Course 2: Perioperative Planning When There Is No Textbook
Sunday, March 30, 2025 | 1:00 pm - 5:00 pm PST

Course Faculty: Cheryl Iglesia, MD; Annetta Madsen, MD; Peter Jeppson, MD

Course Description:

This course will utilize case-based presentations on vexing scenarios where there is no clear evidence on best practices. A panel of experts will discuss surgical approach, management, preoperative planning, management of intraoperative complications and postoperative issues. Examples of cases will include:

Post-renal transplant prolapse; recurrent prolapse after prior sacral colpopexy; anterior urethral diverticulum; pain after prolapse repair with sacral colpopexy; identifying patients with connective tissue disorders; vulvar surgery: how to stay out of trouble during periclitoral surgery; intraoperative bleeding; visceral injuries; management of delayed injury; postoperative issues such as nerve entrapment pain, chronic/persistent pain, dyspareunia. 

Agenda:
Critical Problem-Solving in Gynecologic Surgery:
Hemorrhage
Bladder or bowel injury (extraperitoneal vs. intraperitoneal)
Recognizing Delayed injury 

Addressing Postoperative Challenges:
Recurrent pelvic organ prolapse after sacral colpopexy
Ilioinguinal/hypogastric nerve pain
Chronic or de novo pain
De novo/Persistent SUI
Voiding dysfunction/retention
Dyspareunia 

Avoiding the Hammer and Nail Problem: This panel will focus on tailoring the appropriate approach in a patient-centered manner. Cases will include:

• Post-renal transplant prolapse
• Surgery after radiation
• Anterior urethral diverticulum
• Identifying patients with connective tissue disorders, perioperative considerations
• Vulvar surgery: perioperative issues in patients with a history of FGM-C, how to stay out of trouble during periclitoral surgery