WORKSHOP CHAIR(S): Abdul Sultan & Ranee Thakar

FACULTY: Christiana Nygaard & Shasindran Ramanujam

SHORT DESCRIPTION: This hands-on workshop is essential for everyone involved in the management of childbirth and the potential consequences of acute obstetric anal sphincter trauma

OBJECTIVES:

• Understand the anatomy and physiology of the anorectum and interpret endoanal ultrasound

• Master the tips and tricks to identify obstetric anal sphincter injuries accurately

• Repair primary obstetric anal sphincter injuries using animal anal sphincters

WORKSHOP CHAIR(S): Harpreet Arora and Rajeev Ramanah

FACULTY: Dan Krishnan, Erika Hunger and Edward Ribbons

SHORT DESCRIPTION: Pelvic organ prolapse (POP) and/or stress urinary incontinence (SUI) are common diseases among women leading to significant quality of life impairment. The probability of incurring POP and/or SUI surgery at the age of 80 is 11.1%. Since 1996, when Ulmsten published the initial paper about retropubic tension free vaginal tape, TVT has become the most common surgery for SUI. Although, This procedure is less invasive than the traditional Burch colposuspension and autologous rectus fascial sling procedures, nowadays many countries worldwide have banned the use of vaginal meshes and slings. Thus, learning how to practice minimally invasive Burch colposuspension have become useful to continue providing care to patients suffering from SUI after conservation physiotherapy treatment.

POP repair is essentially based on vaginal or abdominal surgical techniques involving a repair with a mesh or autologous tissue. Vaginal meshes being actually banned in most countries, the abdominal approach has become popular, especially through a minimally invasive approach either by laparoscopy or robotic assistance. Currently, it is the reference procedure with anatomical success rates ranging from 77% to 96% on a follow-up of 1 to 5 years. However, both laparoscopic and robotic assisted surgeries require a significant learning curve. This hands-on workshop aims to provide the anatomical basis and the technical training on simulators required to improve efficacy in performing these surgical procedures.

OBJECTIVES:

• Understand the anatomy of the major constituents of urethral and pelvic organ support represented by the Arceus Tendineus Fascia Pelvis, the paravaginal support, the Levator Ani muscles, the cardinal and uterosacral ligaments

• Understand the basis/rationale and surgical steps of SUI cure by Burch Colpo suspension

• Practice the surgical steps of Burch Colpo suspension on a laparoscopic/robotic simulator

WORKSHOP CHAIR(S): Baerbel Junginger & Natalia Martinho

FACULTY: Linda McLean, Marina Petter Rodrigues & Sabine Vesting

SHORT DESCRIPTION: Workshop on pelvic floor ultrasound for female athletes, blending evidence-based theory and practical applications.

OBJECTIVES:

• Understand the current evidence on pelvic floor function, dysfunction, and symptom prevalence in female athletes.

• With beginner competency, assess female pelvic floor anatomy, including morphology and function, using 2D transabdominal and transperineal ultrasound imaging at rest, during contraction and during bearing down maneuvers and understand how to measure and interpret dynamic ultrasound imaging outcomes measured during functional tasks, understand the implications of breathing, posture, abdominal muscle contraction, and task performance.

• Discuss the current and potential clinical utility of using ultrasound imaging for the assessment and conservative treatment of pelvic floor disorders in female athletes and understand the limitations of implementing ultrasound assessment in both research and clinical settings and discuss what can and cannot be interpreted from ultrasound imaging.

WORKSHOP CHAIR(S): Javier Pizarro-Berdichevsky and Ivilina Pandeva

FACULTY: Anna Rosamilia, Luiz Brito & Howard Goldman

SHORT DESCRIPTION: Video-intensive masterclass: Advanced native tissue prolapse repair, focusing on complex cases, complication management, and surgical video analysis

OBJECTIVES:

• Analyze the patient selection criteria and anatomical considerations for sacrospinous ligament fixation, high uterosacral ligament fixation and Manchester procedures for apical prolapse.

• Demonstrate a comprehensive understanding of the surgical steps for performing a vaginal hysterectomy with uterosacral ligament fixation through expert-led surgical video analysis.

• Evaluate advanced techniques for anterior and posterior colporrhaphy and enterocele repair, with a specific focus on achieving durable anatomical restoration.

WORKSHOP CHAIR(S): Chi Chiung Grace Chen & Mohan Chandra Regmi

FACULTY: Baburam Dixit, Amita Jain & Laura Kent

SHORT DESCRIPTION: This interactive and Hands on workshop would give insight about VVF and provide opportunity to learn the surgical repair in simulation module. This will help participant have holistic idea about VVF.

OBJECTIVES:

• Know the basics of assessment of Vesicovaginal Fistula

• Know the steps of VVF Repair

• Know about post repair incontinence

WORKSHOP CHAIR(S): Amr El Haraki & Catherine Matthews

FACULTY: Anna Zdroik, Javier Pizarro-Berdichevsky

SHORT DESCRIPTION: This interactive workshop will provide gynecologic surgeons and specialists with a comprehensive case-based, video-intensive course on native‐tissue surgical options for the treatment of female stress urinary incontinence (SUI). With growing interest in mesh‐free approaches, attendees will explore the anatomy, patient selection, technique variations, outcomes and complications of different techniques of native tissue slings and minimally-invasive colposuspension procedures. Through case‐based discussion, debate of controversial topics, and interactive polling, participants will gain practical insights into preoperative assessment, intraoperative decision-making, and postoperative management—including how to tailor native‐tissue options in complex scenarios (e.g., recurrent SUI, concomitant pelvic organ prolapse).

Our multidisciplinary faculty brings extensive expertise in surgical education, reconstructive surgery, outcomes research and patient counselling, enabling a balanced and evidence-based discussion. The workshop will emphasize interactivity.

OBJECTIVES:

• Describe the ideal patient candidate for non-mesh anti‐incontinence procedures

• Understand the surgical techniques of fascial slings and minimally-invasive colposuspension.

• Manage postoperative care and unique complications associated with non-mesh anti‐incontinence surgery

WORKSHOP CHAIR(S): Swati Jha

FACULTY: Dudley Robinson & Stephen Radley

SHORT DESCRIPTION: A workshop designed to provide an update to UDS. We will go through tips and tricks to performing the tests, latest terminology and pitfalls to be aware of the and interpretaion of artefacts. Very interactive and lots of traces for discussion and bring your cases too.

OBJECTIVES:

• To understand the principles and physics of Urodynamics Assessment, and the terminology used in this field

• To understand various alternative methods of assessment of lower urinary tract function

• Learning to write a urodynamics report and some of the pitfalls of interpretation (artefacts).

WORKSHOP CHAIR(S): S. Abbas Shobeiri

FACULTY: Jonia Alshiek, Emilia Alcoba & Sthela Murad Regadas

SHORT DESCRIPTION: A comprehensive review of 2D perineal, 2D / 3D endovaginal, and endoanal ultrasound methodologies that involve the use of high-frequency probes for pelvic floor imaging. Endovaginal and endoanal techniques for assessment of levator ani muscles, birth-related injury, and anal sphincter injury will be reviewed.

OBJECTIVES:

• Introduction to Pelvic Floor Anatomy

• Understand basics of endovaginal Imaging

WORKSHOP CHAIR(S): Mickey Karram & Stefano Salvatore

FACULTY: Gigi Adili & Roger Dmochowski

SHORT DESCRIPTION: This workshop will discuss how RF energy has been used to treat SUI, OAB, mixed incontinence, GSM, and lichen sclerosis. An extensive review of all published peer reviewed data will be presented. Also current large multi-centered studies will be presented and discussed.

OBJECTIVES:

• Understand mechanism of action of how RF energy can impact bladder dysfunction and GSM

• Understand procedural details of how to deliver RF energy to the vagina and bladder

• Review peer reviewed publications that have reported outcomes on the use of RF energy

WORKSHOP CHAIR(S): Tariq Al-Shaiji & Said Yaiesh

FACULTY: Mariam Almansori

SHORT DESCRIPTION: Understand pelvic floor disorders in adolescents & young adults: congenital anomalies, LUTS, pain, and transition care models.

OBJECTIVES:

• Assess pelvic floor disorders unique to adolescents and young adults.

• Develop tailored management plans considering anatomy, physiology, and psychosocial needs.

• Apply structured transition pathways to facilitate continuity of care into adulthood.

Completion of pre-requisites required.

WORKSHOP CHAIR(S): Abdul Sultan (UK), Ranee Thakar (UK)

FACULTY: Christiana Nygaard & Shasindran Ramanujam

SHORT DESCRIPTION: Part of the 4-step PROTECT: Prevention and Repair Of perineal Trauma Episiotomy through Coordinated Training. Registration is ONLY available to IUGA members who have completed Step 1 (Online Modules) and Step 2 (OASIS Hands-on Workshop offered at the IUGA Meeting or one conducted by a PROTECT-trained trainer in the previous 48 months). For more information on PROTECT, please visit: www.iuga.org/education/protect/about-protect

WORKSHOP CHAIR(S): Jan Baekelandt & Supuni Kapurubandara

FACULTY: Kazila Bhutia, Susanne Housmans & Deepa Gopinath

SHORT DESCRIPTION: This advanced, hands-on workshop is designed for experienced gynecologic and urogynecologic surgeons aiming to refine their skills in complex vNOTES surgical skill. The session focuses on strategies for managing difficult vaginally assisted NOTES hysterectomy, safe and efficient contained morcellation, and optimizing apical support for pelvic floor reconstruction. Through a combination of video demonstrations, case-based discussions, and video review, participants will deepen their understanding of advanced techniques and surgical decision-making in challenging scenarios.

OBJECTIVES:

• Identify patient and anatomical factors predicting difficulty in hysterectomy and plan accordingly.

• Apply systematic surgical approaches and intraoperative troubleshooting techniques in cases of difficult vNOTES hysterectomy (large uterus, anatomically distorted uterus).

• Select the most appropriate apical support procedure based on patient characteristics and surgical goals.

WORKSHOP CHAIR(S): Tariq Al-Shaiji & Said Yaiesh

FACULTY: Mariam Almansori

SHORT DESCRIPTION: Transform your urogynecology practice with hands-on AI tools for diagnosis, imaging, UDS interpretation, and clinical decision-making!

OBJECTIVES:

• Apply AI-based tools to enhance diagnostic workflows in urogynecology, including UDS interpretation and pelvic imaging.

• Utilize AI-driven decision support to create efficient, individualized patient management plans.

• Identify practical, ethical, and safety considerations when incorporating generative AI into clinical practice.

WORKSHOP CHAIR(S): Jittima Manonai & Apisith Saraluck

FACULTY: Orawee Chinthakanan, Komkrit Aimjirakul & Rujira Wattanayingcharoenchai

SHORT DESCRIPTION: Learn evidence-based regenerative and aesthetic gynecology through real clinical practice and hands-on experience.

OBJECTIVES:

• Define key terminology and fundamental concepts in aesthetic and regenerative gynecology, including principles of tissue regeneration and functional restoration.

• Apply evidence-based and ethical principles to patient selection, counseling, and safe clinical practice in aesthetic and regenerative procedures.

• Demonstrate hands-on proficiency in core aesthetic regenerative techniques—such as labiaplasty, clitoral hood reduction, PRP and filler injections, and the use of energy-based devices through interactive video sessions.

WORKSHOP CHAIR(S): Hans Peter Dietz

FACULTY: Ka Lai Shek & Kamil Svabik

SHORT DESCRIPTION: The workshop is designed to familiarize participants with the basic methodology and clinical uses of pelvic floor ultrasound imaging, using 2D and 3D/4D ultrasound technology. 1-3 live scans will demonstrate common findings and basic technique.

OBJECTIVES:

• Understanding the basic methodology of transperineal pelvic floor ultrasound imaging.

• Learn to use Pelvic Floor Ultrasound for the evaluation of lower urinary tract and bowel symptoms, including urinary incontinence, pelvic organ prolapse, imaging of slings and meshes and obstructed defecation.

• Learn to diagnose maternal birth trauma and understand its epidemiology, aetiology and pathophysiology, clinical significance, prevention and treatment.

WORKSHOP CHAIR(S): Dudley Robinson

FACULTY: Angela Rantell, Angela Taithongchai, Howard Goldman& George Araklitis

SHORT DESCRIPTION: Overview of the advancements in refractory overactive bladder management, including hands on sessions for sacro-neuromodulation, intravesical Botox injections and PTNS and tips in setting up your own services.

OBJECTIVES:

• Identify the hallmark symptoms of overactive bladder and understand the concepts underlying the investigations, including advances in bladder diaries and bladder function testing.

• Counsel regarding the available management therapies for patients with overactive bladder, allowing for joint patient decision making. This will range from updates in bladder retraining, new pharmacotherapies available and neuromodulation or intravesical Botox, including the evidence behind these.

• Practice intravesical botulinum injections with flexible cystoscopy, posterior tibial nerve stimulation and sacroneuromodulation.

WORKSHOP CHAIR(S): Candace Parker-Autry

FACULTY: Holly Richter

SHORT DESCRIPTION: Learn about fecal incontinence treatments beyond fiber and sacral neuromodulation.

OBJECTIVES:

• To review the physiology of anorectal continence Anorectal complex anatomy and neuromuscular function

• Case-based review of the evaluation of bowel incontinence with video-based education on anorectal manometry, endoanal ultrasound, and anorectal biofeedback.

• Evidenced-based review of treatment options and algorithms

This workshop will be held in Spanish.

WORKSHOP CHAIR(S): Hector Soderini & Enrique Ubertazzi

FACULTY: Javier Pizzarro & Willy Davila

SHORT DESCRIPTION: To introduce sacral neuromodulation and its clinical applications to professionals who wish to incorporate this therapy into their practice.

The workshop will start with an expert-led overview of sacral neuromodulation, covering patient indications, supporting clinical data, current guidelines, infrastructure requirements, and patient follow-up.

By the end of the workshop, participants will:

- Understand the indications and patient selection process for sacral neuromodulation.

- Recognize its role in treating non-obstructive voiding dysfunction, Fowler’s syndrome, and bowel disorders such as fecal incontinence.

-Learn the surgical technique step by step, including electrode placement for the test (evaluation) phase and for permanent implantation with a pulse generator.

- Acquire basic knowledge of device programming and operation.

Participants will be divided into small groups rotating every 20 minutes through three practical stations:

Percutaneous nerve evaluation and electrode placement

Advanced barbed electrode techniques

Battery implantation and programming

Each station will include hands-on practice using pelvic models and visual aids. The session will conclude with expert-led discussions and “tips and tricks” for clinical practice.

OBJECTIVES:

• Understand the indications and patient selection process for sacral neuromodulation.

• Recognize its role in treating non-obstructive voiding dysfunction, Fowler’s syndrome, and bowel disorders such as fecal incontinence.

• Learn the surgical technique step by step, including electrode placement for the test (evaluation) phase and for permanent implantation with a pulse generator and programming.

WORKSHOP CHAIR(S): Bary Berghmans

FACULTY: Anna Padoa, Magdalena Grzybowska, Kari Bo & Maura Seleme

SHORT DESCRIPTION: According to the World Health Organization (WHO), it is estimated that by 2030, around 1.2 billion women will be over the age of 50. Due to the increase in life expectancy, many women will spend decades in a state of estrogen deficiency during the postmenopausal phase. Perimenopausal and postmenopausal women are at risk worldwide. To guide women through this crucial life transition, healthcare providers need sufficient insight, knowledge, and practical skills. Women must receive appropriate information, assessment, and treatment during their post-reproductive years. The goal of this clinically practical workshop is to provide effective strategies that improve the quality of life for women going through menopause.

OBJECTIVES:

• Understand the significance and structure of the different health care providers’s (medical doctors, pelvic physiotherapists, psychologists, etc.) assessment like history-taking, exam, classification, analysis & evaluation of pelvic floor dysfunctions related to menopause including sexual dysfunctions

• Discuss and understand multidisciplinary models and algorithms for treatment of pelvic floor dysfunctions including sexual dysfunctions during menopause

• Discuss and understand the level of evidence for conservative interventions for pelvic floor dysfunctions including sexual dysfunctions during the menopause