Maximum: 2.5 CME cr.
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This CME Course consists of 4 modules on Refractory Incontinence:

- Management of Sling Failures: Recurrent Stress Incontinence - Javier Pizarro-Berdichevsky
- Algorithm for Refractory OAB Management 2019 - Sandip P. Vasavada
- Refractory Incontinence: Geriatric Considerations - Tomas L. Griebling
- Mixed Urinary Incontinence - David A. Ginsberg

The overall purpose of this activity is to enable the learner to

…clarify the failure and reoperations rates of SUI surgeries
…determine the role of bulking agent in recurrent SUI patients
…determine the role and when to offer a redo Sling in recurrent SUI patients
…understand when to offer fascial slings in recurrent SUI patients
…gain knowledge of adjustable slings in recurrent SUI patients

…discuss 3rd line therapies and their pros/cons

…describe urinary incontinence in the context of geriatrics
…discuss the epidemiology and clinical impact on the quality of life in older adults
…discuss options for treatment using evidence-based guidelines
…review roles of re-trying therapies …describe setting of goals and expectations
…highlight the role of shared decision making

…identification of MUI by healthcare providers
…understand how to evaluate patients with MUI
…understand how to treat patients with stress-predominant MUI and appreciate the risks and benefits related to that treatment.
…understand how to treat patients with urge-predominant MUI and appreciate the risks and benefits related to that treatment

Gynecologists, urologists and physiotherapists who care for women with urinary incontinence.

Trainees and other health care providers in this discipline as well.

Satisfactory Completion 
Learners must complete an evaluation form to receive a certificate of completion.  If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/certification board to determine course eligibility for your licensing/certification requirement.  

 In support of improving patient care, this activity has been planned and implemented by Amedco LLC and the International Urogynecological Association (IUGA).  Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Amedco LLC designates this enduring material for a maximum of 2.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Faculty and Reviewers
Howard Goldman
Javier Pizarro-Berdichevsky
Sandip Vasavada
Tomas L. Griebling
David A. Ginsberg

Date of Release
December 20, 2019

Date of Expiration
December 20, 2021

Acknowledgment of Commercial Support
No commercial support was received for this activity.

Acknowledgment of In-Kind Commercial Support
No in-kind commercial support was received for this educational activity.

Disclosure of Conflict of Interest
The following table of disclosure information is provided to learners and contains the relevant financial relationships that each individual in a position to control the content disclosed to Amedco.  All of these relationships were treated as a conflict of interest, and have been resolved.  (C7 SCS 6.1-­‐6.2, 6.5)

All individuals in a position to control the content of CE are listed below.

Name; Commercial Interest

  • Daphne Kaaijk; NA
  • David Ginsberg; Avadel: Speakers Bureau, Bioness:Research Grant Site Principal Investigator
  • Sandip Vasavada; Medtronic: Consultant, Allergan: Consultant, BlueWind: Consultant, Amphora: Consultant, Axonics: Consultant
  • Erin Crosby; NA
  • Howard Goldman; Medtronic: Consultant, Axonics: Consultant, Bioness: Other, NewUro: Consultant, Allergan: Consultant, Ipsen: Other, Nuvectra: Consultant
  • Pawel Miotla; Angelini: Consultant, Astellas: Consultant, Bionorica: Consultant, Ferring: Consultant
  • Tomas Griebling; NA
  • Javier Pizarro-Berdichevsky; Neomedic: Speakers Bureau

If you have questions regarding this enduring material activity, please contact us at

Management of Sling Failures: Recurrent Stress Incontinence
Algorithm for Refractory OAB Management 2019
Refractory Incontinence: Geriatric Considerations
Mixed Urinary Incontinence
Evaluation & Certificate

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