Giulio Santoro
Giulio Santoro
Anders Mellgren
Anders Mellgren

Date: Wednesday 25 September 2019
Times: 08:00 - 12:30
Venue: Medical University of Vienna, Jugendstilhörsaal, Bauteil 88, Ebene 02, Spitalgasse 23, 1090 Vienna

Surgery General Medical University Vienna General Hospital logo

Cost: €90 Early / €100 Late / €110 On-site (if available)

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

Anders Mellgren and Giulio Santoro wish to thank Professor Stefan Riss from the Medical University of Vienna for his support in making this course possible.

Aimed for all physicians who are involved or interested in pelvic floor disorders: colorectal surgeons, general surgeons, gastroenterologists, physiotherapists.

Course content

This practical session with live ultrasound will provide participants with hands-on experience in the basic use of US and is designed to closely discuss specific details of the techniques.

Imaging is gaining a key role in the understanding of pelvic floor disorders. Three-dimensional endoanal, endorectal and endovaginal ultrasonography, and dynamic transperineal US are nowadays increasingly used in clinical practice for patients suffering from pelvic floor dysfunctions (fecal and urinary incontinence, pelvic organ prolapse, obstructed defecation) and for patients with anal and rectal pathologies, either benign (anorectal sepsis) or malignant (anorectal tumors). These noninvasive techniques not only provide a superior depiction of the pelvic anatomy but also yield unique dynamic information.

This course is designed to give participants an overview of the techniques and image interpretation of anorectal and pelvic floor US and let them to understand the potential roles of US in improving the diagnosis and management of anorectal and PFD.

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


08:00 - 08:05 Introduction - Anders Mellgren, Giulio Santoro
08:05 - 08:20 Normal ultrasound anatomy of the anal canal and rectum - Anders Mellgren
08:20 - 08:45 Ultrasound assessment of fecal incontinence - Liliana Bordeianou
08:45 - 09:00 Anal ultrasound of perianal fistula - Sthela Murad-Regadas
09:00 - 09:15 The role of ultrasound in staging of rectal cancer - Giulio Santoro
09:15 - 09:30 Discussion - Anders Mellgren, Giulio Santoro
09:30 - 10.00 Coffee Break
10:00 - 10:15 Pelvic floor ultrasound: technique and normal ultrasound - Pawel Wieczorek
10:15 - 10:30 Ultrasound assessment of pelvic organ prolapse and obstructed defecation - Giulio Santoro
10:30 - 10:45 Echodefecography in the assessment of pelvic floor disorders - Sthela Murad-Regadas
10:45 - 11:00 Discussion - Anders Mellgren, Giulio Santoro
11:00 - 12:20

Ultrasound live demonstrations and case discussions

Moderators: Anders Mellgren, Pawel Wieczorek
Ultrasound examiners: Liliana Bordeianou, Sthela Murad-Regadas, Giulio Santoro

12:20 - 12:30 Final discussion and closing remarks - Anders Mellgren, Giulio Santoro
ESCP Affiliates