Functional vs structural pelvic floor disorders: When does surgery help?
Colorectal pelvic floor disorders often sit at the intersection of functional dysfunction and structural abnormality, yet distinguishing between the two is critical when considering surgical intervention.
This session will provide an overview of common conditions, including obstructed defaecation, rectocele, haemorrhoids, fissures, intussusception, rectal prolapse, OASI and faecal incontinence. Through practical clinical examples, we will explore how symptoms, examination findings, and imaging are interpreted in a surgical context, and when structural abnormalities are likely to be clinically relevant.
The focus will be on when surgery may be beneficial, when it is unlikely to improve symptoms, and the common pitfalls in patient selection—particularly in the presence of functional disorders.
Presenter:
Dr Matthew Trinder is a colorectal and general surgeon who has recently returned to Perth following advanced colorectal training in New South Wales through the Colorectal Surgical Society of Australia and New Zealand (CSSANZ). He holds appointments at Sir Charles Gairdner Hospital, Osborne Park Hospital and Hollywood Private Hospital.
His clinical interests include minimally invasive colorectal surgery, pelvic floor dysfunction and defecatory disorders. He has additional training in anorectal physiology and endoanal ultrasound, and has a strong interest in collaborative management of complex pelvic floor disorders.
Event location
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Collecting Information
The APA may collect, use, store and transfer different kinds of personal data about you. It collects and process personal data about you when you:
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In addition to the other information mentioned in this policy, the APA may hold the following information about you:
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The only sensitive information the APA will collect about you is whether you are of Aboriginal or Torres Strait Islander descent. The APA will not collect any other sensitive information about you such as your health information and will not use the sensitive information collected for the secondary purpose of direct marketing.
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If the APA proposes to collect information about you that you would not reasonably expect, you will be provided with “just in time” notice when that information is collected.
The information collected by us will be retained for 7 years, being no longer than is reasonably necessary for the purposes disclosed to you in this privacy policy and otherwise.
Access to Personal Information
You have the right to access, review, correct and alter any personal information that the APA stores about you. Should you wish to access this information please contact the APA’s privacy officer. Unless the access you request will require special steps or significant resources, there will be no charge for providing you with this access.
To request to change or correct your personal information you must login to your account with your unique login and password via the APA website.
If you would like to request for:
- specific pieces or categories of information which the APA has collected about you;
- the sources from which that information was collected;
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- deletion of any parts of your information held by the APA,
please contact the APA’s privacy officer by phoning +61 3 9092 0888 or by email privacy@australian.physio
Opt-Out
By choosing to register on the APA website or as a member of the APA, you may receive information from the APA about membership, the APA’s services, partner information and offers. The APA uses this method to communicate quickly with you. You have the right to refuse inclusion on a mailing list. You can make a request to remove your email address from a mailing list by contacting the APA’s privacy officer at privacy@australian.physio.
The APA uses your email address, your mailing address and phone number to contact you regarding administrative notices, publications, and communications relevant to your use of the APA’s website, the APA’s services and your APA membership. If you do not wish to receive these communications, you have the ability to opt out by contacting the APA’s privacy officer at privacy@australian.physio.
From time to time, the APA arranges mailings from its partners (including corporate partners and endorsed product manufacturers/suppliers) using the contact information you have provided to the APA. These mailings aim to provide you with information and benefits available to you.
If you do not wish to receive information from the APA's partners you should advise your local APA Branch or notify the APA’s privacy officer at privacy@australian.physio. For any information about privacy, please contact the APA’s privacy officer by phoning 03 9092 0888 or by email privacy@australian.physio.
Notwithstanding the opt-out option as set out in this policy, you have the right to opt-in at anytime by contacting the APA’s privacy officer by phoning +61 3 9092 0888 or by email at privacy@australian.physio
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Your personal password to access the APA website protects your privacy. We recommend that you do not disclose, share or reveal this password to any other individual.
Change of Purpose
It is not anticipated that any information will be disclosed to overseas recipients other than those in Australia in accordance with this policy. If this were to change this page will be updated.
From time to time, the APA may decide to collect different kinds of information. If and when this occurs, the APA will update this privacy policy, notify you and obtain your consent.
Privacy Enquires
You have the right to complain regarding any aspect of your privacy rights. If you have a complaint please contact the privacy officer at privacy@australian.physio or on 03 9092 0888.
APA Membership
If you decide to become a member of the APA, and we hope that you do, the APA will ask you for additional personal details. You may also opt to provide the APA with more information such as special interest areas you may have, where you are employed and your date of birth. In these circumstances, relevant information is disclosed to the public on the internet via the APA's 'Find a Physio' online searchable database only. You must approve the use of your details on this database. Whether you decide to use this APA service is your choice.
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Your information is stored on the APA's server located in a secure data housing facility. While, it is important to recognise that "perfect security" does not exist on the internet, the APA is committed to using industry standard mechanisms to safeguard the confidentiality of your personal information such as firewalls, data encryption and Secure Socket Layers. In addition, the APA has implemented reasonable security measures to detect fraudulent identity verification activity and to prevent unauthorised access to or deletion of personal information in order to minimise cybersecurity risk.
Credit Card Information
The APA does not permanently store credit card information including anywhere on the APA website.
APA Members Privacy
The APA has a strong commitment to protecting your privacy and ensuring the confidentiality and security of personal information provided to the APA by you. As an organisation with an annual turnover of more than $3 million, the APA is required to comply with the Australian Privacy Act 1988 (Cth) as amended by the Privacy Amendment (Enhancing Privacy Protection) Act 2012 (Cth) and as otherwise amended from time to time, and applicable United States and Canadian privacy and data protection laws.
Information you have provided to the APA is used to:
- Process applications and renewals and to update your APA membership details and profile information
- Notify APA members and the public that you have met our requirements for credentialing (e.g. specialisation or titling)
- Provide information to consumers and others on the availability of physiotherapy services
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- Ensure compliance with the APA's Constitution and Regulations
- Provide you with APA publications and information
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- Process applications for and continue enrolment in the CPD online and face to face courses offered by the APA
- Provide you with the ability to advertise for job vacancies
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In accepting this privacy policy, you acknowledge and agree that:
- you consent to provide your personal information to the APA; and
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Automated Decision Making
The APA does not use Automated Decision Making such as “profiling” in connection with decisions related to your work performance, economic situation, health, personal preferences, interests, reliability, behaviour, location or movements (where your consent is automatically given).
Standards of Privacy
The APA has established internal policies and procedures (including an IT and cyber security policy; an information and data retention and disposal policy and a privacy complaint and investigation procedure) to administer this privacy policy and we provide awareness and training to our employees and privacy officers in relation to it. The APA updates such policies and procedures to maintain the integrity and standards required.
Contact Us
Please do not hesitate to contact the APA if you have a concern or issue in relation to how it collects, stores, uses or discloses your information and data.
If your concern relates to your APA membership or another APA service please contact us by email to privacy@australian.physio or call or mail us as follows:
Australian Physiotherapy Association
Postal address: PO Box 437 Hawthorn BC VIC 3122
Telephone: +61 1300 306 622
Facsimile: (+61 3) 9092 0899
Member Declaration
Women's Pelvic Health Level 2 - Part B
Informed Consent
The APA Women’s Pelvic Health Physiotherapy Level 2 was developed by the Australian Physiotherapy Association (APA) and Women’s Health Training Associates (WHTA).
This course is delivered through a blended learning model, and uses a mix of teaching and learning approaches with a focus on active learning and learner-centred strategies. The Australian Physiotherapy Association is committed to diversity, inclusion and eliminating discrimination. We value and celebrate people of diverse gender identity, sex characteristics and sexual orientations.
By registering for the Part B face-to-face course, you are agreeing to volunteer as a model for both vaginal examination (VE) and digital rectal examination (DRE). Please note, there are very limited places allocated for people who have a valid contraindication to VE or DRE to attend and not be required to model. Valid exclusion from being a model for the VE and/or the DRE will be considered on a case-by-case basis on receipt of a request prior to the course.
A valid reason to not model for the vaginal examination practical is not necessarily a valid reason to not model for the rectal examination, and vice versa.
Valid reasons for not modelling for the VE practical include:
- first trimester pregnancy
- high risk pregnancy (eg symptomatic placenta praevia, incompetent cervix, previous premature rupture of membranes in current pregnancy)
- if you are a person who does not have a vagina
- 8 weeks postpartum with lochia still present,
- severe vestibulodynia
- an active genital herpes outbreak
Being on your menstrual period will NOT be accepted as a valid reason to not be a model for the vaginal examination practical as up to a quarter of the group are likely to have their menstrual period during the course. However, whilst virginity is not a contra-indication in clinical practice, it will be accepted as a valid reason to not model in the practicum if the participant wishes not to volunteer.
How to submit a request
The reasons for requests will be treated in strict confidence. If the request is accepted, organisers and presenters will only be informed that you are not modelling for VE or DRE. They will not be provided the reasons.
To submit a request not to model:
-
Send an email that outlines:
- You are requesting to be allocated a non-volunteer place on the course
- Clearly identifies if you are requesting not to model for VE or DRE
- The reason for your request or request to speak to a presenter about your request
- Use the subject line: Women’s Pelvic Health L2 – request to not model
- Email the request to Karen.Ide@australian.physio or Joan.Condon@australian.physio
- All exemptions will be assessed by the course presenter & developer only and information will be kept confidential
IMPORTANT: For participants who have agreed to model:
It is a requirement that you notify the APA immediately in writing if your situation changes (prior to the course start date) and you cannot model. Whilst all attempts to accommodate you on the same course will be made, this cannot be guaranteed due to the need to have sufficient models on the course for the required learning.
Member Declaration
Oncology Scar Specialist
Informed Consent
This course is non-refundable. In the case that a participant is no longer able to attend, a suitably qualified replacement may be sent in their place. This clause supersedes the Australian Physiotherapy Associations terms and conditions 'Registration cancellation by participant for face to face events'
APA installment policy
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29 April
Bentley WA 6102 View map
APA Member: $30.00
Women's Men's and Pelvic Health Group: $0.00
Distance discount: $0.00
30.00: $APA Member
0.00: $Women's Men's and Pelvic Health Group
0.00: $Distance discount