Participants who register for this event have the option to attend live-online and/or watch the recording later. The recording will be available to all registrants for a 2-week period after the event. This allows participants who may not be able to attend the live event to still benefit from the content.

To facilitate attendance tracking, please indicate on your registration form if you won't be attending live.

The 11^th Pelvic Health Solutions online symposium will enrich your theoretical and practical knowledge of pelvic health. Learn the science, critical reasoning and inter-disciplinary approaches needed to fully understand the direction that pelvic health is taking in your community, provincially, nationally, and internationally.

Beyond the Nuts & Bolts: How to assist your complex male pelvic health patients - Dr. Jo Milios

This lecture will cover:

• Where to go and what to do when the textbooks don’t help

• Complex case studies including persistent post-prostatectomy incontinence & over-active bladder

• Persistent post-prostatectomy incontinence - realistic timeframes & troubleshooting, appropriate penile clamp prescription & expectations

• Benign prostatic hyperplasia (BPH) - what symptoms to expect and how to manage conservatively - and post TURP complications

• Urinary dysfunction in chronic pelvic pain syndrome (CPPS) - maximizing PFM up & down-training

• Pelvic radiation - side effects and physiotherapy management

• • The neglected side effects

• • When your prostatectomy patient returns following radiation therapy - expectations & prognosis

Pessaries: What, Who, When and How - Jenny Telfer-Crum & Cara McDougall

Jenny Telfer-Crum and Cara McDougall are Physiotherapists who have performed hundreds of pessary fittings since they started offering this service in 2017. In this presentation they will provide an overview of what pessaries are, who is suitable to use a pessary, when you can recommend a client pursue a pessary trial, how someone gets a pessary in Canada and what happens in a pessary fitting appointment. The goal of this talk is to provide pelvic health practitioners with the information they need to educate their clients with stress urinary incontinence and pelvic organ prolapse about pessaries and feel confident referring clients to a pessary fitting practitioner as part of their care plans.

Objectives:

• Outline what pessaries are and the types of pessaries available in Canada
• Perform a high level overview of current definitions and research around stress urinary incontinence and pelvic organ prolapse to understand where pessary use fits in
• Explain who is a suitable pessary candidate including risks, contraindications and considerations for pessary use
• Summarize what vaginal products are commonly used concurrently with pessaries
• Detail how clients get a pessary in Canada and what clients can expect during a pessary fitting appointment
• Detail how clients use pessaries and standard follow up recommendations.
• Brief introduction to setting up your own pessary practice

Urinary Incontinence in the Female Athlete - A Dive into the Evidence - Linda McLean

On attending this session, participants will:

• Understand what we know about the prevalence and impact of urinary incontinence among athletes
• Consider the current state of knowledge regarding underlying pathophysiology in educating clients
• Recommend conservative interventions for urinary incontinence among female athletes based on the current evidence

Delinquent Bowels: What you're missing in your constipation patients - Dr. Rachel Fobert

Constipation is not as benign as we think it is, not only is it well known to be a treatment resistant condition but patients are at a high risk of developing eating disorders, anxiety and depression. Patients often do not share the full scope of their symptoms unless asked specific questions making it difficult as their health care provider to make a full assessment. This makes it our job to know what we are looking for, ask specific questions, communicate clear expectations, and know what the patient's next best step is within our offices, and outside of them.

Objectives

• How to know what to look for and ask about in your constipation patients to curate a clear treatment roadmap that leaves them confident in your expertise.
• Knowing what to prioritize based on patient presentation. Ever wonder why some patients can miss three days of bowel movements with no abdominal distension and feel fine, and others are left with immense discomfort?
• How to give them clear expectations. Do you know how long it should take for a laxative to work? Do you know how long it should take for more dietary fiber to make a change?

Recurrent UTIs: Breaking the Cycle - Dr. Michael Chaikof

After this talk, participants will be able to:

• Understand risk factors for recurrent UTIs in pre-menopausal and post-menopausal women
• Explain the link between recurrent UTIs pelvic floor disorders
• Discuss strategies for UTI prevention in different populations, including pelvic floor physiotherapy

Pelvic Health Physiotherapy in Ehlers-Danlos Syndromes (EDS) and Hypermobility Spectrum Disorders (HSD) - Amanda Homen

This lecture will:

• Discuss the definitions of Ehlers-Danlos Syndromes (EDS) and Hypermobility Spectrum Disorders(HSD)
• Discuss how EDS & HSD affect the pelvic floor
• Examine symptoms and conditions associated with EDS / HSD and pelvic floor dysfunction
• Discuss treatment strategies for patients with pelvic floor dysfunction and EDS / HSD

The Use of Phenotyping in the Diagnosis and Treatment of IC/BPS - Jill H. Osborne

It is now widely accepted that interstitial cystitis and bladder pain patient community is heterogenous with at least four distinct patient groups, each with their own recommended therapies. Phenotyping allows for the development of an individualized treatment protocol for this demanding patient population. We will review the history of phenotyping and the three proposed phenotyping systems in use today and how its use in clinic will simplify patient care and improve long-term outcomes. Gone are the days when we assumed that every IC patient had a bladder disease. In fact, very few patients demonstrate any disease. Rather, IC/BPS is now widely considered a neuromuscular disorder in most patients, often driven by increased pelvic floor tone and/or central nervous system dysregulation. Phenotyping simplifies patient care and treatment, minimizes the risk of using ineffective treatments and reduces long-term costs over time.

Objectives:

• To review the history of early phenotyping proposals and efforts.
• To review the current phenotypes supported in the AUA Guidelines for IC/BPS (rev. 2022).
• To review the expanded phenotyping systems proposed by Christopher Payne MD and Curtis Nickel MD.
• The use of phenotyping in patient education and long-term care.
• Practical application of phenotyping in the office.