Course 4: Evaluation and Management of Anorectal Disorders for the Gynecologic Surgeon
Sunday, March 24, 2024 | 1:00 pm - 5:00 pm EST

 
Carolyn Swenson, MD
University of Utah

Course Faculty: Jolyn Hill, MD; Lisa Hickman, MD

As Ob/Gyns, we are quite familiar with repairing obstetrically induced injuries to the anal sphincter. Yet, there is a persistent gap in training and knowledge regarding the clinical evaluation of the anal sphincter complex as well as the diagnosis and management of anorectal disorders remote from delivery. As anorectal disorders are common and often affect other pelvic disorders treated by gynecologists, it is critical for gynecologists to be comfortable assessing and evaluating these conditions. This workshop aims to use content experts, case scenarios, and multi-media modalities to give participants a comprehensive, in depth understanding of anorectal anatomy and the evaluation and management of common anorectal disorders. This course will review the appropriateness of diagnostic tools and provide participants with the foundational knowledge to interpret these results. The second half of the course will focus specifically on management of anal incontinence related to chronic anal sphincter defects. We will review the latest data comparing anal sphincteroplasty and sacral neuromodulation to give participants the most up to date data and evidence-based surgical options. Finally, tips and tricks for successful anal sphincteroplasty will be reviewed. 

Course Objectives:

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

1. Identify and evaluate the anatomical components of the anal sphincter complex
2. Understand the indications for, and interpretation of, diagnostic tools including endoanal ultrasound, anorectal manometry and MRI in order to accurately diagnose common anorectal disorders
3. Describe options available for surgical and non-surgical management of chronic anal sphincter defects

4. Learn tips and tricks for successful anal sphincteroplasty

Course Agenda