Ultrasound Workshop

The 12th Anorectal and Pelvic Floor Ultrasound Workshop was offered during ESCP 2022 as an additional paid service.

Date:
Wednesday 21 September 2022

Times:
08:00 - 12:30

Cost:
€90 (excluding VAT), includes morning coffee break

Workshop directors:
Anders Mellgren (USA), Giulio A. Santoro (Italy)

This workshop is aimed at all practitioners who are involved or interested in pelvic floor disorders, i.e. colorectal surgeons, general surgeons, specialist nurses, gastroenterologists, physiotherapists, etc.

This workshop is supported by an unrestricted educational grant provided by BK Medical.

Workshop content

Imaging is essential in the understanding of pelvic floor disorders. Ultrasound today increasingly used in clinical practice. Novel applications, including three-dimensional endoanal, endorectal, endovaginal, and dynamic transperineal ultrasound can help the clinician with a superior depiction of the pelvic anatomy and unique dynamic information.

The new 3D technology is on the front line in the diagnostic and therapeutic work-up of patients suffering from pelvic floor dysfunction (faecal and urinary incontinence, pelvic organ prolapse, obstructed defecation) and for colorectal patients with benign (anorectal sepsis) or malignant (anorectal tumours) pathologies.

The workshop is aimed at practitioners managing above mentioned patients and will feature basic concepts and techniques in clinical practice, demonstrating the endosonographic appearance of normal anatomy and common pathologic conditions of the anorectal region and pelvic floor. The workshop will also discuss typical case scenarios, with highlighting the use of ultrasound in the clinical management of these patients.

Learning objectives

To provide participants with basic knowledge of:

The normal US anatomy of the anorectal region and the pelvic floor
The ultrasonographic imaging techniques (3D endoanal, endorectal, endovaginal and dynamic transperineal US)
The main guidelines and indications for the evaluation of faecal and urinary incontinence, anterior and posterior vaginal wall prolapse, obstructed defecation, anorectal fistulas and rectal tumours

Programme

Time	Session
08:00 - 08:10	Introduction - Anders Mellgren (USA) & Giulio Santoro (Italy)
08:10 - 08:30	Normal ultrasound anatomy of the anal canal - Alejandra Perez-Tamayo (USA)
08:30 - 09:00	The role of ultrasound in assessment of obstetric anal sphincter injuries - Giulio Santoro (Italy)
09:00 - 09:20	The role of anal ultrasound in assessment of perianal fistulas - Lucia Oliveira (Brazil)
09:20 - 09:40	The role of ultrasound in staging of rectal cancer - Anders Mellgren (USA)
09:40 - 10:00	The role of ultrasound in colorectal clinical practice - Liliana Bordeianou (USA)
10:00 - 10:30	Coffee Break
10:30 - 10:50	Pelvic floor ultrasound: technique and normal ultrasound - Giulio Santoro (Italy)
10:50 - 11:20	Ultrasound assessment of pelvic organ prolapse and obstructed defecation - Giulio Santoro (Italy)
11:20 - 12:20	Video and case discussions - Faculty
12:20 - 12:30	Final discussion and closing remarks - Anders Mellgren (USA) & Giulio Santoro (Italy)

Pre-conference Course Preview
12th Anorectal and Pelvic Floor Ultrasound Workshop
Wednesday 21 September 2022

Anders Mellgren, MD, PhD, FACS, FASCRS
Professor of Surgery and Chair
Division of Colon & Rectal Surgery
University of Illinois Chicago

Giulio A. Santoro, MD, PhD
Head of Pelvic Floor Unit,
Treviso Regional Hospital, Italy

The course will share best practice and advances in ultrasound imaging of anorectal and pelvic floor disorders – participants will gain valuable clinical ultrasound knowledge, including 3D endoanal, endorectal, endovaginal and dynamic transperineal ultrasonographic imaging techniques.

Giulio Santoro explains the value of rectal and pelvic ultrasound:
Imaging is gaining a key role in the understanding of pelvic floor disorders. Non-invasive techniques not only provide a superior depiction of the pelvic anatomy but also yield unique dynamic information. 3D technology is on the front line in the diagnostic and therapeutic workup, offering improved accuracy in the diagnosis of these complex diseases.

Anders Mellgren adds:
Three-dimensional endoanal, endorectal and endovaginal ultrasonography, and dynamic transperineal US (DTPUS) are nowadays increasingly used in clinical practice for patients suffering from pelvic floor dysfunctions - faecal and urinary incontinence, pelvic organ prolapse, obstructed defecation - and for patients with either benign or malignant anal and rectal pathologies, such as anorectal sepsis or anorectal tumours.

This year’s course will again include an interactive and practical session with video and review of clinical cases which has been welcomed by previous participants. In this way trainees can discuss specific details of the techniques and be shown how to manipulate and analyse 3D images.

Giulio Santoro:
This course is ideal for all physicians who are involved or interested in pelvic floor disorders: including surgeons, specialist nurses, and physiotherapists. The programme will include a review of normal ultrasound anatomy and a full review of ultrasound pathology of the anal canal, rectum, and the pelvic floor. Participants will hear from a number of distinguished presenters, including Liliana Bordeianou, Anders Mellgren, Lucia Oliveira, Alejandra Perez-Tamayo, and Giulio Santoro.

The 12th Anorectal and Pelvic Floor Ultrasound Workshop will run from 08:00 - 12:30 on Wednesday 21 September 2022 at the Conference Centre during ESCP 2022.