The course is based on small group discussions in different educational formats.
We start both days with three 30 minute anatomy stations where we demonstrate clinical anatomy from prosections. By the end of the first morning you will be familiar with the anatomical consequences of vaginal delivery in more detail than you might have anticipated. Recent prospective epidemiological evidence suggests that injuries sustained during a womans’ first labour CAUSE gynaecological presentations 5-10 years later. Knowing how to prevent these injuries may be helpful – from personal, professional and medicolegal reasons.
In the second session we discuss new approaches to the aetiology, diagnosis and management of endometriosis, adenomyosis and fibroids. Causes, derived from recent prospective studies, include different patterns of “difficult” vaginal delivery. How often do you avulse the origins of the levator ani and adjacent pelvic nerves during forceps delivery ? What causes dysfunctional labour and postpartum haemorrhage ? The final session includes the Gynecare Guest Lecture.
Gynecare (UK) Ltd generously host the reception and course dinner.
The second day includes a second set of anatomy stations. The morning seminar is about the precise diagnosis of incontinence and prolapse, and, its appropriate management. After lunch there is a review of all the anatomy specimens followed by a summary of the course where we attempt to place gynaecology in the context of other groups of Western diseases. During the course we discuss specific products including balloon ablation techniques, tapes for incontinence and mesh for prolapse repair.
The course finishes at 1600 though you are welcome to spend some time examining the prosections while the faculty finish up.