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Myofascial supports,
defects and injuries
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This laparoscopy demonstrates avulsion of the
left uterosacral ligament (uterosacral defect, grade 3,
"Uterosacral injuries in chronic pelvic pain"
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This axial MR scan demonstrates avulsion of
the levator ani from the underlying obturator internus (LA
defect grade 2, "Levator defects in chronic pelvic
pain")
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On this course the emphasis is on your learning and we try and offer new
approaches to common clinical problems. Feedback over 10 courses show that participants
may enjoy the course
because:
- it is relevant to
day-to-day clinical practice
- it is delivered by experienced clinicians from different units and
different backgrounds
- it is arranged in many different learning formats including small
groups, demonstrations, seminars
- it avoids didactic lectures
- it takes place in "state-of-the-art" facilities in the new
educational centre at the University of Bristol
- there is every opportunity for discussion within and around the
sessions including the course dinner
- there is new material to consider - specifically the "lost"
anatomy of the autonomic nerves
- the educational activity is generously supported by Gynecare (UK) Ltd.
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Pelvic nerves and
denervation
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The inferior hypogastric plexus in a
nulliparous cadaver. No-one attending the first 10 courses
had seen this anatomy. Why ???
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Reinnervation follows denervation in many pelvic organs including
the uterine isthmus (x 100). Perivascular regrowth of nerves
occurs in many premenstrual symptoms.
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