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ForwardEffects of Abdominoplasty on Stress Incontinence, Live WebClinic, August 21, 2024
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Topic: Effects of Abdominoplasty on Stress Incontinence, Live WebClinic, August 21, 2024
Speakers: Mohan Thomas, MD, DDS, FAACS, and Aneesh Gupta, MD, MPH
Description
Stress urinary incontinence (SUI) is featured by an involuntary urine leakage occurring as a result of coughing or sneezing which increases the intra-abdominal pressure.
In his talk, Dr. Thomas will focus on treating SUI with abdominoplasty. Urethral slings are considered the gold standard for the surgical treatment of SUI but are associated with their own set of risks and complications. These work on the principle of creating an angle in the mid-urethra so that there is increased resistance to urinary flow when abdominal muscles and the internal urethral sphincter contracts.
Simulation of this angulation is achieved to an extent by a selective use of abdominoplasty which includes tightening of the abdominal wall along with a Mons lift (Pelvic lift) that will tighten the Urogenital diaphragm thus exaggerating the angle and improving the SUI
A combination of complete abdominoplasty with Mons lift can be offered to improve SUI in people who are interested in body shaping. This concept of tension distributed through the fascial continuity is central to the theory of tensegrity in Biomechanics.
On the other hand, Dr. Gupta will focus on treating SUI that has resulted from abdominoplasty. Abdominoplasty is one of the most common cosmetic procedures around the world today. Unfortunately, SUI is also an increasingly prevalent condition given the increasing average age and BMI of our patient population. This talk will help surgeons to understand which patients are at-risk of worsening SUI post-abdominoplasty, how to diagnose SUI, and how to treat it.
Learning Objectives
Upon completion of the activity, the learner should be able to:
- Describe the pathophysiology of stress urinary incontinence (SUI).
- Evaluate the role of abdominoplasty and pelvic lift on post parous women having SUI.
- Explain the role of Pelvic fascia in modifying the urethral angle and an improved abdominal tone in achieving continence.
- Recognize patients who have developed SUI after their abdominoplasty.
- Propose symptom management techniques to patients who develop SUI incontinence after their abdominoplasty.
Target Audience
Practitioners in the field of cosmetic surgery including, but not limited to, dermatology, general surgery, and plastic/reconstructive surgery.
On-Demand Access
For those who are unable to attend live, the session will be recorded and available on demand. Access instructions will be emailed to you within two weeks of the live session. On-demand viewing is not eligible for CME credits.
Registration Required
Instructions for accessing the webinar will be provided immediately upon registration.
Registration Fees
- AACS Members: $75 per webinar
- Non-Member Practitioners: $150 per webinar
- Residents, Training Fellows, Medical Students: $0 per webinar
CME Credit
To receive CME credit, physicians must submit the Evaluation Survey & CME Claim Form at the conclusion of the live course.
About the Speakers
Mohan Thomas, MD, DDS, FAACS specializes in general cosmetic and facial plastic surgery. Triple board certified, he is the founder and medical director of Dr. Mohan Thomas Aesthetics. He has taught surgery, advanced cosmetic surgery, facial plastics and reconstruction surgery at universities and institutions in New York, NY, and Mumbai, India. An esteemed author, he has published more than 50 articles in international journals, and more than 30 chapters in 10 reference books. He also served as chief editor of the six-volume Manual of Cosmetic Surgery.
Aneesh Gupta, MD, MPH is a quadruple board-certified cosmetic surgeon offering full-body solutions at Jazzi Cosmetic Surgery in Philadelphia, PA. Dr. Gupta completed his fellowship in facial and body Cosmetic Surgery at Marvel Cosmetic Surgery in Nashville, TN, with Dr. Jeffrey Marvel.
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Continuing Medical Education Credit Information
Accreditation
This activity has been approved for AMA PRA Category 1 Credit™
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 American College of Surgeons and American Academy of Cosmetic Surgery. The American College of Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
AMA PRA Category 1 Credit™
The American College of Surgeons designates this live activity for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Award of CME credits by ACS is based on compliance of the program with the ACCME accreditation requirements and does not imply endorsement by ACS of the content, the faculty, or the sponsor of the program. Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program.
Disclosure Information
In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all financial relationships with any commercial interest (termed by the ACCME as “ineligible companies”, defined below) held in the last 24 months (see below for definitions). Please note that first authors were required to collect and submit disclosure information on behalf all other authors/contributors, if applicable.
Ineligible Company: The ACCME defines an “ineligible company” as any entity producing, marketing, re-selling, or distributing health care goods or services used on or consumed by patients. Providers of clinical services directly to patients are NOT included in this definition.
Financial Relationships: Relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.
Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of an ineligible company with which he/she has a financial relationship.
The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity. Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during the educational activity, please report it on the evaluation
PLANNERS | |||||
Name | Role in the Activity | Nothing to Disclose | Disclosure | ||
Company | Role | Received | |||
Marco Barusco, MD, FISHRS | Planner | X |
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Victoria Ceh, MPA | Planner (Staff) | X |
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FACULTY | |||||
Name | Role in the Activity | Nothing to Disclose | Disclosure | ||
Company | Role | Received | |||
| Mohan Thomas, MD, DDS, FAACS | Speaker | X |
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| Aneesh Gupta, MD, MPH | Speaker | X |
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Available Credit
- 1.50 AMA PRA Category 1 Credit™
- 1.50 Contact Hour(s)
Price
Once paid, registration fees for WebClinics are non-refundable. If you are unable to attend a live airing, the recording will be provided to you for on-demand viewing. CME credit is not available for the recording.
To receive CME Credit, completion of the Evaluation & CME Claim Form is required. This form will be emailed after the conclusion of the live WebClinic.