Chairs: Peter L. Rosenblatt

Faculty: Peter L. Rosenblatt, Kate Meriwether, Roger Goldberg, Marie Fidela R. Paraiso

Description: Traditionally, pelvic reconstructive surgery has included hysterectomy along with suspension of the vaginal apex and other affected compartments. Over the past decade, there has been a growing interest in the role of uterine preservation for women with symptomatic uterovaginal prolapse. In this course, we will describe several different approaches to hysteropexy with an emphasis on videos that demonstrate laparoscopic and vaginal techniques, including indications, potential risks, and success rates. We will also compare pelvic reconstructive surgeries involving traditional hysterectomy to those that employ uterine preservation. The course will include a debate regarding the most appropriate approach for different clinical scenarios, and how to counsel patients who are considering uterine preservation or hysterectomy.

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

1. Objective List the indications and contraindications for uterine preservation in pelvic reconstructive surgery
2. Objective Describe the steps involved with laparoscopic or robotic cerclage sacrohysteropexy and transvaginal sacrospinous hysteropexy
3. Objective Discuss the potential risks and complications of each technique and how they can prevented and managed

Course Outline

1:30 PM Welcome, Introduction and Course Overview

P. Rosenblatt

1:35 PM Uterine Preservation: Advantages, Disadvantages, Pros & Cons

P. Rosenblatt

1:45 PM Transvaginal Sacrospinous Hysteropexy

K. Meriwether

2:05 PM Novel Incision-Free Device for Transvaginal Apical Prolapse Repair

R. Goldberg

2:25 PM Laparoscopic Cerclage Sacrohysteropexy: A Novel, Minimally-Invasive Approach to Uterine Preservation

P. Rosenblatt

2:45 PM Robotic Sacrohysteropexy Techniques

M. Paraiso

3:05 PM Discussion Questions & Answers

1:30 PM Adjourn