Padua University, Italy

Post-Congress Topic: MODERN COSMETIC-PLASTIC GYNECOLOGY

Benefits: Course with Hands-on Workshop, 24-CME-Credits

Course Director and Instructor: Prof. Adam Ostrzenski, M. D., Ph. D., Dr. Habil., and Dr. Honoris Causa

Dates: May 18, 19, 2020

At: The Padua University, Padua, Italy

For Registration please visit the website at: www.cosmetic-gyn.com

E-mail: ao@baymedical.com

Telephone: (727) 458 6060 (U.S.A.)

Fax: (727) 341 0121 (U.S.A.)

Course/Workshop Schedule for 2019

January 25, 26, 27, 2019 (St. Petersburg, Florida, U.S.A.).
July 26, 27, 28, 2019. (St. Petersburg, Florida, U.S.A.).
October 25, 26, 27, 2019 (St. Petersburg, Florida, U.S.A.).
May 6, 7, 8, 2020, The Padua University, Italy, (post-congress course with hands-on workshop).

Prof. Ostrzenski’s New Gross, Functional, and Intraoperative Anatomical Discoveries within Female Urogenital Tract Discoveries:

  • The Urethral Stabilizing Mechanism
  • The G-spot structure WITHIN the anterior-distal vaginal wall
  • The Adipose Sac WITHIN the Labia Majora
  • Infrafrenulum Fascial Bundle WITHIN the Clitoral Frenulum
  • Mons Veneris Gap Reduction
  • Clitoral Prepuce Reconstruction
  • Clitoral Hood Reduction
  • Clitoral Hood Restorative Surgery for Buried Clitoris
  • Clitoral Frenuloplasty

Labia Minora:

  • Fenestration Labioplasty
  • Labiolift
  • Labiolysis for Labial Fusion
  • Labial Restoration for Over-resection
  • Labial Rejuvenation
  • Labial Fourchette Reconstruction

Labia Majora:

  • Labioplasty by Adipose Sac Reconstruction
  • Labiopexy by Colles’ Fascia Reconstruction
  • Labiolift by Superficial Mons Pubic Fascial Reconstruction
  • Skin Reduction with Adipose Sac Preservation
  • Anterior Commissure Reconstruction
  • Posterior Commissure Reconstruction

Vaginal Introitus Reconstruction for Sensation of Wide Vagina:

  • Anterior Introitus Reconstruction
  • Posterior Introitus Reconstruction
  • Lateral Introitus Reconstruction

Vaginal Rejuvenation:

  • Urethrovaginal Sphincter and Bulbocavernous Muscles Reconstructions for Gaping Vaginal Orifice
  • Hymeneal Plate Reconstruction for Protruding Posterior Vaginal Wall
  • Lateral Vaginal Reconstruction
  • Vaginal Tightening with Perineal Body Preservation
  • Vaginal Columnar Restoration for the Smooth Vagina

Posterior Perineum Reconstruction:

  • Modified Posterior Perineoplasty
  • Endopelvic Fascia Reconstruction
  • Perineal Membrane Reconstruction

Prof. Ostrzenski teaches himself the CME approved courses/hand-on workshops in the cosmetic-plastic gynecologic field and he is solo responsible for the scientific-clinical contexts of these educational events.

DIFFERENCES

Course/Workshop Distinguishing Itself from Others

I'm incredibly grateful to those who encouraged me to present differences between my course with hands-on workshop and remaining sessions in the cosmetic-plastic gynecologic field. I took the liberty and reviewed all existing websites, which profess teaching and training in the field of cosmetic and reconstructive (plastic) Gynecology. My 3-day educational course/hands-on workshop is non-deceptive, outstanding quality with measurable outcomes of the teaching quality. This education is based on the current scientific-clinical knowledge, Prof. Ostrzenski's new anatomical discoveries, which were used in developing his new surgical techniques. Professor Ostrzenski also includes his scientific-clinical research findings into his teaching.

 I. Teaching Unique Experience

Prof. Ostrzenski received his formal degree of Dr. Habilitant (Dr. Habil.) from a fully accredited and prestigious university in Europe. This degree qualifies him as an expert in independently teaching, independently conducting scientific-clinical research, independently supervising Ph.D. programs, and an independently serving as a Ph. D. scientific advisor/promoter. He teaches this CPG course/workshop by himself to maintain the highest quality of teaching.

II. Structure of the CPG Course/Hands-on Workshop

The course/workshop is divided into the following segments:

  1. Didactic teaching,
  2. Dray laboratory is dedicated to drawing and to memorizing step-by-step surgical cosmetic gynecologic techniques,
  3. The wet laboratory is designed to learn how to execute fundamental principles of cosmetic surgery and to exercise step-by-step female genital cosmetic surgical techniques on the flesh of commercial animals,
  4. Video sessions presenting surgical procedures
  5. Lectures supported by photograms and videos of anatomical and stratum-by-stratum dissections.

III. Non-Deceptive Teaching and Marketing

Ostrzenski teaches by setting his own example how to implement honest, accurate, and verifiable marketing data. Prof. Ostrzenski’s CV can be reviewed on the website (www.cosmetic-gyn.com). WHO'S WHO Encyclopedia published Prof. Ostrzenski's biography, which is available on the Google website (www.prof.ostrzenski/biography.com) and commemorates Prof. Ostrzenski’s ceremony of the "LIFETIME ACHIEVEMENTS AWARD".

Ostrzenski teaches those genital cosmetic-plastic surgical interventions, which were published in the peer review journals and abstracted/indexed in PubMed. He avoids teaching traditional gynecologic surgical procedures under the umbrella of cosmetic gynecologic procedures.

Ostrzenski does not market, does not teach, and does not practice cosmetic-plastic gynecology based upon circulating slogans in the marketing literature such as laser vaginal rejuvenation®, designer laser vaginoplasty ®, G-spot amplification®, and etc.)

Ostrzenski does not prohibit using his newly developed several surgical techniques and has never contemplated obtaining legal trademarks for his newly developed surgical techniques. His new surgical techniques were developed base on Prof. Ostrzenski's own clinical-scientific research. All Professor's new surgical techniques were published in the peer review journals and they are available on the PubMed and my website at a website: www.cosmetic-gyn.com

Ostrzenski does not offer surgical taring by having students looking at surgical videos or observing live surgical demonstrations since such an approach is not considered as a surgical training, it is considered as a part of a surgical education. Surgical training is conducted in an Operating Room and a trainee performs a surgery, which is supervised and guided by Prof. Ostrzenski via electronically available systems

Ostrzenski teaches about a radio frequency technology and other devices, but at the present time, there is no well-designed and well-executed studies available; therefore, undocumented safety and effectiveness for specific procedures do not currently exist

Ostrzenski's teaching is based on peer review published scientific-clinical materials and does not include materials, which cannot be verified by PubMed website

Ostrzenski does not promote his teaching by giving the number of procedures he executed since it is misleading information due to the lack of additional verifiable information. When numbers of surgical procedure are used for marketing, at least, the type of surgical technique, complications, and surgical outcomes must be verifiably presented. In cosmetic gynecologic surgery, it is impossible to apply only one technique that fits all because no standard procedures of cosmetic gynecology can be established due to the definition of cosmetic surgery.

IV. Measurable Outcomes of Teaching Quality

The course/workshop program is based on Prof. Ostrzenski's prior experience and expertise in:

  • Surgeries of cosmetic-plastic gynecology (CPG)
  • Teaching and training of CPG,
  • Surgical anatomical dissections and anatomical postmortem stratum-by-stratum dissections of the female urogenital tract with digital photograms and video documentations are utilized in Professor Ostrzenski's teaching
  • The new several anatomical structure discoveries by Prof. Ostrzenski within female external genitalia were published in peer review journals and they would be presented during his courses/hands-on workshops. Full texts are available either on the PubMed or the website at cosmetic-gyn.com
  • In the past, Prof. Ostrzenski was teaching advanced surgical courses and workshops in laparoscopic gynecologic surgery in domestic and international arenas
  • Designing an educational core curriculum in gynecology and obstetrics for medical students; designing the educational and training program for physician-residents in the gynecologic field; designing a scientific program for international congresses, conferences, and symposia
  • Conducting as well as Supervising CPG courses and hands-on workshops for many years.

V. Measurable Outcomes of Prof. Ostrzenski's Teaching

An educator can be judged by measuring the success of his/her teaching. Prof. Ostrzenski is proud to share the success and unfortunate failures of his teaching.

Prof. Ostrzenski considers the following as the greatest success of his teaching:

  • Numerous private practice centers have been established around the globe by his students
  • New CPG medical professional societies have been created utilizing professor's suggestions and encouragements in obtaining a formal legal seal of approval as well as determining the status of these societies. These CPG societies are formally and legally registered and function as medical societies and not as business medical societies
  • A few of my students participate in conducting basic or clinical scientific research Many of my students have been addressing congresses on non-deceptive CPG Some of my students conduct their own CPG courses in the U.S.A. and other countries.

Prof. Ostrzenski considers the failure of his teaching when my students:

  • Gave-up on the principles of non-deceptive CPG
  • Surrounded to the peer pressure and started marketing and practicing deceptive CPG
  • Put income ahead of a patient's well-being

PROGRAM:

Approved for 24 CME Credits by the Credentialing Committee

Practical Approach with Hands-On NEW AND OLD SURGICAL TECHNIQUE

Times of Session: 45 minutes/per lecture or didactic, dry/wet laboratory session

Hands-on workshop in the dry and wet laboratory settings is designed to teach how to perform most commonly requested cosmetic gynecologic procedures

Videos sessions (over 2 hours)

LEARNING OBJECTIVES:

  1. To learn aesthetic and functional definitions of cosmetic-plastic gynecology
  2. To familiarize with recommendations for practicing cosmetic gynecology of the American College of Obstetricians- Gynecologists and other gynecologic societies
  3. To identify deceptive and unethical cosmetic-plastic procedures
  4. Medical-legal aspects of cosmetic-plastic gynecology
  5. To refresh embryology and gross-functional anatomy female external genitalia
  6. To learn new anatomic genital discoveries, which are applicable for cosmetic-plastic gynecology
  7. To learn and to exercise during dry and web laboratory settings of new and old non-deceptive cosmetic-plastic surgical interventions
  8. To learn about natural and artificial fillers which can be applied in cosmetic gynecology
  9. To recognize potential complications related to cosmetic-plastic gynecology
  10. To learn how to avoid potential complications in the cosmetic-plastic field
  11. New technology applicable in cosmetic-plastic gynecology
  12. Stem Cells application in cosmetic-plastic gynecology

DIDACTICS

Morning Sessions

730 – 800: Registration and Welcome

800 – 845: “Guidelines for Practice, Teaching, and Marketing of CPG”

  1. Identifying Deceptive and Unethical Procedures
  2. Aesthetic v/s Medical Indication
  3. Patient Autonomous Right to Refuse & to Choose Offered Therapy (Procedure)
  4. Informed Consent for office, surgical center or hospital procedure)
  5. Cosmetic-Plastic Surgical Principles

845– 9 30: “Patient Safety in Cosmetic-Plastic Gynecology”

Patient Safety in the Office Procedure Room:

  1. Establishing the Procedure Room
  2. Office Procedure Room Equipment
  3. Office Procedure Room Instruments and Sterilization
  4. Office Laser Certification
  5. Office Procedure Proctorship

930-1015: “Anesthesia in the Office Procedure”

Different Modes of Anesthesia in the Office Procedures:

  1. Topical
  2. Local Infiltration
  3. Pudendal Nerve Block
  4. Paracervical Block
  5. Conscious Sedation

1015 AM to 1030 AM: Break

1030–1115: “Female Genital Gross, Functional, Surgical Anatomy:

Fresh Cadaver Photos, Pertinent Surgical Dissection Photos, and Atlas Diagrams”:

  1. Applicable Embryology to Cosmetic Surgical Anatomy
  2. Urogenital Sinus in Cosmetic Surgery
  3. Müllerian Duct in Cosmetic Surgery
  4. Mesonephrotic Duct in Cosmetic Surgery
  5. Compressor Urethral Muscle and Its Role in Cosmetic-Plastic Gynecology
  6. Urethrovaginal Sphincter Muscle and Its Role in Cosmetic-Plastic Gynecology
  7. Gross and Functional Differences between Vaginal Introitus and Vaginal Anatomy
  8. Dorsal and Ventral Perineal Membranes: Anatomy and Function
  9. Anatomy of External and Internal Female Reproductive Organs

1115-1200: “Preoperative Care”

Preoperative Preparation:

  1. Informed Consent
  2. Perineal Preparation
  3. Rectal Preparation
  4. Topical Anesthetic Application
  5. Indication for Antibiotic Prophylaxis

1200-100 PM: Lunch Break

Afternoon/Evening Sessions

100–145: “Potential Surgical Complications in Cosmetic-Plastic Gynecology” Documentation of Actual Complications:

  • The Mons Veneris
  • The Clitoral Prepuce
  • The Clitoral Glans
  • The Labia Minora
  • The Labia Majora
  • The Anterior and Posterior Perineum
  • The Vagina
  • Wound Separation
  • Intraoperative; Short- and Long-term Postoperative Complications
  • How to Avoid Complications

145–230: “Postoperative Care

  • Fluid and Electrolytes
  • Minerals & Vitamins
  • Urine Output
  • Initiation of Feeding
  • Pulmonary Care
  • Pain Control

230-315: “Medical Cosmetic & Gynecologic Cosmetic”

  • Start-up of Medical Cosmetic Practice
  • Training & Certification
  • Medical Remedies
  • Necessary Equipment
  • Medical Cosmetics as a Tool for Marketing of CPG

315 PM to 330 PM: Break 

330-415: “Weight Reduction & Medical Cosmetics within Cosmetic-Plastic Gynecology Setting”

  • Eating Habits
  • Diet Selection
  • Exercise Forms within Your Practice
  • Plastic Surgeons & Gastric Reduction Surgeons

415-500: Ask the Professor

DIDACTIC SESSIONS & DRY LABORATORY

Morning Sessions

“Labia Minora Labioreduction Techniques”

800– 845: 1. History of Labioplasty (Didactics)
2. ACOG Recommendations (Didactics)
3. Labia Minora and Erectile Tissue (Didactics)

 

845-930: 1. Central V-Plasty (Didactics and dry laboratory)
2. Inferior V-Plasty (Didactics)
3. W-Plasty (Didactics)
4. 900 Nymphectomy with Z-Plasty (Didactics)
5. Straightforward Amputation

930-1015:   “Labia Minora Reduction with Inferior Wedge Resection and Superior Pedicle Reconstruction” (Didactics and dry laboratory)

1015 AM to 1030 AM: Break

1030–1115:   Central and total de-epithelialization labioreduction (Didactics and dry laboratory)

1115-1200: Ostrzenski’s Fenestration Labioplasty – OFL (Didactics and dry laboratory)

1200-100 PM: Lunch Break

Afternoon/Evening Sessions

Labioreduction of the “Labia Minora” (Cont.)

100–145: 1. Partial Amputation (Didactics and dry laboratory)
2. Ostrzenski’s Labia Minora Transposition
a. Labia Minora Tissues Used for Transposition with Rotation (Didactics)
b. Prepucial Flap Tissues Used for Labial Transposition (Didactics)

145–230:    “Potential Surgical Complications of the Labia Minora in Cosmetic-Plastic Gynecology

Causes of Potential Labia Minora Labioplasty Complications:

1 Insufficient Surgical skill and Learning Curve
2 Inappropriate Selection of Surgical Technique (one-fits-all procedure)
3 Inadequate Surgical Instruments, Incisions, Surgical Materials, and Suturing Technique and Tying Technique
4 Neglecting to Apply of Microsurgical Techniques
5 Inadequate Pre-Operative and Post-Operative Care

 

Documented Actual Complications
Intraoperative; Short-Term Postoperative, and Long-Term Postoperative Complications
How to Avoid Labia Minora Labioplasty Complications

Labioreduction of the Labia Majora

230-315: 1. Traditional Labia Majora Labioplasty (Didactics)
2. Labia Majora Labioplasty with Natural and Artificial Fillers (Didactics)

315 PM to 330 PM: Break

330-415: 1 Ostrzenski’s Fat Sac Tissue Restoration (labioplasty) (Didactics and dry laboratory)
2 Ostrzenski’s Labiopexy by the Colles’ Fascia Reconstruction(Didactics and dry laboratory)

415-500 Ask the Professor

DIDACTICS & DRY LABORATORY

Morning Sessions

 “CLITORAL HOODOPLASTY”

800–845: 1 Clitoral Hoodoplasty by Central V-Plasty Extension (Didactics)
2 Central Clitoral Hoodoplasty (Didactics)

845-930:     Traditional Clitoral Hoodoplasty (Didactics and dry laboratory)

930-1015:   Ostrzenski’s Clitoroplasty Classifications (Didactics)

1015 AM to 1030 AM: Break

1030-1115: Ostrzenski’s Hydrodissection with Reverse V-Plasty for Restorative Clitoral Hoodoplasty (Didactics and dry laboratory)

1115-1200: Ostrzenski’s Modified Hydrodissection with Reverse V-Plasty for Reductive Clitoral Hoodoplasty (Didactics and dry laboratory)

1030–1115: Ostrzenski’s Subepithelial Resection for Reductive Clitoral Hoodoplasty (Didactics and dry laboratory)

G-Spot & G-Spotplasty:

1115-1200: 1 G-Spot Anatomy: Ostrzenski’s New Discovery (Didactics)
2 Ostrzenski’s G-Spotplasty New Technique (Didactics and dry laboratory)

1200-100 PM: Lunch Break

Afternoon/Evening Sessions

Vaginal Rejuvenation: New Techniques

100–145: 1 Ostrzenski’s Vaginal Rejuvenation Classification (Didactics),
2 Ostrzenski’s Vaginal Rugation Rejuvenation (Didactics and Hands-on Training)

 

145–230: 1 Ostrzenski’s Vaginal Introital Defects Classification: A New Medical Entity (Didactics),
2 Ostrzenski’s Anterior Vaginal Introital Reconstruction for an Acquired Sensation of Wide/Smooth Vagina

 

230-315: 1 Ostrzenski’s Lateral Vaginal Introital Reconstruction for an Acquired Sensation of Wide/Smooth Vagina
2 Ostrzenski’s Posterior Vaginal Introital Reconstruction for an Acquired Sensation of Wide/Smooth Vagina

315 PM to 330 PM: Break

330-415: 1 Ostrzenski’s Urethrovaginal Sphincter Muscle Reconstruction technique for an Acquired Sensation of Wide/Smooth Vagina
  2 Ostrzenski’s Dorsal Perineal Membrane Reconstruction for an Acquired Sensation of Wide/Smooth Vagina

415-500:      Ostrzenski’s Posterior Distal Vaginal Wall Resection with the Perineal Body Preservation and Hymeneal Plate and Endopelvic Fascia (the Pubocervical Fascia) Reconstruction for Protruding Posterior Vaginal

500-545     Ask the Professor

 WORKSHOP

 (LAST DAY From 800 AM to 545 PM)

Wet laboratory with hands-on training of selected and most commonly requested cosmetic gynecologic procedures.

1015 AM to 1030 AM: Break
1200-100 PM: Lunch Break
315 PM to 330 PM: Break

  • Live Demonstration of “Vaginal Rugation Rejuvenation” with CO2 or KTP laser, or YAG Laser, or Electrocautery
  • Demonstrations of Cosmetic Surgical Incisions, Suturing Material and Suturing Techniques (Hands-on Training)
  • Surgical Dissection; Central De-epithelization and Anterior-Posterior Labial Laminectomy (Hands-on Training)
  • Anterior Commissure Gap Reconstruction (Hands-on Training)
  • Posterior Commissure Gap Reconstruction
  • Mons Veneris Reduction

Reductive Clitoral Hoodoplasty:

  • Modified Hydrodissection with Reverse V-Plasty for Clitoral Prepuce Reduction (Hands-on Training)
  • Subepithelial Resection for Clitoral Prepuce Reduction (Hands-on Training)

Ostrzenski’s Clitoral Frenuloreduction:

(Hands-on Training)

Labioreduction of Labia Minora:

  • Ostrzenski’s Fenestration Labioreduction (Hands-on Training)
  • Labial Posterior Wedge Resection (Hands-on Training)
  • Labial Anterior-Posterior Central De-epithelialization (Hands-on Training)
  • Anterior-Posterior labial Delamination
  • Labial Partial Amputation (Hands-on Training)

Labia Majora Labioplasty:

  • Ostrzenski’s Labiopexy by Colles’ fascia reconstruction (Hands-on Training)
  • Ostrzenski’s Labioplasty by adipose sac reconstruction (Hands-on Training)
  • Laxative Skin Reduction with adipose sac preservation (Hands-on Training)

Hymenoplasty:

  • Hymeneal Membrane Restoration (Hands-on Training)
  • Hymeneal Plate Reconstruction (Hands-on Training)
  • Hymeneal Plate Reconstruction (Hands-on Training)

Ask the Professor Session

CLOSING REMARKS

Target Audience:

  • Gynecologists
  • Cosmetic Surgeons
  • Plastic Surgeons
  • Urologists
  • General Surgeon


To assist in the registration process please send e-mail to ao@baymedical.com or call Mr. Farshad Bagheri (The Course Coordinator) at + (727) 343 6606 (Monday through Thursday, from 830 am to 430 pm).

COURSE/WORKSHOP TUITION FEE

U.S. $ 8, 000.00 (U.S. Eight Thousand Dollars) including CME credits

INDIVIDUAL 3-Day One-On-One Program is Available (tuition fee will be DETERMINED)

PROKTORSHIP is Available via electronic system or in Your Operating Room (tuition fee will be DETERMINED)

Payment by:

1) Bank Wire Transfer to:
THE INSTITUTE OF GYNECOLOGY, INC.
Bank Wire Transfer Information:
BANK Name: Branch Banking and Trust Company (BB&T)
Bank Address: 7995 113 St N,
Seminole, Florida 33772-4668, U.S.A.
Account #: 0000148247196
IBAN (Swift code); BRBTUS33
ROUTING #: 263191387

2) Bank Certified Check
Mail to:

7001 Central Ave.
St. Petersburg, FL 33710, U.S.A.

3) Credit Card Payments