« HANDS-ON »
PELVIC FLOOR REHABILITATION
and
CONSERVATIVE MANAGEMENT
TRAINING COURSE
September 2-3, 2006
King Fahad Medical City
Riyadh, Saudi Arabia
Alain P. Bourcier, chartered physical therapist, specialist in continence and urodynamicist. He is Consultant in
different hospitals and he is a Director of pelvic floor rehabilitation Unit in Paris, France.
He directs this 2-day intensive course for physcical therapsits and health care providers who have some
experience in pelvic floor rehabilitation and would like to become more knwledgeable in this field. The field of
Physical Therapy has gained worldwide recognition and respect over the years, and is now a well-defined
profession with precise treatment modalities and therapeutic approaches. Urogynecology physical therapy is a
missing dimension in our field, and is a new job which needs to receive a proper training so that the PT can
provide the best techniques for many patients who suffer from a various conditions of pelvic floor disorders.
Alain P. Bourcier’s vast experience includes:
 Clinical Instructor of Uro-Gynecology Rehabilitation. Tenon Hospital, Female Urology Unit. Paris
 Urodynamicist at Dr J. Juras & M. Lipski. Paris
 Member of the Committee of International Consultation on Incontinence.
World Health Organization. 2001-2005
 Past President of the International Pelvic Floor Dysfunction Society
 Past Vice President of the “International Continence Society “ and the “International UroGynecological
Association” Joint Meeting. Paris August 23-27, 2004
 Assistant Visiting Professor at Division of Female Urology, UCLA, Los Angeles, USA
He also has written numerous articles and books on pelvic floor rehabiliation.
These include:
- BOURCIER AP, JURAS J: Nonsurgical Therapy For Stress Incontinence. In : Evaluation and Treatment of the
Incontinent Female Patient. The Urologic Clinics of Noth America. Klutke CG, Raz S (eds). Vol 22, N°3, 613627, 1995
- BOURCIER A: Pelvic floor rehabilitation. In: Female Urology. 2 nd edition Raz S (ed). Philadelphia. WB
Saunders, 263-281, 1996
- WILSON PD, BO K, BOURCIER AP, HAY-SMITH J, NYGARD I, STASKIN D, WYMAN J, SHEPHERD
A. Conservative Management in Women. In Abrams P, Khoury S and Wein A (Eds). First International
Consultation on Incontinence.
Plymouth Health Publication, Plymbridge Ditributors Ltd, pp 579-636, 1999
- WILSON PD, BO K, BOURCIER AP, HAY-SMITH J, NYGARD I, STASKIN D, WYMAN J,:
A. Conservative Management in Women. In Abrams P, Khoury S and Wein A (Eds).
First International Consultation on Incontinence.
Plymouth Health Publication, Plymbridge Ditributors Ltd, pp 571-624, 2001
- BOURCIER AP: Management of urinary incontinence in sportswomen. Pelvic Floor Re-education - Principles
and Practice, 2nd edition edited by Schüssler, Norton, Stanton, Moore, Baessler, Burgio. 2005, In press
- BOURCIER AP: Behavioral modification and conservative management of overactive bladder In: Female
Urology. 3nd edition Raz S. LV Rodriguez (eds). Philadelphia. Elsevier, 2006 In press
- BOURCIER AP: Conservative treatment of urinary stress incontinence. In: Female Urology. 3nd edition Raz S.
LV Rodriguez (eds). Philadelphia. Elsevier, 2006 In press
- BOURCIER AP, McGUIRE E, ABRAMS P. (eds)
Pelvic Floor Disorders, Philadelphia, Elsevier , 2004, Preface: Pr Tanagho
Course Goals
This course provides the health care professionals with a better understanding of the
pathophysiology of pelvic floor disorders with a specific focus on pelvic floor
rehabilitation including pelvic floor muscles training programmes, biofeedback and
electrotsimulation.
At the end of this seminar, participants will be able to:
 Understand the physiopathology of lower urinary tract as well as anorectal
disorders
 Delevop conservative strategies for pelvic floor dysfunction
 Recognize behavioral interventions and physical therapies
 Adapt pelvic floor rehab. techniques according to the type of pelvic floor
disorders
Program
Saturday 09/01/2006 ( Morning Session)
BASIC SCIENCES
-
Functional pelvic floor anatomy
Physiology of the lower urinary tract
Physiology of anal continence
PATHOPHYSIOLOGY
-
Prevalence of pelvic floor dysfunction
Pathophysiology of urinary incontinence
Patholophysiology of pelvic organ prolapse
Pathophysiology of faecal incontinence
INVESTIGATIONS
-
History and physical examination
Quality of life questionnaires
Urodynamics
Imaging
Saturday 09/01/2006 ( Afternoon Session)
PELVIC FLOOR REHABILITATION TECHNIQUES
-
Lifestyle interventions
Behavioral modification
Pelvic floor muscles training
Biofeedback
Electrostimulation
CONSERVATIVE MANAGEMENT
-
Devices and pessaries
Pharmacological approach
Sunday 09/02/2006 ( Morning Session)
CONSERVATIVE MANAGEMENT IN VARIOUS CONDITIONS
-
Urge incontinence
Stress incontinence
Pelvic organ prolapse
-
Faecal incontinence
Sunday 09/02/2006 ( Afternoon Session)
PRATICE
Video demonstration
“ Hands on” with equipment
Discussion on clinical cases