Chairs: Assia A. Stepanian

Faculty: Leila V. Adamyan, Arnaud Wattiez, Keith B. Isaacson, Assia A. Stepanian

Description: Adenomyosis is affecting an increasing number of women of young reproductive age, resulting in significant symptomatology, reduced fertility, and increased risk of miscarriage. Surgical treatment of adenomyosis poses important dilemmas and challenges, such as determination of a need and timing of surgery, identification of excision borders, tissue handling techniques, and selection and knowledge of technology utilized in diagnosis. In addition, surgeons must determine treatment of various forms of adenomyosis, including the management of adenomyosis in complex surgical scenarios. The surgeons in this group have multiple decades of experience and leadership in the surgical management and science of adenomyosis. In this course, they will share their innovative pearls and successful strategies in surgical and perioperative management of patients. Classification, pathophysiology, preoperative modeling, intraoperative navigation, and strategies to improve fertility of these patients will also be discussed, followed with a video demonstration and discussion of surgery of all forms of adenomyosis.

Learning Objectives: At the end of this course, the participant will be able to:

1. Objective Learn to apply safe and reliable surgical principles and to engage new technological advances in diagnosis, science, perioperative modeling, imaging, and navigation in managing adenomyosis;
2. Objective Learn to appreciate, visualize, and understand the surgical nuances of adenomyotic uterus; and
3. Objective Learn pathophysiology of adenomyosis for understanding the disease and navigation of best strategies in managing the patients, improving their symptoms and reproductive outcomes.

Course Outline

9:15 AM Welcome, Introduction and Course Overview

A. Stepanian

9:20 AM Classification, Modeling, Perioperative Navigation, and New Surgical Techniques to Improved Fertility Outcomes in Patients with Various Forms of Adenomyosis

L. Adamyan

9:45 AM TBD

A. Wattiez

10:10 AM Pathophysiology and Hysteroscopic Pearls of Adenomyosis

K. Isaacson

10:35 AM The Present and the Future of Augmenting Reproductive Outcomes of Patients with Adenomyosis

A. Stepanian

11:00 AM Discussion Questions & Answers

9:15 AM Adjourn