Course 3: Bladder and Ureter: Common Battleground for the Urogynecologists and Minimally Invasive Gynecologic Surgeons
Sunday, March 24, 2024 | 1:00 pm - 5:00 pm EST

  

Lisa Chao, MD Clinical Associate Professor Division of Gynecology - Minimally Invasive Surgery Department of Obstetrics and Gynecology Stanford University School of Medicine	Ted Lee, MD Chief, Surgical Innovation NYU Langone Health Professor, Obstetrics and Gynecology NYU Grossmans School of Medicine

 

Course Faculty: Catherine Bradley, MD, MSCE; Catherine Matthews, MD; Emad Mikhail, MD; Kevin Stepp, MD; Cara King, DO, MS

Risk of lower urinary tract injury in gynecologic surgery varies with the type of procedure, surgical approach, and surgeon experience. Factors that increase the risk of bladder or ureteral injury can include altered anatomy such as pelvic organ prolapse, endometriosis, prior surgeries, or infection causing subsequent scarring.  While the sequelae of lower urinary tract injury can be morbid with a negative impact on patients’ quality of life, an emphasis on prevention is paramount with thorough knowledge of pelvic anatomy. In the setting of iatrogenic complications, the goal must be early recognition and treatment. This course will cover ureteral identification and safe dissection techniques when common pathology such as endometriosis and retroperitoneal fibrosis are encountered. Detection of bladder and ureteral injuries with its associated repair will be discussed in detail. Additionally, this course will also review bladder pain syndrome and the diagnosis and management of bladder and ureteral complications associated with urogynecology procedures such as mesh erosion, vesicovaginal and ureterovaginal fistulas.  

Course Objectives:

At the conclusion of this activity, the participant should be able to:

1. Utilize the different approaches to ureteral identification and dissection when complex pathology is encountered
2. Employ techniques to tackle complex bladder adhesions during laparoscopic hysterectomy
3. Understand how to treat Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS)
4. Understand the presentation, diagnosis, and management of bladder and ureteral injuries
5. Apply surgical tips and tricks to manage mesh complications, vesicovaginal and ureterovaginal fistulas. 

Course Agenda