Symposium Lecture Program

08:00-08:30         Arrival and Registration

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08:30 - 08:35       Welcome

 

Session 1: Case Scenario       Chair: Peter Dwyer 

36 year old with procidentia +10cm. Prolapse worsened following traumatic forceps delivery kg of 5kg baby 3 years ago. Now with voiding difficulty but not incontinent. Various pessaries expelled and Renal Ultrasound suggesting Pre-void 422ml, post-void 348ml . Unsure if completed family.

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08:35 - 08:50        Levator Avulsion Injuries

• How to diagnose, clinical examination vs imaging

• Significance of bilateral vs unilateral injury; partial vs full thickness injury

                                 Lin Li Ow​

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08:55 - 09:10        Female Voiding Dysfunction:

• Definition & diagnostic criteria

• Obstructive vs Neurological

• When is catheter necessary & at what postvoid residue volume?

​                               Joseph Lee

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09:15 - 09:30       Masked/ Occult Stress Incontinence on Urodynamics

• Is it worth treating?

• If she did not have voiding difficulty/incontinence, is it even worth performing Urodynamic Test?

                                   Lore Schierlitz​

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09:35 - 09:50      What if she wishes future pregnancy?

• Examining the evidence of outcomes following  stress incontinence and prolapse surgeries (Slings/Burch/Bulking/ Manchester/Hysteropexy/Sacrohysteropexy)

​                                   Alon Ben David

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09:55 - 10:25      Morning Tea

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Session 2: Case Scenario             Chair: Carly Walsh

56 year old wishing surgery for her Stress Incontinence which failed conservative management

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10:25 - 10:40         Value of Pre-operative Urodynamic Studies

• Is Cough Stress Test + Flow study/ Post-void Residue adequate?

• Does changing surgical choice based on Urodynamic Test improve outcomes?

• What if Urodynamic Test is Negative? Is pad test necessary?

​                                   Natharnia Young

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10:45 - 11:05          Post-operative Trial of Void

• Evidence of various Trial of Void Protocols

• When should you perform catheterization

• In & out catheter vs Indwelling Catheter

​                                    Debjyoti Karmakar 

                           

11:10 - 11:25             What if she is postmenopausal and has a non-enlarging 14-16/40 sized Fibroid Uterus?

• Pelvic Mass Reduction vs SUI Surgery vs Both Surgeries

• How accurate is Urodynamic Test in the presence of Pelvic Mass?

​                                     Alison De Souza

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11:30 - 11:50            Managing Post-operative Complications

• Timeframe for Sling Loosening if prolonged voiding difficulty

• Would sling loosening help Refractory De Novo Overactive Bladder?

• Suburethral mesh exposure: revision vs excision results

​                                   Peter Dwyer

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11:55 - 12:10            She ends up with Refractory de novo Overactive Bladder & wishes Botox Injection

• Evidence of 100 vs 150 vs 200 units

• Evidence of submucosal vs intradetrusor injection

• Does number of injections affect outcome?

​                                     Kristina Cvach

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12:15  - 13:00           Lunch

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Session 3: Videos on Tips & Tricks in Pelvic Floor Surgeries         Chair: Anna Rosamillia

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13:05 - 13:25          How to harvest Fascia Lata & use it in Pelvic Reconstructive Surgery? What’s the Results so far?

​                               Ruth Cameron Jeffs

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13:30 - 13:50          How to access the Uterosacral Ligaments Intra- vs Extra-peritoneal approaches, Laparoscopic and V-Notes

                                 approaches, Is there any Evidence one is better than the other?

                               Payam Nikpoor

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13:55  - 14:15          Plastic surgical techniques to correct Vaginal Shortening and Narrowing

                                 Austin Health Plastic Surgeon (TBC)

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14:20  - 14:35         Positioning Patients & Postures of Surgeons: How to avoid injuries

                                 Edward Ribbons and Physio

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14:40 - 15:00          How to avoid and manage Vascular Injuries during Sacrocolpopexy Electrocautery, surgical clips, suturing,

                                 bone peg/wax

​                               Alex Wong

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15:05 - 15:25          Afternoon Tea

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Session 4: The X Files (Unusual and Interesting Cases)               Chair: Yik Lim

 

15:25 - 15:55          Interesting Surgical Case Presentation 1 (Cases TBC)

​                                 Anna Rosamillia

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15:55-  16:30         Interesting Case Presentation 2 

• Internal Iliac Artery Bleeding after Colpocleisis

• Bilateral Hydronephrosis after Gellhorn Pessary

• Prolonged Post-operative Pain in Connective Tissue Disorder Patient

• Inguinal Hernia and Sacrocolpopexy

• Vaginal Abscess after Colpocleisis

​                                     Yik Lim

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16:30                  Closure

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*Approved for RANZCOG CPD, Domains: EA: 3.00, OM: 3.00