Gynecology

Friday, February 21, 2014
08:30-10:00
ENDOMETRIOSIS
Capsule Endometriosis is common but poorly managed. How can we improve management, especially in women desiring fertility?
Chairpersons Salim Daya, Canada
Marc Brincat, Malta
Debate: Medical or Surgical treatment; Which is the best way forward?
Medical: Mark Brincat, Malta
Surgical: Jacques Donnez, Belgium
Discussion
Debate: Is resection of deep-infiltrating endometriosis required prior to IVF?
No: Salim Daya, Canada
Yes: Jacques Donnez, Belgium
Discussion

10:20-11:50
CONTRACEPTION
Capsule

The influence of specific types of combined oral contraceptives and there steroidal content on the risk of thrombotic events remains controversial and the most important safety issue for oral contraception

Chairpersons Gab Kovach, Australia
Alfred O. Mueck, Germany
Debate: The pill is still one of the safest medications on the market 
Proposition: Gab Kovacs, Australia
Opposition: Paula Briggs,
UK
Discussion
Debate: Hormonal Contraception: Asian vs. European View
Asian view: X. Ruan, China
European view: Alfred O. Mueck, Germany

12:10-13:40
SHOULD WE REVERT TO PRESCRIBING HT LIKE WE DID BEFORE "2002"?
Capsule New information which negates part of  2002- WHI conclusions have brought the pendulum back to the starting point. should we revert to prescribe HT like before?
Chairpersons Alfred O. Mueck, Germany
Paula Briggs, UK
HRT and coronary heart disease benefit or risk: is it the dose, the type or the age at initiation?
John C. Stevenson, UK
Should we revert to the old prescription habits?
Mark Brincat, Malta
Climacteric symptoms: Non hormonal treatment
Alfred O. Mueck, Germany
Menopausal general management in China
Xiangyan Ruan, China

14:30-16:00
UTERINE PATHOLOGIES
Capsule
Fibroids are the most common benign tumor affecting women. Non operative and conservative treatments expanded the choices of physicians and patients.
Chairperson Xiangyan Ruan, China
Uterine fibroids: Current research on the basic science and genetics
Lona Prasad, USA
Conservative and medical treatments of fibroid
Jacques Donnez, Belgium
Uterine anomalies
Tin-Chiu Li, UK
Robotics in benign gynecology
Kathy Huang, USA

HPV WORKSHOP
Capsule Vaccination has the potential to save lives by preventing cervical cancer, while reducing the need for biopsies and invasive procedures associated with abnormal Pap tests.  Which are the options of universal vaccination as compared to improving the diagnosis and treatment of early cases?  Do we need proposals combining HPV vaccination and screening? A discussion on pertinent questions will precede the round table discussion. The grand debate of diagnosis and treatment versus vaccination is especially interesting in China which is the largest of the countries who have not yet decided to offer global vaccination

16:30-18:00
SEPIDEMIOLOGY OF CERVICAL CANCER: THE GLOBAL PICTURE AND THE SITUATION IN CHINA

The link between HPV and cancer
The HPV types in cancer in the Asia Pacific region
The potential impact of HPV vaccines

Saturday, February 22, 2014
08:30-10:00
VACCINATION AGAINST HPV

How do HPV vaccines work
Population impact of vaccination campaigns
Perspectives in vaccination
Special
Presentation
HPV vaccine safety and the crisis in Japan
Ryo Konno, Japan

10:20-11:50
CORRECTION OF PELVIC ORGAN PROLAPSE (POP)
Capsule
The best method for correction of POP remains elusive. POP affects half of parous women and the lifetime risk for surgery for POP is over 10%. 1 out of 3 women require more than one surgical repair; this fact may reflect agedependent progression, but also the wide variety of surgical techniques used – indicating the lack of consensus with regard to optimal treatment. While good anatomical restoration does not necessarily imply restoration of normal bladder, bowel and sexual function, the impact of surgery can sometimes be unpredictable and symptoms may worsen or new ones (such as urine leakage) may appear. Awareness of the existence of multiple defects, and recurrences in unrepaired compartments, have led to wide use of more comprehensive operations. Synthetic meshes and biological grafts in pelvic reconstructive surgery have increased considerably in recent years, with success rates in the 70-100% range. Nonetheless, not even these procedures are free of adverse effects; accordingly, the issue of the best solution has remained unsettled.
Chairpersons Christopher Chong, Singapore 
Symphorosa Chan, Hong Kong
Debate: To mesh or not to mesh - that is the question

Proposition: Mesh augmentation of POP reconstruction provides the best solution
Tsia-Shu Lo, Taiwan
Conservative non-mesh POP reconstruction is the option with a higher success rate and a lower complication rate
Suvit Bunyavejchevin,
Thailand
Discussion
Discussants Suvit Bunyavejchevin, Thailand
Tsia-Shu Lo, Taiwan
    Tricks of the trade: expert opinion on:
  1. Choosing the appropriate operation for various types of pathology
  2. Is there a place for conservative management in POP?
  3. “My operation is better”: cure vs. complications. Comparison, neck to neck, of needle-guided mesh vs. single.
  4. Incision mesh operation
  5. What to do with mixed incontinence?

 


12:10-13:40
HT AND BREAST CANCER
Capsule
The fear of cancer still dominates the decisions of physicians and patients regarding initiation and continuation of HT. Another controversial aspect of this discussion is estrogens carcinogeni
Debate: Breast Cancer and HRT: Risk or protection?
Pro risk: Xiangyan Ruan, China
Pro protection:
Discussion
Estrogens - are they carcinogenic?
Pharmacological interventions in the prevention of breast cancer
Mark Brincat, Malta

14:30-16:00
STRESS URINARY INCONTINENCE
Capsule
Urinary incontinence is a common and potentially debilitating problem. Hundreds of surgical procedures have been described; additional procedures continue to evolve, thereby improving efficacy, safety, and cost-effectiveness, while reducing invasiveness and recurrences. The key to an optimal therapeutic outcome is accurate diagnosis and tailor-made, appropriate intervention that is acceptable to the patient. Are any of the newer procedures emerging as the best?
Chairpersons Tsia-Shu Lo, Taiwan
Symphorosa Chan, Hong Kong
Debate: Should we perform any surgery other than TVT? Are colposuspensions obsolete?
Proposition: TVT has revolutionized the field and provides better results than any colposuspension, with fewer complications
Christopher Chong, Singapore
Opposition: Colposuspension and miniarch operations are worth performing on selected cases
Symphorosa Chan, Hong Kong
Discussion
Discussants Symphorosa Chan, Hong Kong
Christopher Chong, Singapore
    Expert opinion on overactive bladder (OAB):
  1. Is it essential for management of patients with urinary incontinence?
  2. How to diagnose an overactive bladder?
  3. Overactive bladder? What treatment options?
  4. What is the best medical treatment for overactive bladder?
  5. Botox for overactive bladder – a new lifeline?

16:30-18:00
SHOULD WE REVERT TO PRESCRIBING HT LIKE WE DID BEFORE "2002"? 
Part II
Capsule
New information which negates part of  2002- WHI conclusions have brought the pendulum back to the starting point. should we revert to prescribe HT like before?
Chairperson Mark Brincat, Malta
The WHI: Where the right went wrong
Robert D. Langer, USA
Prevention of osteoporosis: The pendulum swings again
John C. Stevenson, UK
Calcium and Vitamin D: Protection or harm?
Robert D. Langer, USA

Sunday, February 23, 2014
08:00-12:45
Uterine Transplantation Workshop
HOW TO ESTABLISH A SUCCESSFUL UTERINE TRANSPLANTATION CLINIC
For the program please link here

 

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February 17, 2014

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