AGES Pelvic Floor 3 fold Broc

Australian
Gynaecological
Endoscopy
Society
AGES PELVIC FLOOR GROUP IN ASSOCIATION WITH AAVIS & ROYAL NORTH SHORE HOSPITAL PRESENT
AGES Pelvic Floor Symposium & Workshop IV
Platinum Sponsor of AGES
Pelvic Floor
Reconstruction:
TO MESH OR NOT TO MESH
RENOWNED USA SURGEON
Professor Mark Walters
FRIDAY 5TH & SATURDAY 6TH
SEPTEMBER 2003
SYDNEY
The Four Seasons Hotel
199 GEORGE STREET, SYDNEY
Royal North Shore Hospital
PACIFIC HIGHWAY, ST LEONARDS

MESSAGE
OF
INVITATION
Provisional Program
AGES Pelvic Floor Symposium & Workshop IV
Pelvic Floor Reconstruction:
TO MESH OR NOT TO MESH
AUSTRALIAN FACULTY
Dear Colleagues,
The Australian Gynaecological Endoscopy Society, in association with AAVIS, is proud to host the
fourth Pelvic Floor Symposium on September 5 and 6, 2003, at the Four Seasons Hotel Sydney
and Royal North Shore Hospital.
Since its inception in 2000, the AGES Pelvic Floor Symposium has gone from strength to
strength to become one of the major meetings on the annual calendar for many gynaecologists.
The continuing success of the symposium is based on AGES’s objective of providing the forum
for new technology and techniques to be presented and its search for evidence to improve
clinical standards.
It is both timely and appropriate that AGES has chosen “To Mesh or not to Mesh” as the theme
for its fourth Pelvic Floor Symposium.
The Organising Committee has put together a tremendously exciting two day program to keep
you up to date with recent advances in endoscopic reconstructive surgery as well as to reflect
the increasing interest in the use of pelvic prostheses (tapes, mesh) in pelvic floor repair. There
are lessons to be learned from history and guidelines to adhere to in our search for better
techniques and materials to offer our patients. The comprehensive program therefore includes
issues related to clinical guidelines for safe introduction of new technology and techniques,
informed consent, clinical case discussion, surgical technique demonstration and complication
prevention and management.
We are honoured to have Professor Mark Walters from Cleveland Clinic, Ohio, USA, as our
international guest lecturer for the meeting. With the help of many other distinguished speakers
representing the disciplines of endoscopic surgery, uro-gynaecology, urology, colorectal surgery,
and physiotherapy, AGES IV Pelvic Floor Symposium promises to provide everyone with the latest
information to help improve your clinical practice.
We would like to thank Stryker, our platinum sponsor, and other sponsors for their generous
support in making this meeting affordable to everyone.
“To Mesh or not to Mesh” is one meeting you cannot afford to miss.
We warmly welcome you to attend.
Associate Professor Alan Lam
Chair AGES Pelvic Floor Subcommittee
Vice President AGES
Dr Robert O’Shea
President AGES
Dr Maree Bellamy
A/Prof. Chris Benness
Dr Gil Burton
Dr Marcus Carey
Dr Greg Cario
Dr Michael Cooper
Dr Susan Evans
Dr Bruce Farnsworth
Dr Robert Ford
Ms Helena Frawley
Prof Ray Garry
A/Prof. David Hunt
Dr Rose King
Dr Raphael Kuhn
A/Prof. Alan Lam
A/Prof. David Lubowski
Dr Chris Maher
Dr David Molloy
Prof. Jonathan Morris
Dr Robert O’Shea
Prof. Ajay Rane
Dr Geoff Reid
Dr Elvis Seman
Dr Fiona Stewart
Dr Jim Tsaltas
A/Prof. Thierry Vancaillie
Dr Michael Wynn-Williams
Dr Anusch Yazdani
Dr James Wong
AGES BOARD
NSW
NSW
NSW
VIC
NSW
NSW
SA
NSW
NSW
VIC
WA
NSW
NSW
VIC
NSW
NSW
QLD
QLD
NSW
SA
QLD
NSW
SA
NSW
VIC
NSW
NSW
QLD
NSW
INTERNATIONAL FACULTY
A/Prof. Mark Walters, Cleveland Clinic, Ohio, USA
Vice-Chairman, Dept. of Gynecology/Obstetrics [1993 – Present] Head, Section of
General Gynecology, Director of Urogynecology, Department of Gynecology
and Obstetrics, The Cleveland Clinic Foundation, Cleveland, Ohio
Director, Fellowship Program in Urogynecology/Reconstructive Pelvic Surgery,
[1997 – Present] The Cleveland Clinic Foundation
Associate Clinical Professor [1994 – Present] Department of Obstetrics &
Gynecology, Ohio State University School of Medicine, Columbus, Ohio
Distinguished and highly regarded author of numerous publications in
urogynaecology and reconstructive pelvic surgery, and pelvic anatomy.
COGNATE POINTS WILL BE AWARDED FOR ATTENDANCE AT THIS MEETING
PRACTICE IMPROVEMENT POINTS WILL BE AWARDED FOR ATTENDANCE AT THIS MEETING
CONFERENCE SECRETARIAT – AGES CONFERENCE ORGANISER
Mrs Michele Bender Phone: 02 9967 2928
Director Fax: 02 9967 2627
Conference Connection Mobile: 04 1111 0464
282 Edinburgh Road E-mail: conferences@ages.com.au
Castlecrag Sydney NSW 2068
Dr Robert O’Shea President
A/Prof. Alan Lam Vice President
Dr Jim Tsaltas Hon. Secretary
Dr Geoff Reid
Treasurer
Dr Greg Cario
Dr Susan Evans
Prof. Ray Garry
Dr Raphael Kuhn
Dr Elvis Seman
Dr Anusch Yazdani
ORGANISING COMMITTEE
A/Prof. Alan Lam Chairman NSW
Dr Gil Burton
NSW
Dr Greg Cario
NSW
Dr Bruce Farnsworth
NSW
Dr Yok Fai Fong
NSW
Ms Helena Frawley
VIC
Prof. Jonathan Morris
NSW
Dr Robert O’Shea
SA
Dr Geoff Reid
NSW
Dr Elvis Seman
SA
Dr Michael Wynn-Williams
NSW

Provisional Program
AGES Pelvic Floor Symposium & Workshop IV
Pelvic Floor Reconstruction:
MESH
TO MESH OR NOT TO
FRIDAY 5TH SEPTEMBER 2003
ROYAL NORTH SHORE HOSPITAL
Centenary Lecture Theatre
Clinical
Pathological
Surgical Video Teaching
0730 – 0800 Registration
0800 – 0805 Welcome – AGES President
Conference Chairman
0805 – 0930 Session I – Practice improvement – Pelvic Anatomy
Chair: Jonathan Morris / Ray Garry
0805 – 0825 a. Questions and answers
b. Anatomy of the pelvis
0825 – 0855 i. Cadaveric dissection – Fiona Stewart
0855 – 0915 ii. Laparoscopic dissection – Alan Lam
0915 – 0925 c. Re-do Questions and answers
0925 – 0930 Discussion
0930 – 1030 Session II
Chair: Jim Tsaltas / Gil Burton
Pelvic Organ Prolapse – Assessment and Classification
0930 – 0950 Description and classification of Lower Urinary Tract
Dysfunction and Pelvic Organ Prolapse – Mark Walters
0950 – 1005 Clinical examination and quantification of pelvic organ
prolapse: A systematic approach – Elvis Seman
1005 – 1010 Discussion
1010 – 1030 Conservative management – Physiotherapy workshop
for gynaecologists
The role of physiotherapy in the clinical setting
presenting with prolapse and incontinence –
Helena Frawley
1030 – 1100 Morning Tea
1100 – 1230 Session III - Case presentation with
Video demonstration – I
Chair: Robert Ford / Elvis Seman
• 15 minutes – Case presentation
Surgery
1. Anatomy
2. Instrumentation
3. Technique (video)
• 5 minutes – Discussion
1. Indication
2. Potential complications
3. Outcome
1100 – 1120 Anterior & posterior IVS and mesh – Bruce Farnsworth
1120 – 1140 TVT for GSI – Bernie Haylen
1140 – 1210 Bladder neck suspension using SPARC – Mark Walters
1210 – 1230 Laparoscopic Burch Colposuspension – Greg Cario
1230 – 1330 Lunch
1330 – 1530 Session IV – Case presentation with video demonstration – II
Chair: Michael Cooper / Ray Garry
1330 – 1350 Abdominal sacrocolpopexy with mesh for recurrent vault
prolapse – Chris Benness
1350 – 1410 Laparoscopic paravaginal repair – Robert O’Shea
1410 – 1430 Laparoscopic pelvic floor repair +/– mesh – Alan Lam
1430 – 1450 Laparoscopic management of recurrent vault prolapse
following failed posterior IVF – Michael Wynn-Williams
1450 – 1510 Investigation and management of urethral injury after
gynaecological procedures – James Wong
1510 – 1530 Management of perineal descent syndrome – Chris Maher
1530 – 1600 Afternoon Tea
1600 – 1730 Session V – Management of complications
Chair: Thierry Vancaillie / Raphael Kuhn
1600 – 1620 Management of voiding disorders (including urine retention)
following bladder neck surgery – Gil Burton
1620 – 1640 Management of tape (TVT or IVS) erosion – Chris Maher
1640 – 1700 Management of obstructed defecation after hysterectomy
and other pelvic surgery – David Lubowski
1700 – 1720 Mesh rectopexy for rectal prolapse / Are there better
alternatives – David Lubowski
1720 – 1730 Discussion
Closing Chairman
1930 for 2000 Conference Dinner Royal Motor Yacht Club,
21 Wunulla Rd, Point Piper
CONFERENCE VENUE
ROYAL NORTH SHORE HOSPITAL: 5 SEPTEMBER
Transport will be provided for delegates staying at the Four
Seasons Sydney. A coach will depart the hotel at 0715 and return
at the conclusion of sessions.
Directions by car: Enter RNSH from the Pacific Highway at St
Leonards at Reserve Road South. The Centenary Lecture Theatre
is the first building on your right hand side before passing through
the boom gate. As parking is limited, we recommend you proceed
through the boom gate to the various hospital parking areas
including the multi-storey car park.
Directions by train: Take train to St Leonards Station and exit
station onto Pacific Highway heading north to Reserve Road
South. It is an easy 10 minute walk to RNSH.

SATURDAY 6TH SEPTEMBER 2003
THE FOUR SEASONS SYDNEY
Ballroom
0730 – 0800 Registration
0800 – 0805 Chairman – Alan Lam
0805 – 0925 SESSION I – Epidemiology, Anatomy and Pathophysiology
Chair: Robert O’Shea / Bruce Farnsworth
0805 – 0820 Epidemiology, clinical and social impact of pelvic floor
dysfunction – Chris Benness
0820 – 0835 Pathophysiology of pelvic organ prolapse and implications
for pelvic floor surgery – Mark Walters
0835 – 0850 Prevention is better than cure: the role of pelvic
rehabilitation – Helena Frawley
0850 – 0910 Impact of prolapse and incontinence on sex – Rose King
0910 – 0925 Discussion
0925 – 1000 SESSION II – Pelvic Reconstruction – Overview
Chair: Susan Evans / Greg Cario
0925 – 0940 Outcomes of pelvic reconstructive surgery: current status –
Robert O’Shea
0940 – 0955 Mesh – Why, What, and How do they work – Marcus Carey
0955 – 1000 Discussion
1000 – 1030 Morning Tea & Exhibition
1030 – 1105 SESSION III – Guest lecture
Chair: Alan Lam
1030 – 1100 The Use of Mesh in Pelvic Reconstructive Surgery: An
Evidence Based Assessment – Mark Walters
1100 – 1105 Discussion
1105 – 1200 SESSION IV – To Mesh or not to Mesh Anterior wall prolapse
Chair: Geoff Reid / Chris Benness
1105 – 1120 Traditional anterior colporrhaphy, absorbable mesh,
or skin graft – Gil Burton
1120 – 1135 Non–absorbable mesh repair – Bruce Farnsworth
1135 – 1150 Laparoscopic paravaginal repair – Elvis Seman
1150 – 1200 Discussion
1440 – 1455 Laparoscopic pelvic floor repair – Alan Lam
1455 – 1505 Discussion
1505 – 1535 Afternoon Tea & Exhibition
1535 – 1650 SESSION VII – Introduction of Mesh technology / techniques
into clinical practice
Chair: Alan Lam / Jim Tsaltas
1535 – 1555 The role of MESH in surgery – experience and lessons from
surgeons – A/Prof. David Hunt
1555 – 1615 Safe introduction of New Interventions into clinical
practice – David Molloy
1615 – 1640 Issues of informed consent associated with new
technologies / surgical techniques / mesh – Maree Bellamy
1640 – 1650 Discussion
1650 – 1700 Conclusion – Chairman
1700 - 1800 Concluding Drinks - Level 3 Lounge
CONFERENCE VENUE
FOUR SEASONS SYDNEY: 6 SEPTEMBER
The multi award winning Four Seasons Sydney (formerly the
Regent Sydney) is located in the historic Rocks area, overlooking
the Opera House and Sydney Harbour Bridge, and near the CBD.
Rooms are elegantly decorated in silks and exotic mahogany
woods, many with harbour views. They feature IDD telephones
with voice mail, fax connections and colour television with access
to in–house movies, satellite stations and pay TV, and safes. The
Italian marble and limestone bathrooms have separate bath and
shower, and are equipped with personal amenities as well as
bathrobes, slippers and hair dryers.
The hotel offers a range of restaurants and bars include Kable’s
fine dining, as well as a pampering spa and fitness centre. The
fitness centre, which is complimentary for hotel guests, combines
state-of-the-art cardiovascular equipment with free weights and
strength-training machines.
Hotel check-in time is 1500 and check-out 1200. The hotel
cannot guarantee check-in prior to 1500 but will make every
effort to assist those arriving early.
Parking is available at the rate of $26.00 per night for in house
guests, and $30.00 per day (0800 – 2000) for other delegates.
1200 – 1300 Lunch & Exhibition
1300 – 1355 SESSION V – Incontinence surgery – To tape or not to tape
Chair: Thierry Vancaillie / Anusch Yazdani
1300 – 1315 Open or Laparoscopic colposuspension is the surgery
of choice – Chris Maher
1315 – 1330 Tension-free Tape with TVT or SPARC – Mark Walters
1330 – 1345 Transobturator approach – Ajay Rane
1345 – 1355 Discussion
1355 – 1505 SESSION VI – To Mesh or not to mesh in Posterior wall and
Vault prolapse
Chair: Gil Burton / Raphael Kuhn
1355 – 1410 Posterior colporrhaphy and Sacrospinous colpopexy –
Marcus Carey
1410 – 1425 Laparoscopic mesh sacro-colpopexy – Mark Walters
1425 – 1440 Posterior IVS and mesh repair – Bruce Farnsworth
CONFERENCE SOCIAL PROGRAM
Conference Dinner Friday 5 September 1930 for 2000
Pacific Room, Royal Motor Yacht Club
21 Wunulla Road, Point Piper
Delegates and partners are warmly invited to attend the Conference
Dinner at the Royal Motor Yacht Club in prestigious Point Piper, only
minutes from the City, and with intimate views of Rose Bay and the
Harbour. Dress code: Lounge suit. Transport will be provided for
delegates staying at the Four Seasons Hotel.
Concluding Drinks Saturday 6 September 1730 – 1830
Four Seasons Sydney – Level 3 Lounge
An informal conclusion to the Conference, and an opportunity to relax
with friends.

REGISTRATION AND BOOKING FORM
AGES Pelvic Floor Symposium & WORKSHOP IV 2003
DELEGATE DETAILS
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CONFERENCE COSTS
REGISTRATION FEES
Full Registration [5 & 6 September ]
KING
TWIN
Total
Fellows – AGES or AAVIS * Members $ 475.00 ………..
Fellows - Non-AGES or AAVIS Members $ 575.00 ………..
Physiotherapists/nurses/registrars/trainees $ 350.00 ………..
SOCIAL PROGRAM Delegate Partner
Conference Dinner – 5 September $ 100.00 $ 100.00 ………..
Concluding Drinks – 6 September No charge $ 45.00 ………..
ACCOMMODATION Cost x Rooms x Nights
City View Room $255.00 ……….. ……….. ………..
Four Seasons Hotel
Harbour View Room $305.00 ……….. ……….. ………..
Four Seasons Hotel
AGES Membership Fellow Registrar/ Fellow
Trainee International
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this booking request is made,
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bound by the conditions set out in this
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AGES 2 or 3 Meeting Registrants
Delegates who attended AGES 2003 & registered
for the Pelvic Floor Conference as part of a 2 or 3
Meeting Registration Fee Package have already
paid the Registration Fee for this Conference.
Additional fees are payable for the Conference
Dinner and for accommodation at the Four
Seasons Hotel.
Payments
Completed registration form must be
accompanied by payment.
All costs are in Australian dollars, and include gst.
Registration fees are payable by cheque, Visa
or Mastercard.
Registration Fee Inclusions
Attendance at all conference sessions
Conference publications
Conference lunches, morning &
afternoon teas
Concluding drinks
FAX BACK NUMBER: 02 9967 2627

The AGES Committee gratefully acknowledges the support of the following companies that have confirmed sponsorship at the time of printing:
Platinum Sponsor of AGES
Major Sponsors
Sponsors
American Medical Systems
B. Braun
Cook Australia
M D Solutions
N. Stenning
CONFERENCE INFORMATION AND CONDITIONS
DEPOSITS AND FINAL PAYMENTS: All costs are payable in advance. If, for any
reason, your entire payment has not been received by the due date, we reserve the
right to treat your booking fee as cancelled and will apply the appropriate
cancellation fee.
CANCELLATION POLICY: Should you or a member of your party be forced to
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cancellation policy for workshops and courses allows a cancellation fee of $100.00
of registration fees for cancellations 8 weeks prior to the first day of the Meeting
and of 50% of registration fees for cancellations 4 weeks prior to the Meeting. No
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important to note, therefore, that all bookings with the Conference Organisers are
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