Tuesday Morning Workshops | Tuesday Afternoon Workshops
Wednesday Morning Workshops | Wednesday Afternoon Workshops
Tuesday, October 9 | 8:30 am - 12:00 pm
Global Health for the Urogynecologist: Adapting our Experience and Knowledge to the World Environment
Workshop Director: Cathy G. Flood, MD, FRCSC – University of Alberta
Faculty: Magali Robert, MD – Foothills Hospital, David J. Quinlan, BSC, MBBCH, FRCOG, FRC – Victoria Gynecology and Continence Clinic, and Dianna MacDonald, BPT – Physiotherapy, University of Alberta
Global health projects are extensive with regards to obstetrics, however work in the areas of global health in urogynecology to date are limited. This session, through interactive discussions, will explore the aspects of urogynecology education including the introduction of conservative management (including pessaries and pelvic floor physiotherapy), and cultural sensitivity including assessing the scope of pelvic floor problems, overcoming barriers.
Hands-On: Energy-Based Vaginal Therapies: The Time Has Come – Review of Basic Science, Current Evidence, Comparative Technology and Demonstration
Workshop Director: Nathan L. Guerette, MD – The Female Pelvic Medicine Institute of Virginia
Faculty: Stephanie Molden, MD, FACOG – The Female Pelvic Health Center, Kevin J. E. Stepp, MD – Carolinas Healthcare System, and Eric R. Sokol, MD – Stanford University School of Medicine
With increasing popularity, it is essential for health care providers to gain a solid foundation on the technology and available clinical options utilizing energy-based vaginal therapy. The didactic portion of this session will review this in detail, leaving you with a solid understanding of the options available. The hands-on portion will provide the attendee the chance to experience the latest technologies in the field.
Supported by Laborie
Faculty: Tim McKinney, MD – Athena Womens Institute for Pelvic Health, Mikel Gray, PhD, PNP, FNP, CUNP, CCCN, FAANP, FAAN – University of Virginia Health System, Peter Sand, MD – NorthShore University HealthSystem, G. Willy Davila, MD – Cleveland Clinic Florida Department of Gynecology and Marie Fidela Paraiso, MD – Cleveland Clinic
An interactive urodynamics workshop with clinical experts who will demonstrate hands-on experience, how to conduct a typical study, the physical aspects of testing, review of good urodynamics practices and proper use of equipment. Interpretation of studies will also be reviewed.
Note: No CME will be provided.
Multidisciplinary Evaluation and Management of Vulvar Disorders
Workshop Director: Debbie Ritchie, NP – University of Missouri
Faculty: Nazema Siddiqui, MD, MHSC – Duke University, Charles Butrick, MD – The Urogynecology Center, Elizabeth Hartmann, PT, DPT – Dee Hartmann Physical Therapy, and Leah Moynihan, RNC, MSN – Women & Infants Hospital of Rhode Island
This workshop will cover how to perform a thorough vulvar history and exam; normal vs abnormal findings; when to biopsy and vulvar treatment guidelines; skin care; dilator use; compounding formulas; and physical therapy for the patient with dyspareunia. Interesting case studies will be presented covering dealing with patients with vulvodynia.
Prevention, Recognition, Evaluation and Treatment of Complications following Vaginal, Open and Laparoscopic Urogynecological Surgery
Workshop Director: David Glazier, MD – Virginia Urology Womens Health
Faculty: Patrick J. Culligan, MD – Weill Cornell Medical College, and Blake W. Moore, MD – Virginia Urology
Complications occur following urogynecological surgery. This workshop will identify areas in which injuries can occur to become proactive in prevention of these injures. Participants will learn how to evaluate injuries and will be able to list appropriate treatment strategies.
Tuesday, October 9 | 1:30 pm - 5:00 pm
Avoiding and Managing Complications During Robotic/Straight Laparoscopy Sacrocolpopexy
Workshop Director: Patrick J. Culligan, MD – Weill Cornell Medical College
Faculty: Peter L. Rosenblatt, MD – Boston Urogynecology Associates, and Kristie Greene, MD – University of South Florida
This “video-heavy”, practical, clinical course is designed to provide detailed surgical tips used regularly by three busy urogynecologists who perform hundreds of laparoscopic sacrocolpopexies per year. The course will touch briefly on patient selection and optimal surgical steps. It will primarily focus on avoiding or getting out of trouble during difficult cases as well as ways to recognize and deal with post-op adverse events. Designed for even the most experienced attendees, participants will come away with specific and useful ideas that may lead to greater efficiency, success, autonomy and/or safety.
Basic Science Symposium
Presented by the Basic Science SIG
Workshop Director: Marianna Alperin, MD, MS – University of California, San Diego
Faculty: Gina Northington, MD, PhD – Emory University School of Medicine, and Richard Lieber, PhD – Northwestern University Feinberg School of Medicine
This workshop will focus on bringing together scientists working on fundamental problems in female pelvic medicine. The symposium will provide a forum for dynamic interactions between interdisciplinary groups of researchers, as well as between trainees of various levels and leaders in the field. The format will include podium and poster presentations with ample time for formal and informal discussions, leading to new collaborations and ideas at the cutting-edge of mechanistic research. This workshop is complimentary but advanced registration is required.
Beyond Establishing Evidence Base: Dissemination and Implementation Science
Workshop Director: Heidi W. Brown, MD, MAS – University of Wisconsin- Madison School of Medicine and Public Health
Faculty: Andrew Quanbeck, PhD – University of Wisconsin, Jane Mahoney, MD – University of Wisconsin, and Diane K. Newman, DNP, FAAN, BCB-PMO – University of Pennsylvania
Dissemination and implementation research is used to translate evidence to practice at all levels - from improving diagnosis and treatment for individual patients, to improving workflow in clinics and optimizing outcomes in operating rooms, to improving delivery of interventions at the population level. An overview of core concepts in dissemination and implementation research, introduction to research frameworks and common study designs used in this field, with direct examples relevant to urogynecology will be discussed. Participants will be able to apply these concepts to a hypothetical research design in the last hour. The wide applicability of these principles to various interventions makes it relevant for people with diverse research interests and ideal for the multidisciplinary membership of AUGS.
Evaluation and Management of Lower Urinary Tract Injuries
Workshop Director: Margaret Mueller, MD – Northwestern University Feinberg School of Medicine
Faculty: Elizabeth R. Mueller, MD – Loyola University Stritch School of Medicine and Kimberly S. Kenton, MD, MS – Northwestern University Feinberg School of Medicine
Lower urinary tract injuries are common following obstetric and gynecologic surgeries and with catastrophic outcomes if not identified and managed appropriately. A review of a learning module will be shown for evaluation and management of the lower urinary tract injuries culminating in individual assessment and management of clinical scenarios, to avoid further anticipated complications.
Hands-On: Principles of Neuromodulation
Supported by Medtronic
This program is designed for physicians interested in the use of Percutaneous Neuromodulation (PTNM) using the NURO™ system and Sacral Neuromodulation (SNM) using the InterStim™ system. Attendees and faculty will share best practices around PTNM needle placement, SNM Tined Lead Placement, Reading Fluoroscopy, and InterStim Post-implant patient management.
This workshop will include expert lectures and hands-on workshops to educate physicians on the safe and effective use of PTNM and SNM. Physicians will increase their skills and understanding of:
- PTNM needle placement
- InterStim™ Tined Lead Placement
- Reading Fluoroscopy
- InterStim™ Post-implant patient management
Note: No CME will be provided.
Transgender Surgical Care 2.0
Workshop Director: Cecile A. Ferrando, MD, MPH – Cleveland Clinic
Faculty: Dmitry Nikolavsky, MD – SUNY Upstate Medical University
FPMRS providers are likely to see transgender individuals in their practices. As such, the steps of vaginoplasty and phalloplasty surgery will be reviewed. A discussion will then focus on the important key points of the perioperative care that is necessary to ensure successful outcomes for patients and discuss the common complications that may arise after surgery. The role of a pelvic floor physical therapist is important and will be discussed with regard to transgender perioperative care and provide information on common pelvic floor issues that can occur after surgery. Lastly, lessons learned will be shared and how to care for these problems. This is a surgically oriented workshop for the provider who already understands the basics of transgender care and medicine.
Wednesday, October 10 | 8:30 am - 12:00 pm
Clinical Care of the Geriatric Urogynecology Patient
Workshop Director: Leah Moynihan, RNC, MSN – Women & Infants Hospital of Rhode Island
Faculty: Maureen Sheetz, APN – Northwestern Medical Group, Deborah Myers, MD - Brown University, Alison C Weidner, MD - Duke University Medical Center, and Colleen Mellen, NP - Hartford Hospital
The geriatric population makes up the majority of our patients but does not always get the individual attention needed. Delving deep into caring for urogynecologic concerns of the geriatric patient in a clinical setting, discussion will cover a variety of topics including: how to manage overactive bladder; recurrent urinary tract infections; prolapse and pessaries; and physical therapy issues.
Enhanced Recovery Programs: Bringing Evidence-Based, Standardized Preoperative Care to Your Patients and Overcoming Institutional Obstacles - An Interactive Session
Workshop Director: Elisa Rodriguez Trowbridge, MD – University of Virginia
Faculty: Sarah Evans, MD – University of Virginia Health System
Enhanced Recovery Programs (ERP) are evidence-based protocols designed to improve functional rehabilitation after surgery. Creating standardized surgical protocols has been shown to improve patient safety. During this time, attendees will review the component of ERPs in each phase of care and present the existing literature of outcomes of ERPs in the benign gynecologic population. Participants will also be instructed on how to implement ERP protocols by providing examples of current perioperative protocols and order sets.
Hands-On: Evaluation and Management of Common Female Urological Concerns: Microscopic/Gross Hematuria, Recurrent UTIs and Interstitial Cystitis (IC)/Bladder Pain Syndrome (BPS)
Workshop Director: Suzette Elisabeth Sutherland, MD, MS, FPMRS – University of Washington
Faculty: Jane L Miller, MD, University of Washington, Una Lee MD – Virginia Mason Medical Center, and Claire Yang, MD – University of Washington
These areas are all commonly seen in standard urogynecology/female urology practices. Contemporary, evidence-based treatment options will be highlighted. This workshop will have a didactic portion discussing the evaluation, diagnosis and treatment of common female urological issues utilizing the AUA/AUGS guidelines. Following the didactic portion, attendees will have a hands-on training with common cystoscopic procedures.
Hands-On: Pelvic Floor SUI and POP Physician Workshop (Prolapse Repair)
Supported by Boston Scientific
Limited space available.
A unique and exciting didactic and hands-on cadaver lab workshop led by experienced faculty comes to PFD Week. Advance your knowledge of pelvic organ prolapse, relevant anatomy, and proper techniques. Products include Uphold™ LITE Vaginal Support System with Capio Slim™ and biologic graft augmented prolapse repair with the Xenform™ Soft Tissue Repair Matrix
Note: No CME will be provided.
Supercharge Your Reimbursement Skills: Tips from the AUGS Coding Committee
Workshop Director: Marc R. Toglia, MD – Urogynecology Associates of Philadelphia
Faculty: Mitchell W. Schuster, MD – ObGyn Associates, Janet Tomezsko, MD – NorthShore University Health System, and Emily Hill, PA – Hill & Associates, Inc.
Learn how to select the correct E/M code for office visits from case scenarios, document well enough to survive an audit, and accurately report services both in and out of the global surgical period. Coding for complex urogynecologic surgical procedures and tips for how to bill when operating with colleagues will also be covered.
Value-Based Care – Improving Outcomes and Decreasing Cost
Workshop Director: Rebecca G. Rogers, MD – University of Texas at Austin, Dell Medical School
Faculty: Emily K. Vinas, Ed.D – University of Texas at Austin, Dell Medical School, Vineet Arora, MA, MaPP – Pritzker School of Medicine University of Chicago, and Haley J. Gardiner, MPH – University of Texas at Austin, Dell Medical School
Increasingly, health care providers are called to enhance the quality of care and improve their outcomes while reducing costs. High value clinical models are purposefully designed with these key objectives in mind. This course will introduce the participants to concepts driving value-based care with practical application in urogynecology, including the development of integrated practice units, bundled pricing, incorporation of learners into the setting, and care delivery.
Wednesday, October 10 | 1:30 pm - 5:00 pm
Capacity Building in Urogynecology in Low Resource Settings: What Role Can You Play
Workshop Director: Rahel Nardos, MD – Oregon Health & Science University / Kaiser Permanente
Faculty: Karen P. Gold, MD, MSCI – University of Oklahoma, School of Community Medicine, Ambereen Sleemi, MD, MPH – International Medical Response, and Dr. Tracy Spitznagle, PT, DPT, MHS, WCS - Washington University of St. Louis
This session will not only challenge learners to think about building blocks of long-term sustainability in pelvic floor health capacity building in global settings, but also provide them with opportunities for participation on future projects. A discussion of ethical issues involved with global health work, as well as building blocks of sustainability in global health partnerships, particularly when it comes to building capacity in urogynecology in resource poor settings, will be reviewed.
Hands-On: Pelvic Floor SUI and POP Physician Workshop (Incontinence Treatments)
Supported by Boston Scientific
Limited space available.
A unique and exciting didactic and hands-on cadaver lab workshop led by experienced faculty comes to PFD Week. Advance your knowledge of mid-urethral slings, relevant anatomy, proper techniques and hear the latest updates on clinical science. Products include: Solyx™ Single Incision Sling System, Obtryx II™ Transobturator, Advantage Fit™ Retropubic and Lynx™ Superpubic Sling Systems
- Obtryx II
- Retro pubic slings (Advantage Fit and Lynx)
Note: No CME will be provided.
Hands-On: Practical Applications of Pelvic Floor Ultrasound
Workshop Director: S. Abbas Shobeiri, MD – Inova Health System
Faculty: Lieschen H. Quiroz, MD – Oklahoma University Health Sciences Center, Gazaleh Rostami Nia, MD – Inova Fairfax Hospital and Jonia Alshiek, MD – Inova Fairfax Hospital
The manuscript pertaining to design and educational value of this workshop received the best educational research award at the AUGS 31st Annual Scientific Meeting. This program is designed to show interested clinicians how to obtain optimal images of pelvic floor muscles and organs. Attendees will learn how to obtain useful images of pelvic floor, and how to interpret clinical implications of alterations of the anatomy. In addition, emerging techniques of “dynamic” pelvic floor ultrasound and three-dimensional ultrasound will be introduced. Attendees also will get hands-on experience in optimizing sonographic images, and methods of obtaining scans of the relevant anatomy.
Leadership for FPMRS Providers
Workshop Director: Mikio A. Nihira, MD, MPH – UC Riverside – Riverside Community Hospital
Faculty: Adam C. Steinberg, DO – Hartford Hospital, and Stephanie Deter Pickett, MD – Mercy Hospital Oklahoma City
The medical environment is in a state of change that is challenging and unpredictable. FPMRS providers frequently lack the skills and mindset needed to affect pressing issues and shape the future in their enterprise and the broader healthcare ecosystem. In contrast, most of the decision-makers in hospitals have formal leadership training. One of the greatest leadership tests is effectively holding others accountable. Crucial Accountability provides individuals with an evidenced-based method to systematically break down an accountability failure and develop a strategy to address individuals who have not met their expectations.
Leveraging Enhanced Recovery After Surgery to Operationalize Same Day Discharge in an Elderly Patient Population
Workshop Director: Charelle M. Carter-Brooks, MD – Magee Women’s Hospital
Faculty: Halina M. Zyczynski, MD – Magee Women’s Hospital
Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach to peri-operative patient care through the use of multimodal, evidence-based interventions. In the US, it has become increasingly common in the last decade for colorectal, urologic and gynecologic surgery. However, ERAS has been best studied in colorectal populations with cited benefits of hastened recovery, early feeding, decreased narcotic use, early mobilization, and shortened hospital admissions. Many institutions and physicians want to implement an ERAS pathway for their patients, but face multiple barriers including large-scale buy-in, hospital culture, adherence and the logistics of implementation. In urogynecology, this shift in peri-operative care is exciting but there is really limited data on operationalizing implementation and outcomes for our elderly patients undergoing elective surgery. Attendees will learn ways to successfully implement an ERAS pathway and review ERAS and how it can be used to improve same day discharge in women undergoing prolapse procedures.
Surgical Failures: Practical Approach for Next Time
Workshop Director: Christopher M. Tarnay, MD – UCLA School of Medicine
Faculty: Jennifer T. Anger, MD, MPH – Cedars-Sinai Medical Center, and Tamara Grisales, MD – UCLA
This workshop will be heavily weighted for the practicing pelvic floor surgeon. The content will span the breadth of surgical practice and provide actual patient examples from presentation to treatment to follow up. Options will be presented with the actual solution provided. This session will be bolstered by reviewing the existing data on repair choices and our expert presenters will share their input when information gaps exist.
Urogynecology Office Practice: A Framework for Efficiency, Productivity and Profit
Workshop Director: Raymond T. Foster, Sr., MD, MS, MHSc – University of Missouri School of Medicine
Faculty: Ryan R. Stratford, MD, MBA – The Woman’s Center for Advanced Pelvic Surgery / University of Arizona College of Medicine – Phoenix, Lisa M. Brennaman, MD – University of Missouri, Mitchell W. Schuster, MD – ObGyn Associates, and Julie A. Starr, APRN, FNP-BC – Center for Female Continence and Advanced Pelvic Surgery
As a relatively new specialty, there are no clearly established standards for setting up and running an FPMRS subspecialty office. Many model their offices based on what was seen during fellowship training and others have not explored ways to improve, which in the end, becomes a tremendous benefit to patients overall. Topics covered will include office layout, equipment, the proper way to incorporate various staff without degrading productivity, implementing research data collection into office practice, how to effectively market your practice and much more. These topics will be presented both from the private and academic practice point of view.