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20th Mayo Clinic Urogynecology and Disorders of the Female Pelvic Floor

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  • 1. Mayo School of Continuous Professional Development20thMayo ClinicUrogynecology and Disordersof the Female Pelvic FloorHighlights • Female urology • Surgical video and case-based presentations • Interactive format: Panel discussions and audience response systemCourse Directors Jeffrey L. Cornella, M.D. Rosanne M.C. Kho, M.D.Faculty Megan R. Billow, D.O. Kristina A. Butler, M.D. Anita H. Chen, M.D. Robert G. Ferrigni, M.D. Paul M. Magtibay, M.D. Javier F. Magrina, M.D. Paul D. Pettit, M.D. Emanuel C. Trabuco, M.D., M.S. Christopher E. Wolter, M.D.Guest Faculty Wesley S. Hilger, M.D.Westin Kierland ResortScottsdale, ArizonaFriday – SundaySeptember 13-15, 2013
  • 2. General InformationCOURSE HIGHLIGHTSThe 20th Mayo Clinic Urogynecologyand Disorders of the Female PelvicFloor presents the latest treatmentsfor urogynecology, urology, andfemale pelvic floor disorders. Surgicalmanagement of urinary and fecalincontinence, overactive bladder, andrepair of pelvic organ prolapse areemphasized. The course features didacticlectures supplemented with videopresentations of advanced laparoscopicrobotic and vaginal surgery. Surgicalcase presentations, panel discussions,and an interactive system will beutilized to communicate immediatefeedback, providing an optimal learningexperience for interaction betweenfaculty and course participants.COURSE LEARNING OBJECTIVESUpon completion of this course,participants should be able to:• Demonstrate advanced techniquesin laparoscopic and robotic surgery• Demonstrate minimally invasivetechniques for the management ofurinary incontinence• Identify surgical complications ofincontinence and prolapse surgery• Demonstrate ureteral dissectionand identify minimally invasivemanagement options for ureteral repair• Explain the use of botulinumtoxin injections to manage bladderoveractivity• Integrate additional anatomicdetail into management of pelvicfloor dysfunction• Explain the use of and demonstratehow sacral nerve stimulation is usedto provide management of fecalincontinence• Identify evidence-based research onsynthetic and non-synthetic materialsused in the operative management ofpelvic floor prolapse• Demonstrate advanced vaginalsurgery techniquesGRANTS/EXHIBITSThis course is supported in part byeducational grants, in accordance withACCME standards. As of this printing,a complete listing of commercialsupporters was not available.Appropriate acknowledgment will begiven to all supporters at the meeting.Exhibits will be available for viewing atall scheduled breaks.DISCLAIMERAttendance at this Mayo course doesnot indicate nor guarantee competenceor proficiency in the performance of anyprocedures which may be discussed ortaught in this course.CREDITCollege of Medicine, Mayo Clinic, isaccredited by the Accreditation Councilfor Continuing Medical Education toprovide continuing medical educationfor physicians.College of Medicine, Mayo Clinic,designates this live activity for amaximum of 20.0 AMA PRA Category 1Credits™. Physicians should claim onlythe credit commensurate with the extentof their participation in the activity.The American College of Obstetriciansand Gynecologists has assigned20 cognate credits to this program.Application for CME credit has beenfiled with the American Academy ofFamily Physicians. Determination ofcredit is pending.This program has been accredited bythe American Osteopathic Associationfor 20.0 credits of AOA Category 2-A.A record of attendance will be providedto all registrants for requesting creditsin accordance with state nursing boards,specialty societies, or other professionalassociations.AMERICANS WITH DISABILITIES ACTCollege of Medicine, Mayo Clinicfully intends to comply with the legalrequirements of the Americans withDisabilities Act. If you need assistance,please notify us at least two weeksprior to the activity.Email address: mca.cme@mayo.eduMEETING LOCATION &ACCOMMODATIONSWestin Kierland Resort and Spa6902 E. Greenway ParkwayScottsdale, AZ 85254(480) 624-1000 or (800) 354-5892www.kierlandresort.comMake your hotel reservations online at:https://www.starwoodmeeting.com/Book/Urogyn2013The Westin Kierland Resort & Spa hasreserved a limited block of luxuriousguest rooms for attendees at a specialgroup rate of $229.00 (USD), single ordouble occupancy, run of house, per nightfor course participants and guests. Group
  • 3. rates will apply three days prior to andthree days following the course dates,based upon group room availability. Toreceive the special rate, make reservationsbefore the room block is filled and bythe expiration date of August 22, 2013.Reservation requests received after5:00 p.m. local time at the hotel onAugust 22 will be accepted at the grouprate, based on group room availability.To make your reservation, call(800) 354-5892. When making areservation, identify yourself asa participant of the “Mayo ClinicUrogynecology and Disorders of theFemale Pelvic Floor Course”. Allguest room rates are quoted exclusiveof applicable state and local taxes.High speed Internet in guest roomand complimentary self-parkingare included.Attendees are responsible for theirown reservations. The standard hotelreservation cancellation policy willapply to individual reservations unlessotherwise specified.RECREATION/LEISURE ACTIVITIESVisit www.visitphoenix.com orwww.scottsdalecvb.com for additionalrecreation and leisure activities.TRANSPORTATIONGround Transportation: Hertz isoffering a reduced daily rate forparticipants attending the course.Call (800) 654-2240 and refer toCV Number #03NR0008 when makingreservations.Supershuttle vans offer airporttransportation to and from the hotel.To make reservations, call (800) 258-3826or (602) 244-9000.General InformationProgramFriday, September 13, 2013  6:00 a.m. Registration, Continental Breakfast & Industry ExhibitsModerator: Rosanne M.C. Kho, MDPELVIC FLOOR ANATOMY 6:50 Introductions and Announcements 7:00 Retroperitoneal Pelvic Anatomy: Video Dissection. . . . . . . Kristina A. Butler, M.D. 7:30 Robotic Techniques: How to Unravel the Frozen Pelvis. . . Javier F. Magrina, M.D. 8:00 Pelvic-Peripheral Nerve Anatomy: Avoidance of Injury. . . Kristina A. Butler, M.D. 8:30 Nerve-Sparing Radical Hysterectomy:Applied Anatomy of the Pelvic Autonomic Nerves. . . . . . . Javier F. Magrina, M.D. 9:00 Female Pelvic Anatomy:Structural and Functional Support . . . . . . . . . . . . . . . . . . . . . . Wesley S. Hilger, M.D. 9:30 Panel Discussion 9:45 Refreshment Break & Industry ExhibitsEVALUATION OF THE URINARY TRACT AND MANAGEMENT OF UROGENITAL INJURY10:15 Cystoscopic Assessment of the Bladder and Urethra. . . . . . . . . Anita H. Chen, M.D.10:45 Avoiding Injury during Gynecologic Surgery . . . . . . . . . . . Javier F. Magrina, M.D.11:15 Management of Genito-Urinary Tract Injury . . . . . . . . . . . Robert G. Ferrigni, M.D.11:45 Panel Discussion and Case Presentations12:15 p.m. Lunch (included)MANAGEMENT OF PELVIC ORGAN PROLAPSE (Lecture and Video Presentations) 1:00 Surgical Approaches to Pelvic Organ Prolapse. . . . Emanuel C. Trabuco, M.D., M.S. 1:30 Uterosacral Ligament Fixation forRestoration of Apical Vaginal Support. . . . . . . . . . . . . . . . . Rosanne M.C. Kho, M.D. 2:00 Update on Surgical Mesh:Materials and Best Evidence Considerations . . . . . . . . . . . . . . Wesley S. Hilger, M.D 2:30 Laparoscopic and Robotic Sacrocolpopexy . . . . . . . . . . . . . Jeffrey L. Cornella, M.D. 3:00 Panel Discussion 3:30 Refreshment Break & Industry Exhibits
  • 4. Program 4:00 VIDEO SESSION: (Video Presentations) Robotic Sacrocolpopexy: Surgical Video VignettesDrs. Chen, Cornella, Hilger and Kho Massive Vault Prolapse: Surgical Techniques including ColpocleisisJeffrey L. Cornella, M.D. 4:45 AdjournSaturday, September 14, 2013Moderator: Jeffrey L. Cornella, M.D.FEMALE URINARY INCONTINENCE  6:30 a.m. Continental Breakfast & Industry Exhibits 6:50 Announcements 7:00 Multi-Channel Urodynamic Testing. . . . . . . . . . . . . . . . . . . . . . . Anita H. Chen, M.D. 7:30 Evidence-Based Approach toUrinary Incontinence . . . . . . . . . . . . . . . . . . . . . . . . . . Emanuel C. Trabuco, M.D., M.S. 8:00 Sacral Nerve Stimulation forGenitourinary Dysfunction. . . . . . . . . . . . . . . . . . . . . . . . Christopher E. Wolter, M.D. 8:30 Pharmacologic Management ofBladder Overactivity. . . . . . . . . . . . . . . . . . . . . . . . . . . Emanuel C. Trabuco, M.D., M.S. 9:00 Panel Discussion 9:30 Refreshment Break & Industry Exhibits10:15 Management of Bladder Overactivity:Botulinum Toxin Injection . . . . . . . . . . . . . . . . . . . . . . . . . Christopher E. Wolter, M.D10:45 Management of Bladder Overactivity:Posterior Tibial Nerve Stimulation. . . . . . . . . . . . . . . . . . . . Jeffrey L. Cornella, M.D.11:15 Evaluation and Management ofPelvic Floor Myofascial Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Anita H. Chen, M.D.11:45 Panel Discussion and Case Presentations12:15 Lunch (included)VAGINAL SURGERY  1:30 p.m. The Difficult Vaginal Hysterectomy . . . . . . . . . . . . . . . . . . . Rosanne M.C. Kho, M.D. 2:00 Congenital Anomalies and Laparoscopic Creationof the Neovagina: The Vecchietti Procedure . . . . . . . . . . . . . . . Wesely S. Hilger, M.D. 2:30 Vaginal Removal of the Adnexa: Techniques and Tips . . . Rosanne M.C. Kho, M.D. 3:00 Vesico-Vaginal-Fistula Repair. . . . . . . . . . . . . . . . . . . . . . . . . Jeffrey L. Cornella, M.D. 3:30 Pubovaginal Sling Procedures: Lessons Learned. . . . . . . . . . . . Anita H. Chen, M.D. 4:00 Panel Discussion and Case Presentations 4:30 AdjournSunday, September 15, 2013Moderator: Paul D. Pettit, M.D.  7:00 a.m. Continental Breakfast & Industry Exhibits 7:50 Announcements 8:00 Management of Vaginal Mesh Complications. . . . . . . . . . . . . . . . Paul D. Pettit, M.D. 8:30 Surgical Management of ComplicatedPelvic Floor Conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Paul M. Magtibay, M.D. 9:00 Tissue Engineering and Stem Cell Applicationsin Incontinence and Prolapse. . . . . . . . . . . . . . . . . . . . . . . . . Jeffrey L. Cornella, M.D. 9:30 Panel Discussion and Case Presentations10:00 Refreshment Break & Industry Exhibits10:30 Management of Fecal Incontinence:Sacral Nerve Stimulation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Paul D. Pettit, M.D.11:00 Female Bladder Outlet Obstruction . . . . . . . . . . . . . . . . . . . . . Megan R. Billow, D.O.11:30 Laparoscopic and Robotic Managementof Ovarian Remnant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Paul M. Magtibay, M.D.12:20 p.m. Panel Discussion12:50 Course Adjourns
  • 5. FacultyFACULTY DISCLOSURE:As a provider accredited by ACCME, College of Medicine, Mayo Clinic (Mayo School of CPD) mustensure balance, independence, objectivity and scientific rigor in its educational activities. CourseDirector(s), Planning Committee Members, Faculty, and all others who are in a position to control thecontent of this educational activity are required to disclose all relevant financial relationships withany commercial interest related to the subject matter of the educational activity. Safeguards againstcommercial bias have been put in place. Faculty will also disclose any off-label and/or investigationaluse of pharmaceuticals or instruments discussed in their presentation. Disclosure of this informationwill be published in course materials so those participants in the activity may formulate their ownjudgments regarding the presentation.MAYO CLINIC FACULTYJeffrey L. Cornella, M.D.Rosanne M.C. Kho, M.D.MAYO CLINIC FACULTYMegan R. Billow, D.O.Kristina A. Butler, M.D.Anita H. Chen, M.D.Robert G. Ferrigni, M.D.Paul M. Magtibay, M.D.Javier F. Magrina, M.D.Paul D. Pettit, M.D.Emanuel C. Trabuco, M.D., M.S.Christopher E. Wolter, M.D.GUEST FACULTYWesley S. Hilger, M.D.Medical Direcotr of Minimally Invasive GynecologySutter Medical CenterSacramento, CA
  • 6. Online Fee Standard Fee Physicians Active in Practice $725 $800 $_______________ Other (resident, retired and allied health) $625 $700 $_______________Note: Please refer to course agenda for included meals and refreshment breaks. Paper copy of the syllabus $30 $_______________ Note: Due to printing deadlines, this option will not be available after August 30, 2013REGISTRATION FORM20th Mayo Clinic Urogynecology and Disorders of the Female Pelvic FloorFriday – Sunday, September 13-15, 2013Registration at the standard fee may be completed using this form and faxing it to (480) 301-9176. Or you canmail it to: Mayo Clinic, Mayo School of CPD, 13400 East Shea Boulevard, Scottsdale, Arizona 85259.An email confirmation will be sent upon receipt of payment and completed registration. If you do not receive yourconfirmation, or if you have any questions, please email us at mca.cme@mayo.edu or call (480) 301-4580.No refund will be granted unless a written notice of cancellation is received. If registration must be canceled,tuition less a $75 administrative fee will be refunded when notification is received on or before August 30, 2013.No refunds will be made after this date.Although it is not Mayo Clinic’s policy to limit the number of registrants for a course, conference room facilitiesmay necessitate closure of enrollment. Early registration is strongly recommended. Walk-in registrations cannotbe guaranteed.Mayo Clinic will not be responsible for expenses incurred by individuals who are not confirmed for courseswith a closed registration status. Costs incurred by the registrant such as airline/ hotel fees or penalties are theresponsibility of the registrant.ONLINE SYLLABUS: Your registration fee includes access to a detailed online syllabus, emailed one week priorto the course. This allows you to view, save, or print the syllabus before attending the course. If you want to ordera paper copy (additional fee), check the box at the bottom of this registration form.Your type of practice:  Solo  Group  University  Other: _________Years in practice:  0-4  5-10  11-15  16-25  > 25Course Registrant List (Check only if you want your name removed) I do not want information (ie, name, degree, city, and state) to appear on the course registrants’ list.2013S957AMA/AAFP/AOA/ACOGPayment Information (US Funds Only) Check is enclosed in the amount shown at right – make checks payable to Mayo Clinic CPD Payment TotalCredit Card (select one) Account Number Exp. Date (mm/yy) Discover  MC  VisaSignature DateRegistration Please print. Use duplicate form for multiple registrations.Name of Registrant – first, middle, and last name InstitutionDegree/Certification Medical SpecialtyPreferred mailing address is: (select one)  Work/Business  HomeAddressCity State/Province ZIP/Postal Code Country EmailDaytime Telephone Fax$75 DISCOUNT FOR ONLINE REGISTRATION!Go to www.mayo.edu/cme (offer expires August 13, 2013)Note: When registering online, please be sure to “check-out” after your profile is completed/updated.