School of functional reconstructive surgery of Pelvic FloorChief: Professor Rodolfo Milani

3° INTERNATIONAL COURSE ON FUNCTIONAL RECONSTRUCTIVE

SURGERY OF PELVIC FLOORON FUNCTIONAL RECONSTRUCTIVE

SURGERY OF PELVIC FLOOR

June 3-4-5, 2015

President of the CourseRodolfo Milani

Course DirectorFederico Spelzini

Università degli Studi di Milano Bicocca – Monza (Italy)

3° INTERNATIONAL COURSE

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Under the patronage of

Associazione Ginecologi Universitari Italiani

Azienda Ospedaliera San Gerardo

Università degli Studi di Milano-Bicocca

Gruppo di Lavoro in Uroginecologia e Pavimento pelvico

Associazione Ostetrici Ginecologi Italiani

Società Italiana di Chirurgia Colo-Rettale

Società Italiana di Urodinamica

Società Italiana di Urologia

Società Italiana di Ginecologia ed Ostetricia

Società Lombarda di Ostetricia e Ginecologia

Wednesday, June 03, 2015

10.00 Welcome and course presentation R. Milani

10.10 About prolapse Discussant: R. Milani

• Anatomy and function of pelvis supportive mechanism J. DeLancey • The view of anatomy of pelvic supports by laparoscopy J.B. Dubuisson • Pre-operative work-up in prolapse surgery M. Frigerio • Risk factors for prolapse: is some prevention fiseable?

B. Shull

11.40 Reconstructive surgery by vaginal route Discussant: F. Spelzini

• Evolution of strategy and technique of prolapse vaginal surgery

L. Cardozo • Our rationale and technique for fascial reconstructive

surgery of pelvic floor R. Milani

• Risk factors for recurrence of prolapse after fascial reconstructive surgery

B. Shull

12.40 Lunch

13.45 Live surgery 1 Discussant: J. DeLancey

• Vaginal Hysterectomy and fascial repair R. Milani, F. Spelzini

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15.30 How I do that (alternative procedure to surgery 1) Discussant: B. Shull

VIDEO from Prof. L. Cardozo VIDEO from Prof. P. Dwyer VIDEO from Prof. J. DeLancey

Discussion

16.50 Coffee break

17.10 Role of mesh in prolapse surgery Discussant: M. Cervigni • Mesh repair of pelvic prolapse: vaginal approach

G. Giraudet • Mesh repair of pelvic prolapse: Abdominal approach

J.B. Dubuisson

• Biologic tissue in prolapse surgery S. Manodoro • Complications of mesh surgery: classification

and management G. Baudino

INVITED LECTURE Presented by R. Milani

Alternative to Mesh Repair: How to make native tissue repair successful

J. DeLancey

Discussion

19.30 Welcome cocktail

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Course of Functional Reconstructive Surgery of Pelvic Floor

08.30 Round table Fascial or mesh surgery in first and second line procedure Discussant: S. Athanasiou B. Shull, J. DeLancey, P. Dwyer Interactive discussion with audience

09.30 About uterus sparing Discussant: J.B. Dubuisson • Role of hysterectomy in POP surgery

S. Athanasiou • Rationale and technique for uterus sparing surgery

F. Spelzini • What goes wrong with Apical Support and when

to repair it J. DeLancey

• Manchester procedure with uterine conservation (VIDEO) P. Dwyer

Discussion

11.00 Coffee break

11.20 Live surgery 2 Discussant: M. Meschia • Uterus-sparing fascial repair

F. Spelzini, R. Milani, S. Athanasiou

13.00 Lunch

14.00 How I do that (alternative procedure to surgery 2) Discussant: S. Salvatore

VIDEO from Athanasiou

VIDEO from Giraudet

VIDEO from Cervigni

Discussion

Thursday, June 04, 2015

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15.15 Posthisterectomy vault prolapse Discussant: N. Colacurci INVITED LECTURE: Clinical management of vault prolapse B. Shull

15.45 Live surgery 3 Discussant: S. Salvatore, N. Colacurci • Vaginal vault repair

R. Milani, F. Spelzini, R. Baccichet

17.15 Coffee break

17.30 How I do that (alternative procedure to surgery 3) Discussant: S. Athanasiou VIDEO from A. Ercoli

VIDEO from J.B. Dubuisson

Discussion

18.30 The last suggestion of the day: when vaginal is preferable to abdominal surgery in vaginal vault prolapse

J. DeLancey, B. Shull

20.15 Social Dinner

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Course of Functional Reconstructive Surgery of Pelvic Floor

Friday, June 05, 2015

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08.30 Overactive bladder and genital prolapse: management and results

F. Natale

09.00 Dysfunction of posterior compartement Discussant: R. Milani • Enterocele and rectocele

M. Soligo • Obstructed defecation

G. Dodi • 3rd and 4th grade perineal tears during delivery

S. Salvatore • Recto-vaginal fistula: diagnosis and repair

J. DeLancey • Imaging and functional investigation

F. Spelzini

10.40 Debate on rectocele repair: by colon rectal surgeon or by urogynecolgist?

G. Dodi, M. Soligo

11.10 Coffee break

11.40 Video presentation Discussant: M. Porena • On rectocele repair by G. Dodi • On huge recto-vagino-perineal defect repair by R. Milani, F. Spelzini • On vesicoscopic repair of complex vesico-vaginal fistulae by T. D. Robinson

Discussion

12.30 INVITED LECTURE: Delivery and perineal dysfunction: is prevention feasible? J. DeLancey

13.00 The good bye to 2016 meeting R. Milani

13.00 Delivery of attendance certificate

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Faculty

Athanasiou Stavros Athens

Baccichet Roberto Montecchio Emilia

Baudino Gianni Franco Crema

Cardozo Linda London

Cervigni Mauro Roma

Colacurci Nicola Napoli

Delancey John Michigan

Dodi Giuseppe Padova

Dubuisson Jean Bernard Fribourg

Dwyer Peter Melbourne

Ercoli Alfredo Abano Terme

Frigerio Matteo Monza

Giraudet Gèraldine Lille

Manodoro Stefano Monza

Meschia Michele Milano

Milani Rodolfo Monza

Natale Franca Roma

Porena Massimo Perugia

Robinson Timothy Dudley London

Salvatore Stefano Milano

Shull Bobbie Lewis Texas

Soligo Marco Milano

Spelzini Federico Monza

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General Information

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3° INTERNATIONAL COURSE ON FUNCTIONAL RECONSTRUCTIVE SURGERY OF PELVIC FLOOR

June 3-4-5, 2015 - Università degli Studi Milano Bicocca - Monza

Registrations will be accepted till May 25th, 2015.Cancellations are accepted free of charge until May 3rd. After this deadline 100% charge will be applied.

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