Application Request to Hold an Add-On ICS Educational Course. Yes

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1 Application Request to Hold an Add-On ICS Educational Course Name of ICS Member requesting application: Country in which course is to be held: Proposed City Proposed Dates Proposed Venue Accommodation details for speaker(s) Number of expected delegates: Include degree of training and discipline What event does the ICS course add on to? i.e. a national annual meeting Would you like the course to be accredited by the EU-ACME? There is a charge for accreditation so we must ensure that accreditation would be applicable to your delegates. To what local associations are you applying for CPD recognition? Will there be an exhibition? Other known Urological/Gynaecological meetings in the geographical area occurring 2 months before and 2 months after proposed date Local information: e.g. weather, national holidays in four week period leading up to and including the course date Mário João Gomes Portugal Porto 2014, May 30 th -31 st Santo Antonio Hospital Arts Hotel 20 Basic and Clinical Urodynamic Yes Warm 18º-24º Need for course: Why is important that the ICS runs a course for this audience? What do you feel the benefit to you will be? What can ICS provide that local providers will be unable to deliver? The urodynamic is an important tool in the neurourology and urogynecology. ICS is a prestigious world institution on the urodynamics field and the ICS Speakers will give credibility to the Course. I would like to request; 1) travel of 1 Speaker- Jacque Corcos 2) CME for this Course Declaration: I confirm that the information above is true to the best of my knowledge and that I have read and understood the Education Course Guidelines.

2 The proposed programme for the course with detailed speakers/topics and timings is attached to the application. I acknowledge: ICS speakers will speak in English. If simultaneous translation or another form of translation required is required then the ICS will not cover the costs for this. The ICS may wish to attend the meeting and have an exhibition booth and would expect a free booth to promote the benefits of ICS membership. The host organisation will organise and cover hotel costs for the ICS speaker(s) The host organisation will organise and cover return transfer costs from the airport to accommodation. If the accommodation is in a different location to the course venue then local ground transport will also be provided The ICS will cover the costs of flight and related personal expenses for the speaker(s) Signed: Mário João Gomes Dated: 2014/1/17

3 EUROPEAN ACADEMY OF URODYNAMICS ICS ENDORSED ANNUAL URODYNAMICS COURSE Scientific Programme Friday May 30th 8h 30 Mário João Gomes: Welcome Jacques Corcos: course description and objectives 8h 45 9h 15 Lecture I Role of Urodynamics in patient s management. Jacques Corcos MD 9h15 9h 30 9h 30-10h 00 PRACTICAL URODYNAMICS Urodynamics step-by-step Ana Lopes UD Tech. -Protecting patient s integrity - Equipment and Material - Catheters and transducers - Balancing and calibration. 10h 00 10h 15 10h15-10h45 Break 10h 45 11h 15 Lecture II : Pre-urodynamic evaluation Jacques Corcos MD

4 - Voiding diary - Pad-Test - Non invasive urodynamic evaluation: Uroflowmetry and Residual urine 11h 15 11h 30 11h 30 12h 00 Lecture IV - Evaluating urethral function - Marcus Drake 12h 00-12h 15-12h 15-12h 45 Lecture III - Multichannel urodynamic evaluation - Jacques Corcos - Cystometry 12h 45 13h 00 13h LUNCH 14h 30-15h 00 Lecture IV - Pressure/flow voiding study M. Drake 15h 00-15h 30-15h 30 16h 00 Lecture V - Video Urodynamics J. Corcos 16h 00 16h 15 16h15-16h 45 16h 45-17h 00 Paediatric indications and technique of UD Marcus Drake

5 17h 00 Conclusions of the day and evaluation completion. Day 2: Saturday May 31st 8h 30 8h 45 Welcome, wrap up from day 1 8h45-10h 45 Clinical Cases. Jacques Corcos, Marcus Drake, Mário João Gomes - Normal Urodynamic Examination - Stress, Mixed and urge urinary incontinence - Infravesical Obstruction in male and woman 10h 45 11h 15 Break 11h15 11h 45 Lecture VI - Neurogenic lower urinary tract dysfunction and Urodynamics Jacques Corcos 11h 45 12h15 Clinical cases, neurogenic bladders 12h 15m 12h 45 Lecture VII: Artifacts in urodynamics Marcus Drake 12h 45m 13h 00 13h 00 - Course conclusions and evaluation Course closure

Application Request to Hold an Add-On ICS Educational Course. yes NO

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