THE IMPERIAL OLLEGE MASTER CLASS FEMALE PELVIC ANATOMY ...

201 3 I N T E R N AT I ON AL ACADE MY OF P ELV IC S U R G E RY
and

IMPERIAL COLLEGE, LONDON

THE IMPERIAL COLLEGE MASTER CLASS IN FEMALE PELVIC ANATOMY,
UROGYNAECOLOGY & RECONSTRUCTIVE PELVIC SURGERY

HANDS ON WORKSHOP WITH FRESH FROZEN CADAVERS

JULY 4 - 6, 2013

THIS COURSE IS CO-SPONSORED BY
THE INTERNATIONAL ACADEMY OF PELVIC SURGERY

PROGRAM DIRECTORS: ALEX DIGESU, MD, PHD, St Mary’s Hospital London, Imperial College, UK

RUWAN FERNANDO, MS, MD, MRCOG, St Mary’s Hospital London, Imperial
College, UK

VIK KHULLAR, BSC, MD, FRCOG AKC, St Mary’s Hospital London, Imperial
College, UK

COURSE FACULTY: LINDA CARDOZO, MD, FRCOG, Professor of Urogynaecology and
Consultant Gynaecologist, King’s College Hospital, London UK

EMMANUEL CHARTIER-KASTLER, MD, PHD, Professor of Urology, Pitié
Salpêtrière Paris Hospitals, France

HAROLD ELLIS, MD, CBE, FRCS, Emeritus Professor, Department of
Anatomy & Human Sciences, King’s College London School of Medicine,
UK

SUZY ELNEIL, MD, PHD, MRCOG, Consultant Urogynaecologist and
Gynaecologist, University College Hospital & National Hospital for Neurology
and Neurosurgery, London, UK

MICKEY M. KARRAM, MD, Professor of Obstetrics, Gynecology and Urology,
University of Cincinnati School of Medicine, Cincinnati, Ohio, USA

MARK D. WALTERS, MD, Professor of Surgery, Vice Chair of Gynecology,
Obstetrics, Gynecology & Women’s Health Institute, Cleveland Clinic,
Cleveland, Ohio, USA

COURSE OBJECTIVES:
This postgraduate master course has been designed for clinicians and surgeons who would
like to advance their knowledge of female pelvic anatomy and their surgical skills in all
areas of urogynaecology and reconstructive pelvic surgery. The workshop will achieve these
goals with:

1. Didactic lectures on anatomy and surgical procedures

2. Hands on-dissection of human female fresh frozen cadavers

3. Video demonstrations

4. Simulators/ pelvic mannequins

5. Case presentations on avoiding & managing complications and point/counterpoint
discussions or controversial surgical topics

COURSE OUTLINE:
DAY ONE will include didactic sessions covering the anatomy of the pelvis, video
presentations of different reconstructive urogynaecological surgeries, and a “hands-on”
session using models and prosections.

DAY TWO will include “hands on” fresh frozen cadavers covering the surgical techniques as
well as technical tricks for various anti-incontinence and reconstructive surgical procedures.
This will include a hands-on training in repairing obstetric anal sphincter injuries (OASIS)
using different surgical approaches to treat fecal incontinence as well as a practical session
on different neuromodulation techniques. Delegates will also be instructed and guided
through the anatomical dissection with the aid of faculty members. A total of 8 soft-
preserved cadavers will be available. A maximum of 6 participants will be assigned to each
cadaver.

DAY THREE will include presentations on avoiding and managing complications as well
as an expert discussion/debate on controversial topics such as vaginal mesh, uterine
preservation and single incision slings.

LOCATION:
Dissecting Room
2nd Floor, Hodgkin Building
School of Biomedical and Health Sciences
Kings College London
Guys Campus
SE1 1UL
Tel: 02078486599

Download the Travel/Logistics Information for more details.

REGISTRATION FEES: $1,550.00 USD
Consultants, Associate Specialists, Staff Grade Doctors, Trainees

Limited spaces available (50)

DAY ONE, THURSDAY, JULY 4TH
09:00 – 09:20 Registration

09:20 – 09:30 Introduction and Course Overview

09:30 – 10:30 Human Pelvis & Dissection Techniques ..................................... Dr. Harold Ellis
This didactic session will review the bony pelvis, ligaments, nerves and
blood vessels of the female pelvis and inner groin.

LONDON 10:30 – 10:50 Q&A

10:50 – 11:00 Coffee Break

11:00 – 12:00 Anatomy as it Relates to Specific Surgical Procedures ...... Dr. Mickey Karram
Dr. Mark D. Walters

This session will utilize illustrations and video clips to review important
anatomic landmarks as they relate to sling procedures and specific pelvic
reconstructive procedures.

12:30 – 12:20 Q&A

12:20 – 13:00 Lunch

13:00 – 13:30 Repair of Anterior Vaginal Wall Prolapse .......................... Dr. Mickey Karram

13:30 – 14:10 Surgery for SUI; Which Procedure for Which Patient ......... Dr. Linda Cardozo
Dr. Emmuanuel Chartier-Kastler

14:10 – 14:30 Video presentations with panel discussion

14:30 – 15:00 Repair of Posterior Pelvic Floor Abnormalities ...............Dr. Ruwan Fernando
Dr. Linda Cardozo

15:00 – 15:20 BREAK

15:20 – 15:50 Vaginal Mesh Augmentation; When and Why ................ Dr. Mark D. Walters

15:50 – 16:30 Apical Prolapse Procedures ........................................................Dr. Vik Khullar

16:30 – 17:00 Video presentations with panel discussion

17:00 – 17:40 Vesicovaginal Fistula and Urethral Diverticulum ................ Dr. Linda Cardozo
Dr. Mickey Karram

17:40 – 18:00 Q&A

DAY TWO, FRIDAY, JULY 5TH: “Hands-on” Session on Fresh Frozen Cadavers
Delegates will be instructed and guided through the anatomical dissection
and reconstructive pelvic surgeries

08:30 – 09:00 Breakfast

09:00 – 12:30 Cadaver Lab - Faculty
Anatomic Dissection and performance of ani-incontinence procedure,
prolapse repairs, and how best to manage bladder and bowel injuries

12:30 – 13:30 Lunch

13:00 – 15:30 Cadaver Lab - Faculty
Surgery for fecal incontinence including rectovaginal fistulae repair,
anal sling and artificial anal sphincter

15:30 – 17:30 Cadaver Lab - Faculty
Neuromodulation techniques, including PTNS and sacral
neuromodulation

DAY THREE, SATURDAY, JULY 6TH: Interactiave Panel Discussion
08:30 – 09:00 Breakfast and Registration

09:00 – 10:00 Avoiding and Managing Surgical Complications, Including
10:00 – 11:30 Ureteral Injury ......................................................................................... Faculty
Debate/Expert Discussion ....................................................................... Faculty
11:30 – 12:00 CASE 1. 49 year-old with primary Stage 3 prolapse

Vaginal native tissue suture repair vs. sacrocolpopexy vs. vaginal mesh
augmentation
CASE 2. Uterine preservation at the time of prolapse repair; pro’s and con’s
CASE 3. Current and future role of single incision sling procedures
Q&A

12:00 – 12:15 Completion of Course Evaluations

LONDON FACULTY

Dr Alex Digesu
Dr. Alex Digesu is a Consultant Obstetrician & Gynaecologist and
Urogynaecology Subspecialist, at St. Mary’s Hospital, Imperial College of
London, UK. He completed his Obstetrics and Gynaecology training from
the Bari University followed by his PhD in Oncological, Gynaecological
and Geriatric Surgery from the same university. He completed a
five year fellowship in Urogynaecology in London at King’s College
Hospital under the supervision of Prof. Linda Cardozo and St. Mary’s
Hospital under the supervision of Mr. Vik Khullar followed by two year
subspecialty training in Urogynaecology at Imperial College of London.
His area of expertise is urogynecology and neurourology including the
assessment and management of patients with lower urinary tract symptoms and pelvic floor
dysfunctions. His research studies include management and care of patients presenting a
broad range of pelvic floor dysfunction including overactive bladder syndrome, urinary
incontinence, bladder and urogenital pain, urinary and bowel symptoms, urodynamics
(saline, video and ambulatory urodynamics), 2D and 3D ultrasound imaging as well as MRI
imaging of the lower urinary tract and pelvic floor, neurourology, pelvic organ prolapse.
He has published extensively on these topics. Since he completed his training, he worked as
Obstetrician and Gynaecologist Consultant in several University teaching Hospitals as well
as District General Hospitals in both Italy and Switzerland. He is also an Honorary Senior
lecturer in Neurourology, at Beata Vergine Hospital, Mendrisio, Switzerland. He is member
of the Editorial Board of the International Urogynaecology and Pelvic Floor Dysfunction
Journal. In January 2011 he has been nominated as Chairman of the International
Urogynecology Association (IUGA) Publication Committee.

Dr. Ruwan Fernando
Dr. Fernando is a Consultant, Obstetrician & Gynaecologist,
Urogynaecology Subspecialist, and Honorary Clinical Senior Lecturer
for St Mary’s Hospital London, Imperial College, UK. His awards
include: Harold Malkin Prize for the best original research in 2006 and
Overseas Fund Award in 2002 from the Royal College of Obstetricians &
Gynaecologists. His professional affiliations and memberships include:
British Society of Urogynaecologists, International Urogynecological
Association, International Continence Society, and Royal Society
of Medicine. His research interests are in child birth, pelvic floor
dysfunction and combined bladder and bowel dysfunction.

Dr. Vik Khullar
Mr. Khullar is a consultant Urogynaecologist at St Mary’s Hospital,
London, specialising in urinary incontinence, bladder problems, vaginal
prolapse and pelvic floor reconstruction. He is also Reader in Urogynae-
cology at Imperial College London.

Mr. Khullar is the recent vice Chairman and ex-treasurer of the British
Society of Urogynaecologists, and ex-chairman of the International
Continence Society Internet committee and the International
Urogynaecological Association. He is on the editorial board of a number
of journals including the International Urogynecological Journal,
Women’s Health and the International Journal Clinical Practice. Mr. Khullar has published
over 150 peer reviewed publications, has co-authored a wide range of peer-reviewed

publications and book chapters, and has been an invited speaker at a number of
national and international congresses. Recent areas of research include quality of life
assessment after vaginal prolapse, treatment of overactive bladder, vaginal prolapse
surgery, and studying treatments for mixed urinary incontinence

Prof. Linda Cardozo
Linda Cardozo is Professor of Urogynaecology and Consultant
Gynaecologist at King’s College Hospital, London. She trained
at Liverpool University Medical School and qualified MBChB
in 1974. Thereafter she developed a special interest in urinary
incontinence at St. George’s Hospital under the aegis of
Professor Stuart Stanton obtaining an MD in 1979, MRCOG
in 1980, and FRCOG in 1991. Following her appointment as a
Consultant Obstetrician and Gynaecologist in 1985 she continued
to develop her interest in all aspects of urogynaecology
including the influence of hormones on the lower urinary tract,
conservative and surgical treatment of stress incontinence, the pathophysiology
and pharmacological treatment of detrusor overactivity and the management of
urogenital prolapse.

Professor Cardozo now heads a busy and productive tertiary referral urogynaecology
department at King’s College Hospital. She has a large clinical workload dealing
with complex urogynaecological problems in a supra-regional tertiary referral
unit teaching medical students, training junior doctors and undertaking clinical
research. Her publications include more than 500 original papers in peer review
journals, 23 books and 130 book chapters. She is a member of the Editorial Board
of 12 Scientific Journals. Professor Cardozo has been President of the International
Urogynaecological Association, Association of Chartered Physiotherapists in
Women’s Health and Section of Obstetrics and Gynaecology of the Royal Society of
Medicine. She was the Founding Chairman of the British Society of Urogynaecology,
Past Chairman of British Menopause Society and of the Education Committee
of International Continence Society. She is currently Co-Chairman of the World
Health Organization International Consultation on Incontinenceand President of
the European Urogyneacology Association. She has sat on numerous committees
including the Council of Royal College of Obstetricians and Gynaecologists for whom
she is currently an International Fellows Representative.

Prof. Emmanuel Chartier-Kasler
Professor E. Chartier-Kastler received his MD from Paris VI
University in 1989 and was accredited as a urologist in 1992. He is
accredited as general surgeon and urologist. He was fellow and
assistant professor between 1992 and 1998 in the department
of urology of the academic Pitié-Salpétrière hospital. Since
September 2001, he is professor of urology at the department
of urology, medical school Pierre et Marie Curie, University
Paris VI. He is head of the functional urology programme
including female and male urinary incontinence diagnosis
and management, female pelvic floor disorder, urological
malformations and neurourology. His research areas include incontinence diagnosis
and management (pharmacological treatment, devices and surgery), overactive

LONDON bladder (neuromodulation, Botulinum toxin studies and other new treatments under
development), BPH (new treatments) and neurourology.

Prof. Chartier-Kastler is active member of the board of the French Association of
Urology (AFU), past general secretary (2004-2007) and current chairman of the
scientific committee, past member of the AFU Neurourology Committee and active
member of the French speaking group of Neurourology (GENULF). He is involved
in all major international congresses of urology as speaker, chairman and/or guest
speaker. He was involved in the French consensus conference regarding urinary
nosocomial infections (2004) and has been an active member of the committee for
conservative treatment in the neuropathic area during the International Consultation
on Incontinence (ICI) from 1998 to 2004.

Prof. Chartier-Kastler has published more than 254 peer-reviewed articles and
book chapters on topics related to urology, especially in the field of incontinence
and neuro-urology. He is leading with Pr Giuliano (chair), Pr Denys and Pr Lebret
a research unit dedicated to neuropharmacology of the bladder and sexual
dysfunction, so that many students are working on for master or PhD degree. His
running projects concern Botulinum toxin for overactive bladder and BPH, evaluation
of new drugs in this area and interstitial cystitis evaluation and treatment. As a
neurourologist he prepared the final report of the 2006 French Congress of Urology
(100th congress, November 2006, Paris): “neurogenic bladder and urological
management” with Alain Ruffion (MD, PhD). member of the ICS neurourology group
he would like to promote knowledge and good practice in this area internationally.
He has been member of the organizing committee of major international (ICS-IUGA
2004 and 100th SIU 2007 congress which took place in Paris) and national meetings
(French congress organizer 2005, 2006 and 2007). He his leading the IUGA/ICS
application for the organization of the joined meeting in Lyon (France) year 2015.

Prof. Harold Ellis
Prof. Harold Ellis CBE FRCS is Emeritus Professor of Surgery in the
University of London and currently a professor in the Department
of Anatomy & Human Sciences at the King’s College London
School of Medicine. He qualified at the University of Oxford
and since then he undertook national service as a Captain in the
Royal Army Medical Corps, afterwards continuing his training as
a surgical registrar in London, Sheffield and Oxford before taking
up a post as Senior Lecturer in the University of London. In 1962,
he took up the foundation chair of surgery at the Westminster
Hospital, a post which he held until his retirement from practice
in 1989. After a stint teaching anatomy in the University of Cambridge, he took up
his present position in 1993.

Dr. Harold Ellis is one of the most notable British surgeons of the past fifty years,
renowned both for his inspirational teaching and as the author of the definitive
student textbook Clinical Anatomy, now in its twelfth edition. He held positions as a
Vice-President of the Royal College of Surgeons of England and of the Royal Society
of Medicine and was president of the British Association of Surgical Oncology. The
Professor Harold Ellis Medical Student Prize. For Surgery is named after him, and has
been awarded by the Royal College of Surgeons since 2007. The International Journal
of Surgery has awarded the Harold Ellis Prize in Surgery annually since 2003.

Dr. Suzy Elneil
Miss Sohier Elneil is a Consultant Urogynaecologist and
Gynaecologist at University College Hospital and the National
Hospital for Neurology and Neurosurgery in London. She started
her career in the field of Urogynaecology in the early 1990’s
when she became involved with patients who suffered vesico-
vaginal fistulas and female genital mutilation in the developing
world. Despite surgery, many of them went on to suffer further
problems with incontinence. This led her to study the physiology
and pharmacology of sensory bladder dysfunction in women.
This was with a view to determine whether the pathophysiology
could be elucidated, and hence form the focus for new drug therapies. This
naturally led on to her current interest in the neurology of the bladder and its
surrounding organs at a cellular level, and the role they play in both neurogenic
and non-neurogenic bladder dysfunction. As a result she also looks after women
with uro-neurological problems, which incorporates the investigation, diagnoses
and treatment of patients with neurological bladder dysfunction. At the National
Hospital for Neurology and Neurosurgery, Queen Square in London, she runs the
Sacral Neuromodulation programme for bladder dysfunction, which is used in
patients in whom all other treatment modalities have failed.

Though she worked in Obstetrics for twelve years throughout her training career,
she no longer does so because of her commitment to dealing with patients with
intractable pelvic floor dysfunction. However, she still has a direct attachment to
the speciality. In the last few years it has become increasingly evident that women
need specialist surgery following childbirth. Perineal injury and rectal sphincter
trauma remain a problem in the postpartum period in both the developed and the
developing world. Often specialist reconstructive surgery is the first step on the road
to recovery.

Miss Elneil is involved with many national (Wellbeing of Women) and international
(WHO, FIGO, IUGA and UNFPA) organisations in promoting women’s health
throughout the developed and developing world.

LONDON Prof. Mickey M. Karram
Dr. Mickey Karram is an Internationally renowned
urogynecologist and pelvic surgeon. Dr. Karram is the Director
of Urogynecology at the Christ Hospital, Cincinnati, Ohio,
and Volunteer Professor of Obstetrics and Gynecology at the
University of Cincinnati School of Medicine. He is also editor-
in-chief of the International Urogynecology Journal, and the
consumer publication Women’s Health Today. Dr. Karram is past
chairman of the board of the American Urogynecology Society
Foundation, past president of the American Urogynecology
Society, and co-founder and President of the Foundation for Female Health
Awareness. He has published more than 175 scientific articles.

Prof. Mark D. Walters
Dr. Mark D. Walters is Professor and Vice Chair of Gynecology in
the Obstetrics, Gynecology, & Women’s Health Institute at the
Cleveland Clinic in Cleveland, Ohio, USA. He has authored or co-
authored over 130 publications, 80 book chapters, and 4 books,
including Urogynecology and Reconstructive Pelvic Surgery, 3rd
Edition (with Dr. Karram), which has been translated into English,
Spanish, and Chinese.

Dr. Walters was the Director of the Urogynecology Fellowship
at the Cleveland Clinic from 1993 to 2010 and has trained over
25 fellows, many of whom are in academic practice. He is currently the President
of the Society of Gynecologic Surgeons (SGS) and is the Director of the AUGS
Comprehensive Review Course in 2013.

REGISTRATION: London
Total program is 3 days.
The cost of the program is $1550.00 USD for Consultants, Associate Specialists,
Staff Grade Doctors, Trainees
Limited spaces available (50)

To register or get more information, please visit www.academyofpelvicsurgery.com,
select desired program from Courses tab and navigate to Register button or contact:
CHERYL PERRERO • 513-404-8321 • [email protected]