Courses & Workshops

Monday, 20 October, 2008
14:00 - 17:00

Advanced Neurourology

Chair: Jacques Corcos, Canada
Speakers: Karel Evraert, Belgium; Jerzy Gajewski, Canada; Helmut Madersbacher, Austria; Piotr Radziszewski, Poland;

Aims & Objectives:

• Describe the role of advanced urodynamics in the management of OAB
• Give details on non-invasive approach to neuro bladders management (catheters, external devices etc..)
• List the indications of intravesical treatment of NOAB
• Explain in detail the technique of intravesical injections of BonT
• Understand the remaining role of electrical therapy
• Describe the possible alternative surgical treatments of N OAB and N ISD.

Target Audience:
Trained urologists and other physician and health professionals (nurses, technicians etc...) with experience in neurogenic bladder management
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Ethical Issues in the Use of New Devices & Implants

This course is FREE to all ICS Annual Meeting participants, however, advance registration is required for logistical purposes.

Chair: Lewis Wall, USA
Speakers: TBA

Aims & Objectives:

1. To provide an overview of the ethical problems surrounding the introduction of new devices and implants into the market for clinical use
2. To provide an overview of the legal framework by which such products are currently approved in the US/UK/Europe
3. To review a particular case study of a product introduction gone wrong and to see what lessons might be learned
4. To provide an overview of the medico-legal ramifications of new device use by clinicians
5. To discuss what ought to be done in future with regard to the introduction of new devices and implants into clinical practice

Target Audience:
All ICS members and meeting participants, including representatives from industry
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Pelvic Floor Ultrasound – Practice

Please note that W17 and W20 are being sold as two separate workshops -delegates can choose to attend either one or both workshops.

Chair: Hans Peter Dietz, Australia
Speakers: Stefan Albrich, Germany; Margaret Sherburn, Australia; Kamil Svabik, Czech Republic; Zeelha Abdool, South Africa

Aims & Objectives:
This workshop will familiarise attendees with the basic methodology and clinical uses of pelvic floor ultrasound imaging, both using 2D ultrasound and 3D/ 4D technology, including the detection and assessment of pelvic floor trauma.  It is divided into a theoretical segment in the morning (W17) and a practical part in the afternoon (W20)

The afternoon segment will start with live 4D pelvic floor ultrasound of 3-4 volunteer patients. There is an opportunity for hands-on training for the most courageous, followed by post-processing analysis of previously obtained de-identified volume data sets. Participants will be able to use post-processing software on laptop computers, performing 'virtual scanning' on data sets showing a range of different abnormalities.

Target Audience:
Obstetricians/gynaecologists, urologists, urogynaecologists, radiologists, physiotherapists, colorectal surgeons
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Developing a New Treatment Device; How to Get an Idea to the Marketplace

Chair: Marcus Drake, UK
Speakers: Elizabeth Dymond, UK; Adele Long, UK; Margaret Parton, UK; Art Butcher, USA  

Aims & Objectives:
Devices are used at all stages of continence management, ranging from aids for pelvic floor muscle training to surgical implants. Each has undergone several stages to convert the initial concept into reality. In this workshop, experts will describe all stages of the innovation pathway, including feasibility testing, engineering design and prototypes, product manufacture and introducing the device to the market. Requirements of legislative bodies, intellectual property management, working in partnership with industry and what influences national health systems to adopt certain devices will be highlighted. Delegates will gain new insight into the complexity of medical devices innovation and how to find help developing a new device for use clinically.

Target Audience:
Members of all the health professions and medical devices industries
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Modeling in Urodynamics: Why Modeling, Which Models, for What Use?

Chair: Françoise A. Valentini, France
Speakers: Derek J. Griffiths, USA; Leonor Mazieres, France; Pierre P. Nelson, France

Aims & Objectives:
To introduce the concept of mathematical models in urodynamics: What is a model, how it can be used as a tool by the physician (simulation of pathophysiological diseases, effect of drugs or surgery) and what kind of model is the more suitable in urodynamics. To describe what a model has to take into account. To present the current models and to discuss the applications proposed for these models. To consider the nature of possible future models.

Target Audience:
Physicians needing a tool for better analysis of urodynamic recordings, researchers
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Detrusor Contractility During Voiding: What is Known, What Standards Do We Have? 

Chair: Peter F.W.M. Rosier, The Netherlands
Speakers: Samih Al-Hayek, UK; Antonio Cucchi, Italy; Jan Groen, The Netherlands; Ron van Mastrigt, The Netherlands

Aims & Objectives:
Detrusor contractility during voiding is a complex and a very important function. There are different methods in quantifying and classifying contractility but little is known about why some patients have underactive detrusor or how this changes over time. This workshop will allow participants to:

• Understand the physiology of detrusor function during voiding
• Look at different methods of assessing the detrusor contractility
• Explore new methods of classifying and quantifying detrusor contractility
• Look at factors that affect contractility and how does this function changes over time (natural history)

Participants are encouraged to bring their own ideas as the workshop is going to be highly interactive.

Target Audience:
Clinicians and researchers interested in assessing detrusor contractility urodynamically and those who deal with detrusor underactivity patients
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Non-Surgical Management of Incontinence and Prolapse with Vaginal Support Devices; A Low Risk Treatment Option for Women of All Ages

Chair: Lesley Hanson, Canada
Speakers: Ranee Thaker, UK; Abdul Sultan, UK; Margaret Wilson, Australia; Maire Doyle, Northern Ireland/UK

Aims & Objectives:

1. To review current literature
2. To discuss what is new in pessary use as well as the current research in order to update participants
3. To discuss indications for use of vaginal pessaries for the various associated conditions
4. To disscuss best practice with regard to how to size, fit and evaluate pessary fitting and the follow up regimes recommended and why
5. To have a panel discussion of case studies to allow participants to gain further understanding of pessary use in specific instances
6. Outline management strategies for troubleshooting problems encountered with using a vaginal pessary

Target Audience:
Clinicians interested in conservative treatments for female urinary incontinence and pelvic organ prolapse
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Strategies to Implement Pelvic Floor Muscle Training During Pregnancy and After Childbirth

Chair: Kari Bo, Norway
Speakers: Wael Agur, UK/Egypt; Bary Berghmans, The Netherlands; Siv Mørkved, Norway

Aims & Objectives: The aim of the workshop is to give evidence for the use of pelvic floor muscle training in prevention and treatment of urinary incontinence during pregnancy and after childbirth and to discuss possible strategies to improve adherence and implementation of pelvic floor muscle training for  women.

Target Audience:
Physical therapists, gynaecologists, obstetricians, urologists, general practitioners, nurses
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Practical Aspects of Bulking Agents in the Treatment of Pelvic Floor Dysfunction

Chair: Sherif Mourad, Egypt
Speakers: Philip Van Kerrebroek, The Netherlands; Kurt Lobodasch, Germany; Waleed Al Taweel, Saudi Arabia; Emmanuel Chartier-Kastler, France

Aims & Objectives:
Injection therapy has evolved in the last 2 decades to treat many storage and emptying problems and various pelvic floor dysfunctions.  Different materials and chemicals are used now to either increase or decrease the outlet resistance and to abolish detrusor overactivity. In the fast evolving world of minimal invasive therapy, such modalities became imperative to be included in the treatment armamentarium of pelvic floor dysfunction. In this workshop, we will be demonstrating various injection techniques used to treat various pelvic floor dysfunctions including the Adjustable continence therapy device.

Target Audience:
Urologists, uro-gynaecologists, neuro-urologists, physiotherapists, nurses
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A Look Beyond the Pelvic Floor - Neuromechanical and Physiological Factors that Affect Continence and other Pelvic Functions

Chair: Ruth Sapsford, Australia
Speakers: James Ashton-Miller, USA; Paul Hodges, Australia; Gert Holstege, The Netherlands;

Aims & Objectives:
Neuroanatomy, physiology, and clinical observations indicate the contribution of pelvic floor (PF) muscles to continence, support and sexual function are influenced by muscles of the abdomino-pelvic cavity and associated pressures. PF rehabilitation could be enhanced by consideration of this entire system. International experts in neuroanatomy, biomechanics, neurophysiology and rehabilitation will discuss;

1. Anatomy, physiology and biomechanics of continence mechanisms and PF loading
2. Central organization of projections to abdominal and PF motoneurons and their functional significance
3. Coordination between PF, abdominal and diaphragm muscles in continence and incontinence
4. Thinking beyond the PF in rehabilitation of PF muscle function.

Target Audience:
Physiotherapists, urogynaecologists, urologists, continence advisors, obstetricians and those interested in pelvic floor rehabilitation, physiology and anatomy.