0900

J. Curtis Nickel MD, FRCSC

Professor Emeritus, Queen’s University

Urologist, Kingston Health Sciences Centre

Kingston Ontario

Title:  Bladder Pain Syndrome:  What’s New?

Significant multidisciplinary research efforts over the last decade has led to better understanding of the etiology, symptom associations, classification and natural history of Bladder Pain Syndrome.  But success in treating BPS comes from what our patients taught us.  Each patient seen in our clinic over the last 25 years has described their own personal “clinical picture” and journey with this syndrome. From them, we have learned to develop successful personalized phenotype directed, multimodal, multidisciplinary management strategies for each individual patient resulting in improvement in pain, urinary symptoms, actitivities and quality of life.

Learning Objectives

  1. Identify what is known about BPS
  2. Describe new insights into managing BPS
  3. Explain what we learned from our patients
  4. Integrate these new learnings to clinical practice

 

0920

Caroline Pukall, PhD, CPsych (she/her/elle)

Tier 1 Canada Research Chair in Sexual Health, Professor of Psychology, Director of the Sexual Health Research Laboratory, and Director of the Sex and Relationship Therapy Service

Faculty of Arts and Science, Queen’s University

Kingston, Ontario

 

Title: Vulvodynia

Dr. Pukall will discuss the current state of knowledge around the definition, diagnosis, pathophysiology, and treatment of vulvodynia. 

Learning Objectives

1.    Define vulvodynia

2.    Describe how vulvodynia is diagnosed

3.    Understand the various pathophysiological factors involved in the expression of vulvodynia

4.    Explain the treatments available for vulvodynia, which treatments are commonly used in clinical practice, and which ones are empirically validated

 

0940

Magali Robert

Professor, Department of Obstetrics & Gynaecology, University of Calgary Cummings School of Medicine Medical Director, Calgary Chronic Pain Center

Calgary, Alberta

 

Title:  CBD and Chronic Pain

Magali Robert will discuss CBD and Chronic Pain (not Competency by Design but Cannabinoids)

Learning Objectives

At the completion of this session, attendees will be able to:

  1. Appreciate the evidence surrounding cannabinoids and pelvic pain
  2. How to initiate a trauma informed, collaborative dialogue
  3. Counsel around the use of cannabinoids

 

1045

Lisa Aldworth

MSW, RSW, Psychotherapist, Trauma Specialist and Educator

Private Practice

Lecturer, Pelvic Health Solutions – Course: Trauma and The Pelvic Floor

Kitchener, Ontario

 

Title:  Sexual Trauma and the Pelvic Floor

Lisa Aldworth will discuss the impact of sexual trauma on physical and emotional health and the barriers trauma may present to patients’ experiences in healthcare, particularly pelvic medicine. She will explore how clinicians can apply a trauma informed lens to their practice resulting in greater awareness, understanding and sensitivity for patients identifying as survivors of trauma. Through this increased sensitivity clinicians will learn how to more thoroughly support their patients and in turn observe higher levels of trust, adherence to medical guidance and cooperation from their client base.

Objectives

  1. Define sexual trauma and its statistical prevalence in North America as well as the reasons why patients may not report a sexual trauma history.
  2. Understand the neurobiological impacts of sexual trauma on cognitive functioning and emotion regulation.
  3. Recognize the challenges or barriers these impacts may present to patients’ experiences in healthcare.
  4. Understand and employ techniques to ground patients who may be experiencing trauma triggers
  5. Provide effective care by operating from a trauma informed lens including how to know when to refer patients for appropriate mental health supports in order to augment pelvic health healing.

 

1110

Yonah Krakowsky MEd MD

Assistant Professor, Division of Urology

University of Toronto

Mount Sinai Hospital

Toronto, Ontario

Title:  The Toronto Trans Medicine Program:  Transition Related Surgery

Dr Krakowsky will discuss various approaches to transition related surgery and the pre, intra and post-operative care. There will be specific focus on the evaluation of patient’s post vaginoplasty surgery.

Objectives

1.    To understand the anatomic approach to various transition related surgeries

2.    To appreciate common concerns patients may have in follow-up after vaginoplasty and how these can be addressed

3.     To better appreciate aspects of the physical exam involved in assessing patients post vaginoplasty.

 

1250

J. Curtis Nickel MD, FRCSC

Professor Emeritus, Queen’s University

Urologist, Kingston Health Sciences Centre

Kingston Ontario

 

Harold Drutz Keynote Lecture

Management of Recurrent UTIs in Women: Say Good-bye to Antibiotic Overuse

The recommended evidence based guideline treatment option for reducing the risk of recurrent UTI in women is antibiotics.  For the 3% of women suffering annually from recurrent UTIs (11% of women suffer at least 1 UTI/year), antibiotics cause significant morbidity and provide poor long-term efficacy. Clinical studies confirm that a novel sublingual mucosal-based vaccine will safely reduce the risk of UTI, increase the time to UTI recurrence, ameliorate symptom severity of UTI, decrease antibiotic usage and improve the quality of life for women suffering from rUTI. This is good news for women suffering from UTIs and physicians who treat them. 

 

Objectives

  1. Define the issues related to treating recurrent UTIs with antibiotics
  2. Identify a new approach to managing recurrent UTIs in women
  3. Explain the benefits and risks of new vaccine approaches to reduce UtI risk
  4. Apply these new learnings to clinical practice

 

 

1335

Dre. Linda McLean, PhD

Professor and Chair in Women’s Health Research

Faculty of Health Sciences, University of Ottawa

Ottawa, Ontario

 

Title:  A Prediction rule for pelvic floor muscle training

Dre. McLean will discuss the current state of knowledge around pelvic floor muscle training as a conservative intervention for stress urinary continence.  Her talk will focus particularly on the identification of patient factors that are predictive of successful exercise interventions.  

Objectives:

1.    Describe the level of evidence for pelvic floor muscle training as an intervention for stress urinary incontinence

2.    Discuss the evidence underlying the recommendation that pelvic floor muscle strength should be assessed and used in decision making around referral to physiotherapy for pelvic floor muscle training interventions

3.    Describe patient characteristics that are predictive of successful exercise interventions for females with stress urinary incontinence

 

1435

Dre. Marie-Ève Clermont, MD

Adjunct Professor, Department of Obstetrics and Gynecology, Université de Montréal

Director of the Fellowshhip in Urogynecology and Pelvic Floor Reconstructive Surgery, Centre Hospitalier de l’Université de Montréal (CHUM)

Montréal, Québec

Title:  Update in Mesh for SUI in Canada and Counselling for Patients:   What is Happening in Québec

In 2020, the CMQ published an investigation report on the complications of mid-urethral slings. Several recommendations have been made for the Ministry of Health, the hospitals and the healthcare providers. Dr. Clermont will explain the context that led to this report's publication and review the main recommendations made by the CMQ. This situation profoundly impacted the patient's care trajectory for incontinence treatment and the healthcare providers. As a result, mesh complication centres have been designated for treating these complications and treating urinary incontinence. Dr. Clermont will review this organizational structure and share her experience developing the multidisciplinary center on mesh complications at the CHUM in Montréal.

Objectives

1.    Understand the context of the controversy around mid-urethral slings in Québec

2.    Review the recommendation made by the CMQ (Collège des Médecins du Québec)

3.    Understand the patient's care trajectory for mid-urethral sling complications and urinary incontinence in Québec

4.    Review the model of the mesh complication clinic at the CHUM

 

1500

Dr Cathy Flood

Professor , University of Alberta Dept of OBGYN

Urogynecology Division

Edmonton Alberta

Title:  Fascial Slings in 2022

Dr Flood will review the evolution of fascial slings and where we stand in 2022. She will discuss the Edmonton experience including the progression of various techniques. She will review current research surrounding fascial slings and the management of complications. 

Objectives

1.    Describe the evolution of fascial slings and where we ended up where we are.

2.    Understand the possible complications to be able to employ suggested management

3.    Review the current literature supporting fascial slings

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