Comprehensive Evaluation of the Pelvic Floor

Workshop 5

Workshop Schedule

10:30

Introduction and Objectives of Workshop

Shannon Leigh Wallace

10:35

Defecography: When to order, How it is performed, how to interpret and how it will guide management

Anna R Spivak
Ola Stankiewicz

10:50

Anorectal manometry and Motility Studies: When to order, How it is performed, how to interpret and how it will guide management

Leila Neshatian

11:05

Dynamic pelvic floor ultrasound including endoanal ultrasound and echodefecography: When to order, How it is performed, how to interpret and how it will guide management

Sthela Murad-Regadas
Ola Stankiewicz

11:20

Urodynamic studies and Cystoscopy: When to order, How they are performed, how to interpret and how it will guide management

Shannon Leigh Wallace

11:35

Panel discussion on how we practice using pelvic floor testing

Shannon Leigh Wallace
Anna R Spivak
Leila Neshatian
Sthela Murad-Regadas
Ola Stankiewicz

11:50

Questions

All

Aims & Objectives

Intermediate
90 minutes
Anorectal / Bowel Dysfunction
Clinical
Defecatory Dysfunction Fecal Incontinence Pelvic Organ Prolapse
Urology, Urogynaecology and Female & Functional Urology, Bowel Dysfunction

This workshop focuses on the comprehensive evaluation of the pelvic floor which is crucial for assessing pelvic floor disorders including pelvic organ prolapse, urinary incontinence, fecal incontinence, and defecatory dysfunction. A thorough evaluation involves a combination of medical history, physical examination, and diagnostic tests. We will highlight what symptoms and physical examination findings should trigger which pelvic floor testing. We will discuss how to perform and how to interpret: anorectal manometry, integrated total pelvic floor ultrasound (including endoanal), defecography, motility studies and urodynamics. We will then discuss how different diagnostic tests can guide treatment and management of pelvic floor disorders.

Learning Objectives

  • To better understand what medical history and physical examination findings will guide diagnostic tests of the pelvic floor
  • To better understand how to interpret diagnostic tests of the pelvic floor (anorectal manometry, motility studies, defecography, urodynamics, integrated total pelvic floor ultrasound including dynamic pelvic floor ultrasound, endoanal ultrasound and endovaginal ultrasound)
  • To better understand how diagnostic tests of the pelvic floor will guide treatment and management of pelvic floor disorders.

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