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 - 08:55        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 - 09:15        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 - 09:35       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 - 09:55      What if she wishes future pregnancy?

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

​                                   Nicola Dykes

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09:55 - 10:25      Morning Tea

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Session 2: Case Scenario             Chair: Anna Rosamilia

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

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10:25 - 10:45         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           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

                           

11:05 - 11:30             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 

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

• 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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11L50  - 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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12:10 - 12:30             Urethrolysis for Prolonged Voiding Difficulty following Burch Colposuspension and Fascial Sling

• How I do it Videos

• Data on Effectiveness & Risk of Stress Incontinence Recurrence

      Christopher Maher​

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 12:30  - 13:20            Lunch

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Session 3: Videos on Tips & Tricks in Pelvic Floor Surgeries         Chair: Christopher Maher

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13:25 - 13:45          Positioning Patients & Postures of Surgeons: How to avoid injuries?

                                Edward Ribbons

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13:45 - 14:10          Video: 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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14:10  - 14:30          Posterior vaginal repair: The 3 compartment approach

​                               Christopher Maher

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14:30 - 14:50          Videos on Fascia Lata Sacrocolpopexy including how to harvest Fascia Lata & use it in Pelvic Reconstructive Surgery?

                                  What are the results so far?

                               Anna Rosamilia    ​

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14:50 - 15:15         How to avoid and manage Vascular Injuries during Sacrocolpopexy

Electrocautery, surgical clips, suturing, bone peg/wax

How to manage Bowel Serosal Tears

                                Alex Wong ( Colorectal )

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15:15 - 15:35        Urethrovaginal Fistula Repair

                               Mugdha Kulkarni 

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15:35 - 15:55        Afternoon Tea

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

 

15:55- 16:20          Plastic surgical techniques to correct Vaginal Shortening/ Narrowing and Perineal Reconstruction

​                                 Sally Ng ( Plastics )

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16:20 - 16:45          Interesting Case Presentation 2 

• Internal Iliac Artery Bleeding after Colpocleisis

• Bilateral Hydronephrosis after Gellhorn Pessary

• Defecation Dysfunction in Connective Tissue Disorder Patient

• Inguinal Hernia and Sacrocolpopexy

• Vaginal Abscess after Colpocleisis

​                                     Yik Lim

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16:45-16:50            Closure

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