Tuesday, 21 October, 2008
14:00 - 17:00
Educational Course 11
Assessment, Management and Treatment of Lower Bowel Dysfunction
Chair: Julia Herbert, UK
Speakers: Trish Evans, UK; Rona Mackenzie, UK; Christine Norton, UK; Muti Abulafi, Egypt/UK
Aims & Objectives:
- To gain a greater understanding of the anatomy, physiology and patho-physiology of lower bowel dysfunction
- To improve knowledge of the conservative management and treatment of lower bowel dysfunction and understand the role of surgery
Target Audience:
Specialist nurses, specialist physiotherapists, colorectal surgeons, uro-gynaecologists
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Educational Course 12
Measurement of Pelvic Floor Muscle Function - Bridging Science and Clinical Practice
Chair: Marijke Van Kampen, Belgium
Speakers: Bary Berghmans, The Netherlands; Chantale Dumoulin, Canada; Margaret Sherburn, Australia; Marijke Slieker-Ten Hove, The Netherlands
Aims & Objectives:
The aim of this educational course is to give an overview of the different measurements of the pelvic floor muscle function and to bridge science and clinical practice. Pelvic floor muscle function can be measured by different methods such as manual palpation, electromyography (EMG), squeeze pressure measurements (manometry), dynamometry, magnetic resonance imaging (MRI) and ultrasonography. This course will give an overview on standardisation of terminology of pelvic floor muscle function and dysfunction, the reliability and validity of the different assessments and practical guidelines. Important issue for all speakers will be the transfer of all this to clinical uses.
After each speaker there will be time for questions and discussions.
Target Audience:
All those who are interested in measurement of pelvic floor muscle function and dysfunction.
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Educational Course 13
Prolapse: Pearls and Pitfalls
Chair: Linda Brubaker, USA
Speakers: Kaven Baessler, Germany; Ajay Ranae, Australia; Holly Richter, USA; Tony Smith, UK
Aims & Objectives:
Women with pelvic organ prolapse benefit from knowledgeable clinicians who have insight and experience with their condition. The diverse and expert panel for this educational course will share their many years of experience in treating prolapse. In an innovative format, the faculty will share pearls that enhance successful outcomes and reduce morbidity. Important concepts regarding surgical anatomy, dissection and reconstruction will be highlighted. The faculty will frankly discuss pitfalls and cautions, including selection of surgical patients, indications for specific procedures and effects of concomitant surgery
Target Audience:
Health care providers who provide clinical care to women affected by pelvic organ prolapse.
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Workshop 34
Neurology and Clinical Neurophysiology for Uro-Clinicians
Chair: Simon Podnar, Slovenia
Speakers: Clare J. Fowler, UK; Brigitte Schurch, Switzerland
Aims & Objectives:
Aims:
- To present and discuss the most common neurologic disorders causing the lower urinary tract dysfunction (e.g. stroke, parkinsonism, multiple sclerosis, spinal cord and cauda equina lesions, etc.)
- To provide basic knowledge on history, clinical examination and investigation of these patients
- To present sacral somatic and autonomic clinical neurophysiologic tests, and illustrate utility of these tests in individual patients
Objectives:
- To make participants more familiar with relevant groups of neurologic patients
- To teach participants most relevant parts of clinical neurologic examination
- To increase participants understanding of the utility of clinical neurophysiologic tests in clinical practice
Target Audience:
Urologists, urogynaecologists, physiatrists, physiotherapists and nurses seeing also neurological patients
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Workshop 35
Outcome and Management of Complications after Urogynaecological Surgery
Chair: Elisabetta Costantini, Italy
Speakers: Donna Deng, USA; Massimo Lazzeri, Italy; Paulo Palma, Brazil; Stefano Salvatore, Italy
Aims & Objectives:
As the uro-gynaecological surgical procedures have gained popularity for the treatment of urinary incontinence (UI) and/or Pelvic Organ prolapse (POP), it has become more and more clear that they are not without potential and severe complications, whose outcome represent a challenge even for the most skilled surgeon. Assessment of patient-reported outcome is essential for each procedure, but it becomes mandatory in patients with complications. The aim of this workshop will be to investigate the management and the clinical outcome of patients with complications using minimal requirements complying with a blend of anatomical and functional requirements, objective and subjective outcome tools and longevity of data follow-up.
Target Audience:
Urologists, gynaecologists and general surgeons
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Workshop 36
Skin Health and Incontinence: Evidence-Based Practice and Current Research
Chair: Mandy Fader, UK
Speakers: Donna Bliss, USA; Alan Cottenden, UK; Tom Defloor, Belgium; Mikel Gray, USA
Aims & Objectives:
The aim of this workshop is to review and discuss the evidence-base for clinical practices designed to prevent and treat incontinence-associated skin damage. The workshop will focus on exploring the mechanisms by which skin is damaged by urine and faeces (including the effects of pressure, friction and shear); reviewing the prevalence of skin health problems in people with incontinence; discussing the reliability, validity and utility of clinical and research tools for assessing wet or damaged skin; examining the evidence to support current methods for preventing and treating skin health problems and identifying guidelines for management of skin health.
Target Audience:
Nurses, clinicians (particularly those with an interest in gerontology, long-term conditions or primary care).
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Workshop 37
Innovation in the Treatment of Male Urinary Incontinence
Chair: Carlos Arturo Levi D’Ancona, Brazil
Speakers: Paolo Di Benedetto, Italy; Antonella Giannantoni, Italy; Victor Romano, Argentina; Gommert van Koeveringe, The Netherlands
Aims & Objectives:
- Actual evaluation of male incontinent patients
- Physiotherapy in the treatment of male incontinent patient
- Description of different surgical procedures to treat urinary incontinence.
- Comparison the success rate of different techniques.
- How to treat the failures?
- Discussion cases
Target Audience:
Urologists, nurses and physical therapist
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Workshop 38
The Male Urethral Sphincter Complex
Chair: Mamdouh M. Koraitim, Egypt
Speakers: Gaber A. Aly, Egypt; Mohamed E. Hassouna, Egypt; Mostafa A. Elmissiry, Egypt
Aims & Objectives:
- To achieve a revised concept of the structure and function of the male urethral sphincter complex
- To identify the smooth and skeletal muscle components of the urethral sphincter complex, viz., lissosphincter and rhabdosphincter
- To appreciate that passive continence is exclusively maintained by the urethral lissosphincter and that active continence is primarily a function of the rhabdosphincter
- To realise that while the whole length of the urethral sphincter complex is not essential to maintain continence, a minimal length is essential for this function below which incontinence is inevitable
- To consider that certain oversimplified explanations of the mechanism of continence are inaccurate
Target Audience:
This workshop targets all urologists concerned with the mechanism of continence of urine in normal males as well as after certain urological operations which ablate either the proximal or distal part of the urethral sphincter complex (e.g., prostatectomy and posterior urethroplasty). Also target audience includes urologists interested in the issue of post-prostatectomy incontinence.
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Workshop 39
Practical Relevance of Non-Invasive Tests for Diagnosing Bladder Outlet Obstruction (BOO) in Men
Chair: Hessel Wijkstra, The Netherlands
Speakers: Matthias Oelke, The Netherlands; Ron van Mastrigt, The Netherlands
Aims & Objectives:
Theoretical and scientific background, technical requirements, performance, and pitfalls of non-invasive tests to diagnose bladder outlet obstruction in men: Measurements of isovolumetric pressure by condom catheters or the penile cuff test, sonographic measurement of detrusor wall thickness and other alternatives. Special attention will be given to the possibilities to use these test in a routine clinical environment.
Target Audience:
Urologists, people interested in urodynamics (engineers, urodynamic nurses)
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Workshop 40
The Overactive Pelvic Floor: An Integral View of Various Clinical Conditions
Chair: Francesco Pesce, Italy
Speakers: Chris Chapple, UK; Mario De Gennaro, Italy; Mike Siroky, USA
Aims & Objectives:
An overactive pelvic floor, which doesn’t relax appropriately before and during micturition or is chronically hypertonic, is the underlying key factor in several syndromes affecting lower urinary tract, bowel and sexuality. Most of these conditions are extremely distressing and largely limit the quality of life of patients. Most of them are not recognised for long time and patients undergo unnecessary treatments or are left alone. The main clinical presentations are: DYSFUNCTIONAL VOIDING, NON OBSTRUCTIVE URINARY RETENTION, CHRONIC PELVIC PAIN SYNDROME. Different terminology is used among different specialists to indicate these syndromes, adding confusion for both patients and professionals.
Other serious conditions, not related to the overactive pelvic floor, are commonly present in the same patient, e.g. interstitial cystitis/Painful Bladder Syndrome, Irritable Bowel Syndrome, Fibromyalgia. The following aspects will be covered in detail; TERMINOLOGY, PELVIC FLOOR FUNCTION, PATHOPHYSIOLOGY, ETIOLOGY, ASSESSMENT, CLINICAL PRESENTATIONS, MANAGEMENT. Participants in the Workshop, gaining an integral view on this difficult and sometimes confusing group of syndromes, will be able to recognise, diagnose and successfully treat them.
Target Audience:
Urologists, gynaecologists, physiotherapists, colo-proctologists
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