Day 1: Postgraduate Course - Saturday November 9, 2019

ENDO-609: Endometriosis—The Whole Picture


Saturday, November 9, 2019


12:30 pm – 4:30 pm


Room 109



Presented in cooperation with the AAGL Special Interest Group on Endometriosis/Reproductive Surgery.

Presented in affiliation with Society of Gynecologic Surgeons (SGS).




Jon I. Einarsson, Iris K. Orbuch


Heather C. Guidone, Tamarah B. Nerreter, Marc Possover, Allyson Shrikhande, Ken R. Sinervo

Course Description

Endometriosis is commonly thought of as a surgical disease. Surgical excision is the cornerstone of treating women with endometriosis; however, taking a holistic approach to the patient can help treat other facets of a chronic condition. Expert physicians will provide an in-depth discussion on safe and appropriate surgical excision, including endometriosis affecting the bowel and urinary systems, as well as the pelvic and sacral nerves. The course will also cover neuropelveology as it relates to endometriosis patients. Practical tips for treating central sensitization will be provided as it is beneficial to many women with endometriosis. We will explore the co-existing conditions women with endometriosis often present with and learn how to identify and treat them. This course will have a practical focus, teaching tips and tricks for you to bring back to your operating room and how to incorporate them into your pre-operative assessment to ensure your chronic pain patient is holistically evaluated and treated.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Implement a multidisciplinary treatment plan for endometriosis patients including surgical excision as well as a holistic approach to the disease to evaluate for and treat coexisting conditions; 2) discuss how to apply surgical skills of excision of endometriosis on the bowel, ureter, and bladder to your own practice; 3) diagnose sacral nerve roots and sciatic nerve endometriosis, and construct a foundation of neuropelveology; and 4) recognize that close to 80% of women with endometriosis also have another reason, in addition to endometriosis, that may contribute to their pain.

Course Outline

12:30Welcome, Introductions, and Course OverviewJ.I. Einarsson, I.K. Orbuch
12:35Endometriosis—the Patient PerspectiveH. C. Guidone
1:00Neuropelveology and EndometriosisM. Possover
1:25Bowel Endometriosis—Surgical TreatmentK.R. Sinervo
1:50Endometriosis of Sacral Nerve Roots and Sciatic NerveM. Possover
2:15Questions & AnswersAll Faculty
2:40Endometriosis of the Bladder and Ureter—Surgical ApproachJ.I. Einarsson
3:05A Holistic Approach to Endometriosis. Evaluating Coexisting Conditions of EndometriosisI.K. Orbuch
3:30Unlocking Central Sensitization in Patients with EndometriosisA. Shrikhande
3:55The Role of the Pelvic Health Physiotherapist in Pelvic Floor Dysfunction and Endometriosis: How We Play a Vital Roll in the Integrative Team Approach of the Endometriosis PatientT.B. Nerreter
4:20Questions & AnswersAll Faculty