CME Credit Hours: 1.5
In the last decade, there has been a tremendous increase in new technologies, new surgical techniques and new imaging modalities that impact the care of patients with pelvic floor disorders. Subsequently, the treatment pathways for common disorders such as constipation, prolapse, and incontinence have changed drastically. Approximately one quarter of all women suffer from at least one pelvic floor disorder in their lifetime. Urinary incontinence is the most common, with a prevalence of 15-17%, whereas fecal incontinence affects approximately 9% of adult women. Pelvic organ prolapse has an estimated prevalence of 3-8%, and 20% of women undergo stress urinary incontinence or prolapse repair surgery by the age of 80. As the aging population grows, the number of women with pelvic floor dysfunction will increase substantially and the demand for care of these disorders will continue to grow.
The need to work across subspecialties in a multidisciplinary fashion is crucial to improving patient satisfaction and outcomes related to pelvic floor disorders. Successful and safe patient outcomes, and minimization of complications, depends on appropriate training and collaboration in the care of pelvic floor disorders. A multidisciplinary approach brings practitioners in urology, gynecology, colorectal, gastroenterology, physical therapy, radiology, pain management and functional medicine together for evaluation and holistic patient treatment.
Objectives
At the conclusion of this session, participants should be able to:
- Evaluate patients with pelvic floor disorders by using data collection tools and pelvic floor physiology tests, such as anorectal manometry, ultrasound and defecography
- ​Describe treatment pathways for common pelvic floor disorders: constipation, prolapse, incontinence
- Explain the necessity for multidisciplinary collaboration in treating patients with pelvic floor disorders. Identify the specialists and care providers that are necessary to optimize patient outcomes
- Develop a plan for organizing their own virtual or real pelvic floor center
Co-Directors
Russell Farmer, MD, Louisville, KY
Sarah Vogler, MD, MBA, Cleveland, OH
Introduction
Russell Farmer, MD, Louisville, KY
Sarah Vogler, MD, MBA, Cleveland, OH
Sacral Neuromodulation in 2021 – What’s New?
Bidhan Das, MD Houston, TX
The Mystery Behind Rectoceles
Karmjit Koko Singh Khanduja, MD, Columbus, OH
Obstructive Defecation – Has the Evaluation and Care Pathway Changed?
Madulika Varma, MD, San Francisco, CA
Ventral Rectopexy – When and Why is this an Option?
Kenneth Loh, MD, San Francisco, CA
Stump The Experts – A Review of Difficult Cases
Panel
Question and Answer
Adjourn