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10th Pelvic Health Solutions Symposium: Online - November 2023

10th Pelvic Health Solutions Symposium: Online - November 2023

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Participants who register for this event have the option to attend live-online and/or watch the recording later. The recording will be available to all registrants for a 2-week period after the event. This allows participants who may not be able to attend the live event to still benefit from the content.

To facilitate attendance tracking, please indicate on your registration form if you won't be attending live.

The 10th Pelvic Health Solutions online symposium will enrich your theoretical and practical knowledge of pelvic health. Learn the science, critical reasoning and inter-disciplinary approaches needed to fully understand the direction that pelvic health is taking in your community, provincially, nationally, and internationally.

Genitourinary Syndrome of Menopause - Everything You Want to Know! - Dr. Michelle Jacobson

This presentation will review the hormonally mediated changes that cause the genitourinary syndrome of menopause as well as a treatment approach 


  • To understand the pathophysiology behind the development of GSM
  • To develop an approach to treatment both prescription and non prescription
  • To appreciate the challenges of managing GSM in the setting of special populations (eg breast cancer survivors)

Interdisciplinary Management of Mesh Complications: What is the Role of the Physiotherapist? - Dr. Geoffrey Cundiff

The use of mesh in pelvic floor surgery is a controversial topic. Like most treatment options, there are advantages that must outweigh the risks, and this balance varies by patient and case. Unfortunately, its use exploded before the risks of adverse events were completely understood, leaving a group of patients with serious adverse events. Recent evidence supports an interdisciplinary approach to managing these cases, that includes physiotherapy, and at times surgery. We will explore this approach with a focus on the role of physiotherapy.


  • Provide a global overview of mesh use in pelvic floor surgery
  • Describe the scope and impact of postoperative complications
  • Review best practices in interdisciplinary management.
    • When, how, and who removes mesh
    • What is the role of physiotherapy in pre and post-surgical treatment

Chronic Constipation - Interventions Beyond Pelvic Floor Dyssynergia! - Dr. Susan Clinton

This presentation is designed specifically for pelvic health professionals looking to expand their understanding of and intervention strategies for chronic constipation beyond the traditional pelvic floor dyssynergia focus. Utilizing evidence-based research and the latest clinical guidelines, the presentation will examine the multifactorial nature of chronic constipation, including non-pelvic interventions that can complement existing treatments. One key aspect of the course will be the practical application of the balloon catheter, demonstrating its effective use for both assessment and therapeutic interventions.


  • Describe the complexity of chronic constipation including sensory changes of urge response, abdomino-phrenic dyssynergia and slow motility of the system
  • Understand the application of the balloon catheter to help with stool signaling sensory integration and as a tool to optimize performance of defecation.
  • Integrate novel and evidence based interventions that will optimize traditional pelvic health approaches to care. 

A Medical Approach to Erectile Dysfunction - Dr. Yonah Krakowsky

This presentation will explore the workup and management of erectile dysfunction and its relationship to the pelvic floor 


  • Understand the risk factors and presentation of erectile dysfunction, 
  • Appreciate the etiology of erectile dysfunction and a multidiscplinary approach to its evaluation 
  • Explore conservative and medical treatment options for erectile dysfunction 

The Physiotherapy Approach to Erectile Dysfunction - Sarah Marshall

Erectile dysfunction (ED), the inability to achieve or maintain an erection sufficient for satisfactory sexual performance, is highly prevalent. The overall prevalence of ED found in Canadian men aged 40-88 is nearly 50%, affecting approximately 3 million Canadian men over the age of 40. 

This evidence-based presentation discusses the role of pelvic health physiotherapy in the assessment and treatment of ED using a biopsychosocial framework. 


  • Articulate the anatomy and physiology of erection
  • Discuss subjective sexual history taking and outcome measures
  • Review current literature for pelvic health physiotherapy interventions
  • Discuss penile rehabilitation following prostate cancer treatment
  • Understand the role, indications, and practical use of pro-erectile aids including vacuum erection devices and penile tension loops
  • Discuss the role of pelvic health physiotherapy as part of a multi-disciplinary team in a whole-person approach in the management of ED

Improve Maternal Health Internationally as a Pelvic Physiotherapist Consultant - Dr. Rebeca Segraves

The cesarean section is the most common, major surgery performed around the world and physiotherapy is not a standard component of postpartum recovery care in hospitals where this open abdominal surgery is performed. The major causes of maternal death that are preventable across the globe are postpartum hemorrhage, postpartum infection, and postpartum preeclampsia. Women after cesarean section perform significantly higher levels of activity that involve newborn and self-care when compared to similar patient populations following hernia repair, gallbladder surgery, appendectomy, colectomy, and exploratory laparotomy. These inequities in care that impact maternal health provide unique opportunities for pelvic health physiotherapists to work upstream through initiatives that address contributing factors to this crisis around the world. This exciting presentation will teach pelvic health physiotherapists how to use their knowledge and expertise as consultants to maternity care centers, researchers, and policy makers with a vested interest in improving maternal health around the globe.

Objectives - By the end of this presentation, attendees will learn:

  • How to market their knowledge to hospitals and OB-GYN practices that serve the maternal health population.
  • How to expand their business opportunities as a consultant for OB-GYN rehabilitation and research.
  • How to start OB rehab programs as an outside consultant, educator, and mentor, as early as the hospital stay during postpartum recovery.

Tips and Tricks in the Treatment of Pelvic Pain - Dr. Amy Stein

Neuromusculoskeletal causes of pelvic floor disorders affect a substantial number of adults and children, and pelvic floor physical therapy is a successful and non-invasive option. Most of the conditions of pelvic and sexual pain can be addressed through various manual therapy techniques, neuromuscular re-education and behavioural modifications through a comprehensive biopsychosocial approach. 

It is essential that all pelvic floor physical therapists treat, or know when to refer out for, pelvic pain diagnoses through a full body approach, including but not limited to the viscera, nerves, fascia, and musculoskeletal system in the abdomino-pelvic and lumbo-sacro-hip region.


  • Update on the advances of a neuromusculoskeletal approach to pelvic floor physical therapy treatment
  • Update on the latest in Patient Education, Behavioral Modifications, Mindfulness and more

Date: November 3, 2023

Promotion: If registering for the 10th Pelvic Health Solutions Symposium and the Beyond the Pelvis: Exercise for the Whole Body and the Everyday Person course, the Symposium will be discounted from $179 + tax to $129 + tax. 


Dr. Michelle Jacobson

Dr. Michelle Jacobson is a menopause specialist at Women’s College and Mount Sinai Hospitals in Toronto where she directs the familial ovarian cancer clinic. She did her residency at McMaster university and fellowship in Menopause at the University of Toronto, followed by a Masters of Health Science in translational research. She is the creator and director of the SOGC’s community of practice in Hereditary Breast and Ovarian Cancer and the primary author of the guidelines on the Gynaecologic Management of Hereditary Breast and Ovarian Cancer and Breast Cancer and Menopause. 

Dr. Geoffrey Cundiff

Professor Geoffrey Cundiff completed medical training and residency in Obstetrics and Gynaecology at UT Southwestern Medical Center in Dallas Texas, and did Fellowships in both Urogynaecology and Minimally Invasive Gynaecology Surgery.  He pursued an academic practice, serving on the faculty at Duke University and Johns Hopkins Medical Institutions, and is now a Professor of Obstetrics and Gynecology at the University of British Columbia. He built an interdisciplinary clinical program at UBC dedicated to pelvic floor disorders in women, including establishing the Advanced Training Program in Urogynaecology, which has now trained 8 urogynaecologists. He has been a pioneer in surgical education, developing anatomy curricula, and skills development for residents and a preceptor program for practicing physicians.  As the Head of the UBC Department of Obstetrics and Gynaecology, he over saw the introduction of 4 other Advanced Training Programs in gynaecologic subspecialties.  Dr. Cundiff is also a research scientist focused on pelvic floor disorders, reconstructive surgery, and obstetrics. His research interests are broad based including the epidemiology of pelvic floor disorders, surgical education, and prevention of maternal obstetrical trauma, although he is best known for outcomes research for pelvic floor disorders. He has been a pioneer in advocating patient-based outcomes measures and has worked to develop and validate such measures. Most recently, he has begun translational research in digital therapeutics for pelvic floor disorders. Dr. Cundiff has published 6 books, and more than 200 peer-reviewed publications, and has served in leadership positions for national and international professional societies. 


Dr. Clinton is an award-winning physical therapist in professional achievement and the owner of LTI Physio in Sault Ste. Marie, MI.  Susan is board certified in orthopedic and women’s health physical therapy, a fellow of the American Academy of Orthopedic Manual Therapy, and a board certified health and wellness coach. She is an international instructor/mentor of post-professional education in women’s health (including GI issues in women), orthopedic manual therapy, health/wellness coaching for the health care practioner and business psychology. She is on faculty at Andrews University in the Doctor of Science in PT program, a Master Coach for the Integrative Women’s Health Institute, a reviewer for the Journal of Womens Health Physical Therapy and a clinical faculty instructor for the North American Institute of Orthopedic Manual Therapy and ASPIRE.  She is also an active author in research and blog posts, and is an active professional/clinical mentor. Susan is the co-founder and board member for the foundation: Global Women’s Health Initiative. She is also the co-host of the 5 five-star podcast, “Tough to Treat,” the guide to treating complex patients, and “The Genius Project,” reframing the treatment of persistent musculoskeletal pain. Susan enjoys walking / hiking, country line dance and ballroom, and is an avid supporter of music, the arts, and international objectives for women’s health.

Dr. Yonah Krakowsky

Dr Krakowsky MD MEd FRCSC is a urologist and sexual medicine surgeon on staff at Women’s College Hospital and Mount Sinai Hospital. Dr Krakowsky is a surgeon-educator and assistant professor at the University of Toronto and is the vice program director for the urology residency program.

Dr Krakowsky completed his medical training and urologic surgery residency at the University of Toronto. He then completed a fellowship in Sexual Medicine and Surgery at Harvard Medical School under Dr Abraham Morgentaler. Dr Krakowsky is an active member of the International Society for the Study of Women’s Sexual Health (ISSWSH) and the Sexual Medicine Society of North America (SMSNA).

Dr Krakowsky’s clinical and research interests are in peyronies disease, erectile dysfunction and in increasing access for trans surgery in Canada.

Sarah Marshall

Sarah Marshall holds a Master’s of Physiotherapy with Merit from Robert Gordon University, Scotland, and a Bachelor’s of Science with Honours from the University of Western Ontario.

Sarah became passionate about pelvic health physiotherapy after working in a health & fitness setting with people who were pregnant or post-partum. She has since dedicated her continued training and professional development to the biopsychosocial treatment of pelvic floor dysfunction, including pelvic pain, urogenital dysfunction, paediatric pelvic floor dysfunction, gastrointestinal disorders, penile rehabilitation, sports-related pelvic floor dysfunction, oncology, and bowel & bladder dysfunction related to neurological disorders.

Sarah is a member of the Canadian Physiotherapy Association and it’s Women’s Health, Pain Science, and Oncology Divisions, as well the International Urogynecological Association, the International Pelvic Pain Society and the International Continence Society.

Sarah presents a course in Oncology and the Pelvic Floor with Pelvic Health Solutions and has presented at the Current Obstetrical Management Seminars with the University of Calgary on Pelvic Examination of the Patient with Vulvovaginal Pain or Distress.

 Dr. Rebeca Segraves

Dr. Rebeca Segraves, PT, DPT is a Board-Certified Women’s Health Clinical Specialist. She has extensive experience treating perinatal and pelvic health conditions in acute care, home health, and outpatient settings including long-term hospitalizations for high-risk pregnancy and following perinatal loss. She has worked with inpatient general surgery, oncology, and obstetrics and gynecology teams to maximize early recovery after delivery, pelvic surgery, and obstetrics critical care diagnoses. She has tailored Enhanced Recovery After Surgery® rehabilitation protocols for abdominal and pelvic surgeries including colon resection, cholecystectomy, hysterectomy, prolapse repair, endometriosis surgery, cesarean section, birth-related injuries, and cancer-related abdominal and pelvic surgeries.

She is the founder of Enhanced Recovery After DeliveryTM, an obstetrics clinical pathway that maximizes mental and physical function during pregnancy and immediately postpartum with hospital and in-home occupational and physical therapy. Her vision is that every person will have access to a qualified rehabilitation therapist before and immediately after birth and any pelvic surgery regardless of their location or ability to pay.

Dr. Amy Stein

Premier physical therapist, founder, and pioneer – Amy is at the forefront of treating pelvic floor dysfunction and pelvic pain, specializing in functional manual therapy for all people, including children. In addition to being the founder of Beyond Basics, Amy has served as the President – and is currently on the advisory board – of the International Pelvic Pain Society. Amy also lectures internationally, has been featured in documentaries, and interviewed on critically-acclaimed TV shows like Dr. Oz, ABC’s 20/20, and Good Morning La La Land.

As an award-winning author, Amy has written books on pelvic pain (Heal Pelvic Pain) and endometriosis (Beating Endo: How to reclaim your life from Endometriosis) and created a video on pelvic pain (Healing Pelvic Pain and Abdominal Pain). Amy is also a co-editor of Healing in Urology as well as a featured author in many medical textbooks, including Pelvic Pain Management, Female Sexual Pain Disorders: Evaluation and Management, Management of Sexual Dysfunction in Men and Women, and The Overactive Pelvic Floor. Her award-winning books and videos help people heal from pain, improve function, and take back their lives. She is a tireless educator and advocate, working closely with patients, caregivers, and healthcare providers everywhere to raise access and awareness, so more people get the care they need.

Amy recently founded her own line of healing CBD products, Wellness x Nature, that aims to further assist and inspire those on their mission to good health and healing.

Registration Form

Symposium November 2023


Date: November 3, 2023

Delivery Format

Live attendance is not mandatory for this online event. Enjoy a 2-week window to access and review the event recording, which is sent out on the next business day. We understand that life can be busy, which is why we offer you the freedom to access the recording during the time-limited viewing period.

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