Rodney Appell Memorial Update in Gynecologic Urology

February 7-9, 2019
Beaches, Turks & Caicos


Course Description

This course is intended to provide the gynecologists and urologists with advanced knowledge of the latest innovations in the evaluation and treatment of women with lower urogenital tract symptoms and voiding dysfunction. The didactic sessions will provide the participant with knowledge of how to evaluate and treat women with lower urogenital tract abnormalities, pelvic prolapse, incontinence, pelvic pain and surgical complications. Advanced techniques for the evaluation and treatment of women with incontinence and pelvic floor dysfunction will be discussed by a faculty of internationally recognized experts.

The video sessions will provide the participant with an opportunity to view actual procedures and techniques discussed in the didactic sessions. The expert panel discussions will enable the participants to better appreciate the differences and diversity of approaches to treat these conditions. Both the panel discussions and video presentations will also allow the participants to interact with the faculty in a more informal atmosphere for an open exchange of ideas.


Conference Objectives

Upon completion of this course, the participants will be able to:

  1. Evaluate and treat genital prolapse both non-surgically and surgically.
  2. Cite how anti-incontinence operations work and their associated risks and benefits.
  3. Describe how to use and treat the complications of adjuvant grafts in reconstructive pelvic surgery.
  4. Identify and treat women with overactive bladder syndrome and understand how to treat those with refractory symptoms.

Target Audience

The target audience for this activity includes Urogynecologists, Gynecologists, Urologists, Nurses, and other Allied Health Care Professionals seeking a comprehensive review of female pelvic medicine.


Accreditation and Credit Designation

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The University of Chicago Pritzker School of Medicine and NorthShore University HealthSystem. The University of Chicago Pritzker School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Chicago Pritzker School of Medicine designates this live activity for a maximum of 19.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses and other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of certificates of participation for education activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME, please consult your professional licensing board.


Additional Information

For information regarding course content, contact Peter K. Sand, MD, by email at psand@northshore.org.

For information regarding course registration, lodging, travel information or course credit, contact Meeting Achievements at 219.465.1115 or email polly@meetingachievements.com.


Conference Location

 Beaches in Turks & Caicos


Beautiful 5 Star All-Inclusive Luxury Hotel

Just over an hour from Miami, Beaches is nestled amid groves of palms and tropical foliage that fronts a 12-mile stretch of pristine beach.

For everyone who has ever dreamed of getting away from it all and finding a tropical hideaway far removed from all the hustle, bustle, fuss and muss of modern life – Turks & Caicos is that rarest of discoveries, a true island escape.

Enjoy 6 pools, 3 with swim-up bars, dedicated toddler pool with huge Pirates Island Waterpark, 19 specialty restaurants, 15 bars serving unlimited premium drinks, supervised kids camp for kids of all ages, Xbox Play Lounge, Scratch DJ Academy, Liquid at Beaches Nightclub, Trench Town teens-only game room, scuba diving program, and the Red Lane® Caribbean Spa.

If you’re looking for the most comprehensive all-inclusive family vacation in a tropical paradise that offers every imaginable amenity and the Caribbean’s largest water theme park, Beaches Turks & Caicos is for you. Voted “Top 25 Hotels for Families in the World 2017” by Trip Advisor.

All-inclusive Package

All-inclusive package includes all hotel gratuities and taxes, hotel porterage, multiple a la carte dining options, comp-limentary welcome beverage, basic Wi-Fi Internet, anytime snacks, nightly entertainment, access to fitness center, unlimited premium brand alcohol, access to steam and sauna rooms (treatments are an additional cost), land and water sports including scuba diving included for certified divers, and roundtrip airport transfers in Turks & Caicos (transportation gratuities are an additional cost, suggested at $2/bag).

  • All Beaches have a three (3) night minimum stay. Participants are welcome to purchase extensions nights at the group program rate, from three (3) days prior until three (3) days after the official program dates (blackout dates may apply). Extension reservations must be paid prior to the group’s arrival. Extension reservations will be confirmed based on availability and will be bound by the same cancellation policies as the group.
  • Max occupancy of four people.
  • Child rate (ages 2-15 sharing with an adult): $67.50 per night
  • Higher category, suites, and/or date deviations upon request. Call 1-866-798-6338.

Please be Aware

Beaches is an all-inclusive resort. If you choose to stay elsewhere, you will be charged per person per day for entry into the resort, even if you are only attending the seminar.


ADULT: $150, CHILD: $150

This is a firm resort policy. This fee is subject to change without notice at the discretion of resort management.


Book today as this location sells out months in advance every year!


All-Inclusive Accommodations


Reserve before October 9, 2018.

A block of rooms has been reserved at the Beaches in Turks & Caicos starting at:

Run of House Caribbean/French Village





In order to receive this rate, reservations MUST be made through our meeting planners at:

Meeting Achievements: Toll Free 866.798.6338

Email: Urogyne@meetingachievements.com

Reservations must be made before October 9, 2018 to ensure availability and group rates. All rooms reserved after this date are subject to availability. All rooms must be guaranteed with a major credit card.

DEPOSIT REQUIRED: $1,000 per person deposit is required at time of booking to hold your room. Balance due no later than October 9, 2018 and credit card will be charged automatically.

CANCELLATIONS: Cancellations accepted without penalty until October 9, 2018. Cancellations, reduction in occupancy or no-show after October 9, 2018 will result in loss of the full stay amount. No exceptions for any reason. Trip insurance is highly recommended. If you check out of the hotel before your scheduled departure date or are a complete no show, you may be charged a penalty up to your entire reserved stay. Please review your reservation for accuracy.

NorthShore University HealthSystem and The University of Chicago reserve the right to cancel or postpone this conference due to unforeseen circumstances. In the unlikely event this activity must be cancelled or postponed, the registration fee will be refunded; however, NorthShore University HealthSystem and The University of Chicago are not responsible for any related costs, charges or expenses to participants, including fees assessed by airline/travel/lodging agencies.






Patrick Culligan, MD
Professor of Urology & Gynecology
Director of Urogynecology
FPMRS Fellowship Director
Weill Cornell Medical College Department of Urology
New York, New York

Scott MacDiarmid, MD
Director, Bladder Control and Pelvic Pain Center
Alliance Urology Specialists
Greensboro, North Carolina

Victor Nitti, MD
Professor and Vice-Chairman
Department of Urology
Director of Female Pelvic Medicine and
Reconstructive Surgery
New York University Langone Medical Center
New York, New York

Peter K. Sand, MD
Course Director
Director, Urogynecology Research
Division of Urogynecology
NorthShore University HealthSystem
Clinical Professor of Obstetrics & Gynecology
University of Chicago Pritzker School of Medicine
Chicago, Illinois

Marie Fidela R. Paraiso, MD
Professor of Surgery, Cleveland Clinic
Lerner College of Medicine at CWRU
Section Head, Urogynecology and
Reconstructive Pelvic Surgery
The Cleveland Clinic
Cleveland, Ohio


Faculty Disclosure

It is the policy of the University of Chicago to ensure balance, independence, objectivity, and scientific rigor in all its individually sponsored or jointly sponsored educational activities. Individuals who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Mechanisms to ensure that presentations are free from commercial bias are in place. Faculty will also disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Full disclosure of this information will be published in the activity materials.


Educational Grants/Commercial Support

A complete listing of commercial support received will be provided in the conference materials.


University of Chicago Urogynecology Fellowship Urogynecology Preceptorship with Dr. Sand

Dr. Sand offers one, two and four week clinical preceptorships at the Evanston Continence Center to interested gynecologists, urologists and other healthcare providers throughout the year. Please contact Dr. Sand by email at peterksand@gmail.com. This is an observership where the participant will observe patients being evaluated and treated in the office and the operating room. The fee is $1000 for the first week and $750 for subsequent weeks.

The Department of Obstetrics and Gynecology at the University of Chicago Pritzker School of Medicine offers a three-year fellowship program in Female Pelvic Medicine to qualified graduates of accredited residencies in obstetrics and gynecology. This program is intended to give the Fellow advanced training in the evaluation and treatment of women with lower urinary tract symptoms. Emphasis is placed on clinical research, urodynamic methodology and operative and non-operative therapies.



Thursday, February 7, 2019

Time Agenda Speaker
6:00 a.m Registration, Continental Breakfast and Exhibits
7:00 a.m. Introduction/Opening Remarks Peter K. Sand, MD
7:05 a.m. Pelvic Anatomy for the Reconstructive Surgeon Marie F. Paraiso, MD
7:35 a.m. Office Evaluation for Pelvic Floor Dysfunction Peter K. Sand, MD
8:00 a.m. Making Urodynamics Work in Your Practice Scott MacDiarmid, MD
8:30 a.m. Diagnosis & Treatment of Urinary Retention Victor Nitti, MD
9:00 a.m. What Really Works for Bladder Pain Syndrome: Current & Future Rx Peter K. Sand, MD
9:30 a.m. Questions & Answers
9:40 a.m. Refreshment Break & Exhibits
10:10 a.m. The Role of Pessary in Treating Prolapse & Incontinence Patrick Culligan, MD
10:40 a.m. Urethral Bulking for Stress Urinary Incontinence Scott MacDiarmid, MD
11:10 a.m. Current & Future Pharmacological Treatment of Urinary Incontinence Peter K. Sand, MD
11:50 a.m. Botulinum Toxin for Refractory & Neurogenic OAB Victor Nitti, MD
12:20 p.m. Neuromodulation for Refractory OAB and Anal Incontinence Scott MacDiarmid, MD
1:00 p.m. Diagnosis & Management of Pelvic Pain after Vaginal Surgery Patrick Culligan, MD
1:30 p.m Questions & Answers
1:45 p.m. Adjourn

Friday, February 8, 2019

Time Agenda Speaker
6:00 a.m Registration, Continental Breakfast and Exhibits
6:00 a.m. Incontinence and Urethral Surgical Videos Urology Faculty
7:00 a.m. When & How to Do Retropubic Urethropexies Scott MacDiarmid, MD
7:30 a.m. The Place for Single Incision Slings Peter K. Sand, MD
8:00 a.m. Choosing the Right Midurethral Sling Marie F. Paraiso, MD
8:30 a.m. When & How to Use Bladder Neck Slings Victor Nitti, MD
9:00 a.m. How Do the UITN and PRDN Studies Inform our Practice? Marie F. Paraiso, MD
9:30 a.m. Incorporating Behavioral Therapy and Devices to Treat Incontinence in Your Practice Patrick Culligan, MD
10:00 a.m. Questions & Answers
10:10 a.m. Refreshment Break & Exhibits
10:40 a.m. Panel Discussion:Tips & Tricks for Improving Your Robotic & Straight Sticks Laparoscopic Skills Drs. Culligan & Paraiso
12:00 p.m. Managing Recurrent UTIís, Asymptomatic Bacteriuria, Cystitis Cystica & Glandularis Victor Nitti, MD
12:30 p.m. Panel Discussion: Challenges in the Treatment of Pelvic & Bladder Pain(Case Presentations) Drs. Culligan, MacDiarmid, Nitti, Paraiso, and Sand
1:15 p.m Questions & Answers
1:30 p.m. Adjourn

Saturday, February 9, 2019

Time Agenda Speaker
6:00 a.m Registration, Continental Breakfast and Exhibits
6:00 a.m. Prolapse Surgery Videos Urogynecology Faculty
7:00 a.m. Treatment of Anterior Compartment Prolapse With & Without Adjuvant Grafts Peter K. Sand, MD
7:30 a.m. Treatment of Posterior Compartment Prolapse With & Without Adjuvant Grafts Marie F. Paraiso, MD
8:00 a.m. Abdominal Repairs for Apical Prolapse Patrick Culligan, MD
8:30 a.m. Vaginal Repair of Apical Prolapse Peter K. Sand, MD
9:00 a.m. Laparoscopic Repair of Vaginal Prolapse Marie F. Paraiso, MD
9:30 a.m. Colpocleisis & Colpectomy Patrick Culligan, MD
10:00 a.m. Questions & Answers
10:10 a.m. Refreshment Break & Exhibits
10:40 a.m. Diagnosing & Treating Urethral Diverticula Scott MacDiarmid, MD
11:10 a.m. Video Session: Complications of Prolapse & Incontinence Surgery Drs. Culligan, MacDiarmid, Nitti, Paraiso & Sand
12:15 p.m. AUA Guidelines Update: 2018 Victor Nitti, MD
12:45 p.m Questions & Answers
1:00 p.m. Adjourn