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This is a CPD certified course. This course is suitable for medical professionals who are treating patients with Pelvic Organ Prolapse and Incontinence issues. For those treating patients post partum.
Pessaries are a conservative management in treating pelvic organ prolapse and incontinence issues
IMPORTANT! Clinicians attending this course will be expected to have a high level of knowledge of the pelvic floor.
Regarding the POP Q. This is theory only and explained to help you read the grid to determine the size of prolapse. This course will not teach you how to measure prolapses as this is done on the practical side with a consultant.
NEXT COURSE MARCH 2022 UNLESS YOU REQUIRE A TAILOR MADE COURSE FOR YOUR TEAM. MINIMUM 10 TO HOLD THE COURSE
AGENDA timings are approximate depending on the case study discussions and number of participants.
This evidence based course is for medical professionals treating women’s health. 10 hr CPD certified. Certificates will be provided to those who attend the full course. Playback videos of the course plus bonus videos (POP Q explained, using sea sponges to support prolapse) available for 7 days at the end of the course. Times are in Brussels. CET. This course complies with the new (March 2021) POGP and NICE guidelines. Other countries protocols are mentioned depending on participants.
Course is non- refundable. If you can not attend this course after paying, you can request to attend the next course, you will also have access to the recording of this course plus all materials. CPD certificate will be issues upon submission of your exam. Exam questions are in the course.
Material included in this course can be downloaded from the members area :
Workbook pertaining to each slide – All clinical evidence papers mentioned in the course, plus extra papers – Feedback form - Bladder & Prolapse diaries - Edinburgh form -
The object of this course is for you to understand the theoretical aspect of each pessary including fitting and removal, allowing you to advise the best pessary option as a conservative management in treating prolapse and incontinence to patients.
This course is aimed as the first stage of competency in the theoretical understanding of pessaries before practical pessary fitting training begins. Different protocols are set in different countries. You will be provided the United Kingdom protocol handout provided by POGP in line with NICE guidelines.
An advanced knowledge of the pelvic floor is required in order to take this course.
Introduction and zoom housekeeping explanation
Prevalence of Pelvic Organ Prolapse
Types of prolapses and the new terminology
Signs & Symptoms of pelvic organ prolapse Conservative management
Know your patient
Establish a rapport
Sex and prolapse
Performing the examination
POP Q (how to read and understand the grid)
Baden Walker System
Stages of POP & types of POP
Case study 1 (Into breakout rooms)
Role of the Pessary
Indications & Contra-Indications
Advantages & Disadvantages
Before fitting the pessary
Patient follow up (In compliance with the latest UK Clinical Guideline for best practice in the use of vaginal pessaries for pelvic organ prolapse issued by POGP March 2021)
Categories of Pessaries
How to measure for a pessary
o Live demo showing support pessaries
o Ring with knob animated film
o Insertion of ring & dish film
o Pessary maintenance by Dr Sam Siddighi
Case Study 2
Lever pessaries o Inserting the Hodge animated film
Case Study 3
Can a Pessary Cause Infections?
Care & Cleaning the pessary
Elongated Cervix – highlighting importance of pessaries with membrane
Pessary Quiz and questions
Case Study 4
Case Study 5
Q&A TO CONSOLIDATE THE UNDERSTANDING OF PESSARIES
Space filling pessaries
o Live demo of space filling pessaries
o Film clip fitting ring & cube
o Post Hysterectomy
o Pessaries for vaginal vault prolapse
o The use of 2 pessaries at the same time
Case study 6
Pessaries in Pregnancy
Video of indications for use of Dr Arabin Cerclage
o Measuring the Dr Arabin Cerclage
Lavator Avulsion: Why is pelvic floor damage so significant?
o Tell tales signs a pessary can indicate an avulsion
Case study 7
Types of Incontinence and suitable pessaries •
*Urinary Stress Incontinence (SUI) •
*Over Active Bladder (OAB) Urge Incontinence
• Transient (DIAPPERS) (information workbook)
• Overflow (information workbook)
• Mixed (information workbook)
• Incontinence pessaries
Case study 8
Case study 9
Gartner Cyst verses Cystocele
Case study 10
Relationship between hip pain and the pelvic floor
Case study 11
Documents offered with course. This is in the members part of Pelvic Angel. You will only have access to this 4 days before the course, during the course and 1 week after the course.
As the workbook case studies are changed per course and the videos are updates the members part is strictly for those who attend.
Pre course workbook. Contains information with case studies. Case studies will be discussed during the course. Please print this and look at the case studies prior to the course.
Copy of the slides presentation in PDF format
Questionnaire: Questions to pose the patient new to prolapse.
Guide to Pessaries A5 Booklet. (Images and description)
Protocol around pessaries.
Questionnaire to offer patients pre surgery
Edinburgh post natal depression scale.
Access to clinical papers mentioned on the course
Bonus white papers and videos
POP Q Presentation. Pop Q documentation showing images how to physically measure.
At the end of this course, you will be provided with direct
Links to suppliers of pessaries and related products
Links to books
Links to websites where you can obtain relevant information
If you are a clinician or physician dealing with patients with pelvic organ prolapse issues then this is the course you need.
Sign Up to Become a Certified PfilAtes Instructor Online Certification Course
Contact us for the next available date
8am - 5pm PST
Zoom with Dr Bruce Crawford and Heather Dibkey
Sign up today as spots are limited.
Did you know that 50% of women over 50 suffer from some degree of prolapse? Furthermore, recent research commissioned by Pelviva confirmed 2 in 3 women over 40 suffer from bladder weakness?
Many of these women do not understand that there is a solution to their problem. PfilAtes, developed by Board Certified Urogynecologist Dr. Bruce Crawford, can improve these symptoms in less than a month. Continued use of PfilAtes will resolve bladder leaks within 3 months in 80% of clients. Likewise, patients with mild to moderate prolapse are likely to improve symptoms by using the PfilAtes method.
So why not add PfilAtes to your skill set and be at the forefront of something new and exciting that can help change women’s lives and transform your business?