Day 1: Postgraduate Course - Saturday November 9, 2019

HSC-612: Office-Based Procedures


Saturday, November 9, 2019


12:30 pm – 4:30 pm


Rooms 119-120






Attilio Di Spiezio Sardo, Amy L. Garcia


Cheryl B. Iglesia, Malcolm G. Munro

Course Description

Do you want to perform more procedures in your office but don’t know how to get started?  Multidisciplinary experts will teach this practical course on the how-tos of starting procedures in your office, from set-up, equipment and supplies, to tips and tricks, billing and reimbursement, and scheduling. Learn how to build diagnostic and operative office hysteroscopy into your gynecologic practice and learn step-by-step how to perform local anesthetic nerve blocks for improved patient comfort for uterine procedures such as hysteroscopy and endometrial ablation. Learn the why and how of different energy-based devices for female genital cosmetic surgery. Incorporate use of fractionated laser and radiofrequency treatments for vulvovaginal conditions. Treat overactive bladder with neuromodulation treatments, nerve stimulation, and Botox. Use cystoscopy to perform periurethral and bladder Botox injections and treat pelvic floor trigger points with intravaginal Botox.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Setup and perform hysteroscopic procedures in the office and apply local anesthetic techniques for hysteroscopy and endometrial ablation on awake patients; 2) employ techniques for office-based neuromodulation treatments for overactive bladder, including bladder Botox injections, cite indications and outcomes of periurethral injections; and 3) utilize fractionated laser and radiofrequency treatments for vulvovaginal conditions, cite indications and outcomes for platelet-rich plasma (PRP), and other intravaginal injections.

Course Outline

12:30Welcome, Introductions, and Course OverviewA. Di Spiezio Sardo, A.L. Garcia
12:35Setting Up and the Economics of Hysteroscopy in the OfficeA.L. Garcia
1:00Vaginoscopy for Uterine Access in Hysteroscopy—Minimizing Patient DiscomfortA. Di Spiezio Sardo
1:25“Office”-Based Intrauterine ProceduresM.G. Munro
2:15Questions & AnswersAll Faculty
2:40Using the Mini-Resectoscope for Operative Hysteroscopy in the OfficeA. Di Spiezio Sardo
3:05Office Diagnostic Cystoscopy—a PrimerC.B. Iglesia
3:30Office Procedures for Urinary IncontinenceC.B. Iglesia
3:55Fractional Lasers and Evidence-Based Treatment for Genitourinary Syndrome of Menopause (GSM) and Sexual DysfunctionC.B. Iglesia
4:20Questions & AnswersAll Faculty