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Workshop on Surgical Anatomy of the Pelvis and Procedures in Patients with Chronic Pelvic Pain

Produced & Presented By

This course is free for all AAGL Members to complete online. If you are not currently a member of the AAGL and would like to access our online CME, you can become a member by clicking here.

Please scroll down to read the course description, learning objectives, faculty disclosures and maximum number of CME credit available for this course.

Release Date:  May, 12, 2017
Expiration Date:  May, 12, 2018
Estimated time of Completion: 6.5 hours

This two-day course is designed for gynecologists seeking to advance their knowledge of pelvic pain anatomy and chronic pelvic pain. Didactic lectures will focus on common and lesser known causes of pelvic pain, such as endometriosis and pelvic congestions syndrome. Pelvic neuroanatomy, both of the pelvic floor and the abdominal wall, will be highlighted, along with the associated surgical complications. Evaluation and treatment of pelvic floor dysfunction, from both provider and physical therapist standpoints, will help to clarify this complex issue. Rounding out these discussions will be lectures of neuropharmacology, overlapping pain conditions, and of course, evidence-based medical and surgical treatment options. Morning lectures include round-table discussions focused on disease-centered care.

Learning Objectives
At the conclusion of this course, the clinician will be able to: 1) Evaluate and treat common and less common causes of pelvic pain, through both medical, and surgical techniques, while incorporating a holistic approach towards patient care; 2) explain the pharmacology underlying medical therapies and when best to employ different medications; and 3) identify conditions leading to pelvic pain, beyond endometriosis, describe the degree of systems overlap with symptomatology, and discuss proper examination and treatment of these types of conditions.

Target Audience
This educational activity is developed to meet the needs of residents, fellows and new minimally invasive specialists in the field of gynecology.

The AAGL is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The AAGL designates this enduring material for a maximum of 6.5 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), AAGL requires resolution of all conflicts of interest to ensure CME activities are free of commercial bias.

Planner Disclosures
The following members of AAGL have been involved in the educational planning of this workshop (listed in alphabetical order by last name).

Art Arellano, Professional Education Manager, AAGL*
Edward Betcher*

Amber Bradshaw
Speakers Bureau: Myriad Genetics Lab
Other: Proctor: Intuitive Surgical

Sarah L. Cohen
Consultant: Olympus

Mark W. Dassel*
Nita A. Desai*
Erica Dun*
Michael Hibner*

Joseph (Jay) L. Hudgens
Contracted Research: Gynesonics

Frank D. Loffer, Medical Director, AAGL*

Suketu Mansuria
Speakers Bureau: Covidien

Linda Michels, Executive Director, AAGL*
Karen C. Wang*
Johnny Yi*

Faculty Disclosures
The following have agreed to provide verbal disclosure of their relationships prior to their presentations. They have also agreed to support their presentations and clinical recommendations with the “best available evidence” from medical literature (in alphabetical order by last name).

Diana T. Atashroo*
Tara Beran*
Mario E. Castellanos*
Mark W. Dassel*
Nita A. Desai*
Christopher Eswar*
Erica C. Garza*
Daniel N. Ginn*
Ashley L. Gubbels*
Michael Hibner*
Lauren Hill*
Javier F. Magrina*
Joseph M. Maurice*
Jamal Mourad*
Samantha P. Nadella*
Loretta J. Robertson*

Content Reviewer
Johnny Yi*

Asterisk (*) denotes no financial relationships to disclose.

AAGL acknowledges that it has received educational grants from the following companies:
CooperSurgical, Ethicon US, LLC, Philips Ultrasound

AAGL acknowledges that it has received in-kind support from the following companies:
Durable Equipment:  3D Systems, CooperSurgical, Ethicon US, LLC, Philips Ultrasound;
Disposable Supplies:  Bard Medical, CooperSurgical, Ethicon US, LLC, Minvasive Surgical

This CME activity was produced by AAGL and the information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by AAGL. In no event will AAGL be liable for any decision made or action taken in reliance upon the information provided through this CME activity.

Click here to view AAGL’s Policy on Enduring Materials

How to Obtain AMA PRA Category 1 Credit(s)

1. Log into your AAGL membership account or enter your personal details
2. Watch the webcast
3. Take the CME posttest (each question must be answered correctly).
4. Select the number of CME hours for which you are applying for this activity. You will receive your personalized CME certificate by email.

Technical Requirements
This site is best viewed using Internet Explorer 7 and higher, or Firefox 3.0 and higher. A broadband Internet connection with a minimum speed 512Kbps is suggested, although the webcast is still viewable on slower connections with a significant buffering delay.

All CME webcast activities feature audio, and you must have a sound card and speakers or headphones to listen to the audio portion of the program.

The streaming video portion of the webcast requires Adobe Flash, Version 9.0 or later. You can download and install Adobe Flash Player by visiting

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Video Main Menu

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Pelvic Visceral Pain: Overlapping Pain Conditions (21.14 min)
Watch w/CME
Pelvic Neuroanatomy (21.45 min)
Watch w/CME
Pelvic Floor and Abdominal Wall Anatomy (21.14 min)
Watch w/CME
Avoiding Injury in Pelvic Surgery – Anatomical Implications (31.23 min)
Watch w/CME
Chronic Pelvic Pain – Overview and Pharmacotherapy (29.24 min)
Watch w/CME
Neuropathic Pelvic Pain – Ilioinguinal, Genitofemoral, Obturator, Pudendal (23.42 min)
Watch w/CME
Nerve Blocks, Trigger Point Injections and Botox (21.59 min)
Watch w/CME
Evaluation of the Pelvic Floor and Abdominal Wall in Patients with Pelvic Pain (21.29 min)
Watch w/CME
Surgery in Patients with Adhesive Disease – Identification of Landmarks and Pertinent Anatomy (28.32 min)
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Excision of Severe Endometriosis and Pre Sacral Neurectomy (28.44 min)
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The Evil Quadruplets of Chronic Pelvic Pain (24.30 min)
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Lesser-Known Conditions Causing Pelvic Pain – Pelvic Congestion & Ovarian Remnant (26.27 min)
Watch w/CME
Treatment of Pelvic Floor Muscle Spasm (24.26 min)
Watch w/CME
Nerve Decompression Procedures (21.59 min)
Watch w/CME
Pain Related to Transvaginal Mesh (24.34 min)
Watch w/CME
Evidence for Performing Surgery on Pelvic Pain Patients (16.32 min)
Watch w/CME

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About Our Faculty

Dr. Barbara Levy

Vice President for Health Policy
American College of Obstetricians & Gynecologists
Washington, D.C.

Dr. Rosanne Kho

Head of the Division of Urogynecology
Columbia University Medical Hospital
New York, NY

Dr. John Gebhart

Professor/Fellowship Program Director Mayo Clinic
Rochester, MN

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