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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.
26/01/2022 4 hours
27/01/2022 4 hours
5:30pm- 9:30pm CET
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. 8 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.
17:30 Introduction and zoom housekeeping explanation
17:35 Prevalence of Pelvic Organ Prolapse
Types of prolapses and the new terminology
17:40 Signs & Symptoms of pelvic organ prolapse
17:50 Biotensegrity and why prolapse isn’t muscles weakness
17:55 Know your patient
Establish a rapport
18:00 Basson’s model of sexual motivation
18:05 Relationship between hip pain and the pelvic floor
18:10 Performing the examination
POP Q (how to read and understand the grid)
Baden Walker System
Stages of POP & types of POP
18:20 Sex and prolapse
18:25 Role of the Pessary
Indications & Contra-Indications
Advantages & Disadvantages
Before fitting the pessary
18:35 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)
18:40 Categories of Pessaries
How to measure for a pessary
18:45 Support Pessaries slide
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
19:20 Case Study 1
19:30 Lever pessaries
o Inserting the Hodge animated film
19:35 Case Study 2
19:45 Can a Pessary Cause Infections?
19:55 Care & Cleaning the pessary
20:00 Elongated Cervix
20:10 Pessary Quiz and questions
21:00 Case Study 3
21:15 Case Study 4 END OF DAY 1
17:30 Q&A TO CONSOLIDATE THIS PART OF THE PROGRAM.
17:40 Space filling pessaries
o Live demo of space filling
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
18:10 Case study 5
18:15 Pessaries in Pregnancy
18:20 Video of indications for use of Dr Arabin Cerclage
o Measuring the Dr Arabin Cerclage
18:25 Lavator Avulsion: Why is pelvic floor damage so significant?
18:30 Case study 6
18:45 Pessary Revision
19:10 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
19:20 Continence burdens
19:25 Incontinence pessaries
19:30 Case study 7
19:40 Case study 8
19:50 Gartner Cyst verses Cystocele
20:00 Recap Quiz
20:05 Case study 9
20:15 Case study 10
20:35 Case study 11
20:45 Pessaries Revision
End of day 2
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.
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.
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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?