14000: Uterine Fibroids 360° The Art and Science of Managing the Fibroid Uterus

Saturday, November 14, 2026
8:00 am - 10:00 am

Room: 302

Chair: Maria Chiara De Angelis

Co-Chair: Brunella Zizolfi

Faculty: Jose Carugno, Vito Cela, Attilio Di Spiezio Sardo, Michel Zelaquett

Description: Uterine fibroids remain the most common benign tumors of the female reproductive tract and a leading indication for gynecologic surgery worldwide. Despite the frequency of diagnosis, optimal management remains complex and highly individualized. Advances in minimally invasive surgery, hysteroscopic technology, radiofrequency ablation, uterine-sparing interventions, and robotic platforms have expanded therapeutic options but also increased decision-making complexity.

This postgraduate course provides a comprehensive, evidence-based review of the contemporary management of the fibroid uterus. Emphasis will be placed on patient selection, symptom-driven treatment algorithms, fertility considerations, risk of recurrence, surgical planning, and complication avoidance. Faculty will discuss office-based strategies, hysteroscopic and laparoscopic techniques, myomectomy versus hysterectomy decision-making, energy-based therapies, and emerging technologies. Real-world case discussions and video-based surgical analysis will highlight operative judgment, technical pearls, and strategies to optimize outcomes while minimizing morbidity.

Learning Objectives: At the end of this course, the participant will be able to: 1) Classify fibroids using current FIGO systems and correlate anatomy with symptomatology and treatment selection; 2) Develop individualized management algorithms based on bleeding profile, pain, fertility goals, and patient preference; 3) Compare surgical and non-surgical treatment modalities, including hysteroscopic resection, laparoscopic/robotic myomectomy, radiofrequency ablation, uterine artery embolization, and hysterectomy; 4) Identify risk factors for recurrence and strategies to reduce repeat intervention; and 5) Apply technical principles to minimize complications such as hemorrhage, adhesion formation, and conversion to laparotomy.

Course Outline

8:00 AM Welcome, Introduction and Course Overview
M. De Angelis

8:05 AM Putting Fibroids into Context: Symptoms, Fertility, and When They Truly Matter
J. Carugno

8:20 AM Seeing the Map Before the Journey: Advanced Ultrasound and Fibroid Mapping for Personalized Care
B. Zizolfi

8:35 AM Beyond the Scalpel: Medical Therapy for Fibroids—Evidence, Myths, and Real-World Role
A. Sardo

8:50 AM Myolysis In Modern Fibroid Care: Innovation, Opportunity, or Emerging Challenge In Fibroid Care?
M. Zelaquett

9:05 AM Hysteroscopic Management of Uterine Fibroids: Optimizing Outcomes Through Precision Surgery
M. De Angelis

9:20 AM Minimally Invasive Myomectomy in the Modern Era: Evidence, Innovation, and Laparoscopic–Robotic Strategies
V. Cela

9:35 AM Open Laparotomy Surgery: Let’s Debate
J. Carugno

9:50 AM Discussion Questions & Answers

10:00 AM Adjourn