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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.

https://www.pelvicangel.net/pricing-plans

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. 12 hr CPD certified. Certificates will be provided to those who attend the full course or who take the exam after viewing all the videos.

Material included in this course can be downloaded from the members area on www.pelvicangel.net : 

Workbook pertaining to each slide – All clinical evidence papers mentioned in the course, plus extra papers – Feedback form - Bladder & Prolapse diaries - Edinburgh form -  

Objective:

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.

TOPICS: 

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 

                History

                Dyspareunia  

Sex and prolapse

  Performing the examination

                POP Q (how to read and understand the grid)  

                Baden Walker System

                Stages of POP & types of POP 

*********************Break***************************** 

  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

Pessary kits

  How to measure for a pessary  

Support Pessaries  

o Live demo showing support pessaries  

Videos 

 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  

  *********************Break*****************************

Case Study 3 

Can a Pessary Cause Infections? 

Care & Cleaning the pessary 

Elongated Cervix – highlighting importance of pessaries with membrane 

Pessary Quiz and questions 

Lubricants 

     *********************Break*****************************

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 

  Pessary Revision 

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)  

• *Nocturia  

• Incontinence pessaries 

Continence burdens

Incontinence pessaries 

 **************BREAK*********************** 

Case study 8

Case study 9

Gartner Cyst verses Cystocele

Recap Quiz 

Case study 10 

Relationship between hip pain and the pelvic floor 

Case study 11

Pessaries Revision

Q&A 

NEW MATERIAL

Fascia & Pain

Train your patients to reduce pain and anxiety through breathing. Butekyo and YogBody methods.

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 

Bladder diary

Prolapse diary

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