VAGINOPLASTY: AN INTERACTIVE UPDATE ON GENDER AFFIRMING SURGERY
Join Cecille Ferrando (Cleveland Clinic Foundation, Cleveland, OH, USA), Javier Belinki (former Chair of Word Professional Association of Trans Health, annual meeting, Buenos Aires, Argentina) and Ervin Kocjancic (University of Illinois, Health and Science, Chicago,IL USA) for this live online event to familiarize yourself with the most common surgical techniques in trans female gender affirming surgery. The event will discuss the alternative surgical procedures and allow the watchers to familiarise, recognise and manage the common complications.
UTERINE PRESERVATION IN PELVIC ORGAN PROLAPSE SURGERY - ELECTIVE SURGERY AND PATIENT CHOICE
Surgery for pelvic organ prolapse is only indicated for bothersome disease after conservative therapies have failed. Traditionally, removal of the uterus was part of the surgical solution. In recent years, women voiced their desire to preserve their uterus, putting forward a variety of legitimate reasons, ranging from a desire for fertility to a sense of femininity or wholeness conferred by a uterus. There are numerous surgical techniques for uterine preserving prolapse surgery, both vaginally and laparascopically. In this ICS live event, we aim to provide the current evidence on the subject and share with you the expertise of recognised specialists in the field.
Incontinence and Continence Care in Nursing Homes: What we can Learn from the Social Sciences
Drawing on research from the social sciences, this webinar offers fresh new insights into continence care in nursing homes. Coming from different disciplinary backgrounds, each presenter shares findings from their in-depth qualitative research conducted in nursing homes. They show how good continence care is not simply about managing incontinence, but about fine-tuned professional skills of seeking to listen to and identify the client’s needs – particularly when the client can no longer express their preferences, values and goals for care. While emphasising the client’s right to a good quality of life, safety, privacy and dignity, they debate the limits of privileging nursing home residents’ self-care abilities, independence and choice. They call for nurses to value fundamental care and to take the lead in reframing dirty work as dignity work – to identify as protectors of residents’ dignity. Note this session will be 1.5 hours and will be available to watch straight away, on demand if you cannot watch live.
PHYSICAL THERAPY MANAGEMENT OF IC/BPS: AUA GUIDELINES COMPARED TO EAU GUIDELINES
This will be a case study presentation to discuss the management of an IC/BPS patient. Specific attention will be given to the step by step variation in the process between the two guidelines. The scientific basis to the physical therapy protocol utilized in the RCT’s that were instrumental in making manual physical therapy as the second-line treatment in the AUA guidelines will be discussed in detail. The physical therapy approach in the second line treatment category of the AUA guidelines is a Clinical Evidence Standard with an Evidence Strength-Grade A.
THE PATIENTS DILEMMA: FEARS FOR COVID-19 FOR NEUROGENIC BLADDER COMPLICATIONS
The world has been in lockdown during COVID-19, each country has locally faced the outbreak in similar but different ways. We’ll report real-life examples from two Italian hospitals, Milan and Florence, and compare the management in other countries/institutions such as in France (Paris).A comparison will be made regarding the management and planning from these organisations. As well as a discussion on the management and planning from other European countries. The online discussion will provide the opportunity to further discuss the broad, further experiences and specific aspects, in other realities from all over the world.During the online session we’ll discuss our results using telemedicine, teleconsultation and what other changes in our clinical practices have taken place since the outbreak. Moreover, we’ll present a clinical case on how neuro-urological signs and symptoms can mask Covid-19 infection. Finally we will talk about how to overcome and balance new patients’ perceptions and fears regarding attending hospital appointments, due to Covid-19. In order to ensure patients attend these appointment and follow up appointments, in order to manage the risk of neuro-urological complications due to the delay of treatment.
CONTINENCE NURSING DURING THE COVID-19 PANDEMIC - ADJUSTMENTS AND IMPLICATIONS FOR THE FUTURE
Continence nurses from around the world will describe adjustments to their professional practice in response to the COVID-19 pandemic and implications for the future. Using short interviews, nurses will discuss successful adaptations, challenges, and impact on patients/families/students in various settings: advanced practice clinic-based care in Canada and the US, long-term care of the aged in Australia, and reassignment in hospitals in Hong Kong, China, and alternative formats of nursing education in Scotland and the US. Lastly, nurses in Germany will reflect on early precautions then continuing adjustments as they emerge from some restrictions.
ANATOMIC TIPS AND TRICK OF FEMALE/FUNCTIONAL UROLOGIC SURGERY - LIVE AND CADAVERIC EXPERIENCES
Pelvic-perineal surgery are performed in a complex anatomical area. For this reason, performing the surgeries with the correct anatomical approach, knowing important anatomical landmarks, and qualified and accurate surgical training quickly are related to expert anatomic knowledge of this region in terms of female /functional urologic surgical procedures. Cadaveric dissection has been fundamental in the teaching of surgical anatomy for centuries providing a detailed dissection area, to learn the relevant anatomical structures in the surgical field. However, in the light of advanced technological development; three dimensional (3D) printed materials, software applications, radiology based (computed tomography) visual products or virtual/augmented reality models are the novel options of modern anatomy education. In live webinar, ICS Experts will share their experiences on anatomic tips and tricks of female/functional urologic surgery with using 3D medical printed/cadaveric and live models.
10 PEARLS FOR DIFFERENTIAL DIAGNOSIS OF PAIN IN ALL GENDERS
oin ICS experts Elise De and Charles Argoff on Friday 26th June at 17:30 BST (GMT +1). This webinar is designed to structure a concrete approach to pelvic pain, founded in the literature and guidelines, and informed by experience. The participants will be provided a structured review, highlighting important causes of pelvic pain in 9 organ systems plus systemic pain. We will discuss organ-based pain and neurological causes and conditions associated with persistent pelvic pain, including specific peripheral nerve involvement, spinal cord injury, more generalized neuropathic disorders, as well as central sensitization (widespread augmentation of sensory processing). Rheumatologic disorders and evaluation of local versus systemic pain will be explored. Treatment pearls, patient management tools and educational resources will be provided.
ARE THERE ALTERNATIVE EXERCISES TO PELVIC FLOOR MUSCLE TRAINING TO TREAT FEMALE STRESS URINARY INCONTINENCE?
Today there is level 1 evidence and recommendation A for pelvic floor muscle training (PFMT) to treat stress urinary incontinence (SUI) in women. All the ICI meetings have concluded that PFMT should be first line treatment for the condition. Nevertheless, we see suggestions for alternative treatment options in the literature. This webinar will discuss the theoretical rationale and evidence for PFMT in treatment of SUI; why PFMT? This will be followed by discussion on the evidence for other suggested programs such as transverse abdominal training, the Paula method, breathing exercises, posture and use of general exercise/physical activity.
ADVANCES IN NEUROMODULATION: COMPLEX CLINICAL CASES
This webinar addresses the role of minimally invasive neuromodulation techniques (sacral (SNM), posterior tibial (PTNS), and implantable tibial nerve devices) in patients with LUTD.Target audience includes doctors, physiotherapists and nurses. Clinical cases will be presented to shed light on indications, troubleshooting and follow-up.The aims of the webinar include:Raise awareness on current indications of minimally invasive neuromodulation techniques for LUTD, including patients with neurological lesions;Provide tips and tricks to avoid complications;Develop advanced programming skills;Recognize current unmet needs and the role of recent technological developments.
THE LAPAROSCOPIC/ROBOTIC SACROCOLPOPEXY FOR THE MANAGEMENT OF POP
Tune in on Wednesday 3rd June at 14:00 BST (GMT +1) to ICS experts Mauro Cervigni, David Castro-Diaz and John Heesakkers .The Prolapse of Pelvic Organs (POP) represents an emerging problem in the female population both for the number of cases and for the aspects still controversial in its management. POP treatment has always been managed transvaginally by pelvic surgeons of gynecological extraction and retropubically by urological surgeons. The retropubic approach both laparoscopically and robotically by means of Sacrocolpopexy (SCP) has recently received a new relief following the recent American FDA report which in April 2019 totally banned the use of synthetic meshes in the transvaginal treatment of the POP. This is in relation to the medium / long-term data requested from companies in the specific area that have not shown a statistically significant superiority of the transvaginal mesh repair (with not irrelevant number of side effects) compared to those with native tissue. The aim of this seminar via webinar is to focus the current indications on the use of the SCP; the advantages the limitations and the comparison of the various procedures, highlighting the positive aspects and those still controversial of the technique with the aid of videos aimed at showing fundamental steps of one of the most reliable and safe procedure in the surgical management of the POP.
10 PEARLS FOR MANAGING CHRONIC PELVIC PAIN IN PATIENTS WITH MESH COMPLICATIONS
This webinar is designed to provide both the average and expert clinician practical instruction for pelvic pain. This highly prevalent class of disorders must be taken into account when planning pelvic floor surgical procedures, and are especially true when surgical interventions to correct mesh-related complications are contemplated. The webinar participant will understand how to perform a simple yet thorough evaluation and steps in perioperative management of the patient with mesh-related pain or preexisting pain. Understanding these straightforward concepts will promote successful outcomes and enhance patient quality of life.
LABORATORY LOCKDOWN – KEEPING THE TEAM CONNECTED AND PROGRESSING THE SCIENCE.
Join us for a discussion of how our labs and lab management has changed with the pandemic. Different institutions have adopted a range of approaches and have found ways to restore at least partial productivity. Join us to learn from each other, ask questions of experts, and share good ideas. We have gathered a panel of expert researchers who have navigated this territory very well from 3 different countries: Drs. Lori Birder and Maryrose Sullivan from USA, Dr. Karen McCloskey from Northern Ireland, UK and Dr. Celia Cruz from Portugal.
CURRENT CHALLENGES IN NEUROMODULATION FOR LOWER URINARY TRACT DYSFUNCTION
Neuromodulation by stimulation of a sacral nerve (SNM) is a therapy for refractory OAB. More than 300,000 patients have been implanted with a recharge-free device (InterStim II, Medtronic), but this system is only approved for MRI head scans. Recently rechargeable MRI proof devices (Axonics r-SNM System, Interstim Micro) have been introduced. A rechargeable battery result in a smaller volume pulse generator and reduces operative IPG changes. However, there are also potential pitfalls associated with rechargeable devices. A shared decision-making process between patient and physician is recommended.
SCHOOL OF MODERN TECHNOLOGY: POST-PROSTATECTOMY INCONTINENCE AND TECHNOLOGY-BASED APPROACH - A CASE BASED DISCUSSION
Modern Technology discussion on Post-prostatectomy Incontinence and Technology-based Approach - a Case Based Discussion. Post-prostatectomy Incontinence (PPI) is a significant complication that can have a negative impact on the quality of life of patients suﬀering with it. Treatment alternatives have increased with technological advances in pharmaceutical and medical fields. The current gold standard for surgical treatment in patients who fail conservative management is insertion of an artificial urinary sphincter (AUS), however, many alternatives including sling procedures, injection therapy and implanted balloons are useful on market. However, novel technologies including 3D printed medical devices, customized prosthesis, pre-operative surgical planning for better understanding anatomy would be the future of technology-based approach to post-prostatectomy incontinence.
OAB AND NOCTURIA IN THE TIME OF COVID19 PANDEMIC
There is a relationship between anxiety and depressive symptoms and overactive bladder. The COVID19pandemic has got a large impact on the emotional wellbeing of people, there is anxiety, depression, social isolation and diminished access to the healthcare system. It is well possible that these factors aggravate OAB symptoms and to address affective symptoms is now even more important than ever in the care for patients with OAB. During this live-stream the pathophysiology of the relation between affective symptoms and OAB and the treatment of it are discussed.A multidisciplinary approach to Nocturia, a frequent and bothersome LUTS, is presented in the second part. The causative factors involved are discussed and the possible effects of lockdown are presented.Presenters:Desiree Vrijens, from the Maastricht University Centre in Maastricht, The Netherlands.Francois Hervé, from the Cliniques Universitaires Saint-Luc in Brussels and Ghent University Hospital, Belgium
FEMALE & FUNCTIONAL UROLOGY IN THE COVID ERA
The COVID19 crisis has affected every aspect of life world-wide including medical care. Urology generally and female and functional urology more specifically has been probably one of the most affected urological sub-specialities as almost all operations, diagnostic procedures and outpatient clinics in benign functional urology have been postponed to protect patients, health-care professionals and resources such as anaesthetic machines which could be used for COVID19 patients and surgical emergencies. We have two key-opinion leaders from two of the world’s hardest hit countries by the COVID19 crisis who will share their experience of how female and functional urology cases, which affect quality of life drastically, have been managed and what plans there are post-COVID19 crisis to deal with the huge backlog of cases with the uncertainty of the COVID19 pandemic continuing for several months.
DISCUSSION ON AUTOLOGOUS FASCIAL SLINGS
Howard Goldman will give a presentation of the role of Fascial Slings with step by step videos of operative techniques. Howard will go through different ways to harvest fascia, vaginal incision, passing the sutures, tying, etc. This session will be excellent for those looking for non mesh alternatives. This will be excellent for early career professions not familiar with the techniques.
LOWER URINARY TRACT SYMPTOMS: AN ISSUE-BASED DISCUSSION : FOCUS ON CRITICAL ISSUES THAT TROUBLE THE CLINICIAN!
Join ICS Experts Enrico Finazzi Agrò, Sanjay Sinha and Tufan Tarcan on Thursday 7th May at 15:00 BST (GMT+1) for a live discussion on LUTS: An Issue-Based Discussion. Sanjay will cover Overactive Bladder and Refractory Urgency Incontinence. Tufan will talk about Prolapse and Stress Urinary Incontinence and Male LUTS will be covered by Enrico. This discussion will be of particular interest to young professionals as real issues will be discussed.
HOW TO MANAGE YOUR NEUROUROLOGY PATIENTS IN THE CURRENT PANDEMIC – A CASE BASED DISCUSSION
Join ICS experts and Institute Directors Rizwan Hamid (School of Neurourology) and Emre Huri (School of Modern Technology) as they conduct a live case based discussion Friday, 24th April at 2pm BST. The experts will discuss an MS case and then reference it against the current COVID-19 situation. How to use modern technology, alternative management strategies and how functional urologists and neurourologists can manage their patients in the current pandemic will also be covered.Join in the debate via the comments section below and ask Rizwan and Emre about their cases.