvic Organ Prolapse - Mark Walters, MD
Management of Fecal Incontinence - Holly Richter, MD
Surgical Management of Constricted Vagina - John Gebhart, MD
Laparoscopic Anatomy Demonstration - Marie Fidela Pariaso, MD
Second Floor Auditorium
8:15 am – 11:45 am Group B Labs
Interstim and Fluoro on Cadaver and Models - Peter Rosenblatt, MD
Cystoscopy/Stents/Retrograde Images and Technique - Elizabeth Mueller, MD
Burch and Retropubic Space - Kimberly Kenton, MD
Vaginal Mesh Repair - Charles Rardin, MD
Rectus Fascial Sling - Robert Gutman, MD
Obturator Anatomy in Relationship to Sling - James Whiteside, MD
Mid-urethral Sling - Marie Fidela Paraiso, MD and Allison Wyman, MD
Cystoscopy/Botox, Cystoscopy/Coaptite and Durasphere - Industry Representatives
First Floor Labs 1&2
11:45 am – 12:45 pm Lunch with Intuitive Second Floor Dining Room
12:45 pm – 4:15 pm Group B Lectures
Native Tissue Repair of Pelvic Organ Prolapse - Mark Walters, MD
Management of Fecal Incontinence - Kimberly Kenton, MD
Surgical Management of Constricted Vagina - John Gebhart, MD
Laparoscopic Anatomy Demonstration - Marie Fidela Pariaso, MD
Second Floor Auditorium
12:45 pm – 4:15 pm Group A Labs
Interstim and Fluoro on Cadaver and Models - Peter Rosenblatt, MD
Cystoscopy/Stents/Retrograde Images and Technique - Elizabeth Mueller, MD
Burch and Retropubic Space - Holly Richter, MD
Vaginal Mesh Repair - Charles Rardin, MD
Rectus Fascial Sling - Robert Gutman, MD
Obturator Anatomy in Relationship to Sling - James Whiteside, MD
Mid-urethral Sling - Marie Fidela Paraiso, MD and Allison Wyman, MD
Cystoscopy/Botox, Cystoscopy/Coaptite and Durasphere - Industry Representatives
 
4:15 pm – 4:30 pm Transition Time from Lab  
4:30 pm – 5:00 pm Wrap Up Second Floor Auditorium
6:00 pm – 8:00 pm Social Event  
 
Tuesday, January 16
Time Session Location
7:00 am – 7:45 am Breakfast with Laborie Second Floor Auditorium
7:45 am – 8:00 am Transition Time to Lab  
8:00 am – 10:30 am Group B Lectures
Refractory OAB - Peter Rosenblatt, MD 
Management of Urinary Tract Injury - Elizabeth Mueller, MD
Hysteropexy vs Hysterectomy - Robert Gutman, MD 
Panel on Prolapse
Moderator: James Whiteside, MD 
Panelists: Robert Gutman, MD; Kimberly Kenton, MD; Elizabeth Mueller, MD; Peter Rosenblatt, MD 
Second Floor Auditorium
8:00 am – 10:30 am Group A Lab
Sacrospinous Ligament Fixation - Charles Rardin, MD
Uterosacral Ligament Suspension - Mark Walters, MD
Sacral Colpopexy - Marie Fidela Pariaso, MD 
Sphincteroplasty/Perineal Sphincter Anatomy - Holly Richter, MD
Laparoscopic Suturing - Allison Wyman, MD 
Ureteral Injury and Repair - John Gebhart, MD 
First Floor Lab
10:30 am – 11:30 am Lunch Second Floor Dining Room
11:30 am – 11:45 am Transition Time to Lab  
11:45 am – 2:15 pm Group A Lectures
Refractory OAB - Peter Rosenblatt, MD 
Management of Urinary Tract Injury - Elizabeth Mueller, MD
Hysteropexy vs Hysterectomy - Robert Gutman, MD 
Panel on Prolapse
Moderator: Charles Rardin, MD 
Panelists: Robert Gutman, MD; Holly Richter, MD; Elizabeth Mueller, MD; Peter Rosenblatt, MD 
Second Floor Auditorium
11:45 am – 2:15 pm Group B Lab
Sacrospinous Ligament Fixation - James Whiteside, MD
Uterosacral Ligament Suspension - Mark Walters, MD
Sacral Colpopexy - Marie Fidela Pariaso, MD 
Sphincteroplasty/Perineal Sphincter Anatomy - Kimberly Kenton, MD
Laparoscopic Suturing - Allison Wyman, MD 
Ureteral Injury and Repair - John Gebhart, MD 
First Floor Lab
2:15 pm – 3:00 pm Shower/Hotel Check-out Hilton Tampa Hotel
3:00 pm Shuttle Departs for Airport Hilton Tampa Hotel (Jackson St. Side)

 

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.
     

 

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