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6th Pelvic Health Symposium – May 2019

May 3, 2019
COURSE FULL! Please email info@pelvichealthsolutions.ca to be added to the wait list.
Registration Information
COURSE FULL! Please email info@pelvichealthsolutions.ca to be added to the wait list.
COURSE FULL! Please email info@pelvichealthsolutions.ca to be added to the wait list.

The 6th Pelvic Health Solution’s Symposium will give you an exceptional conference experience, and will enrich your theoretical and practical knowledge of pelvic health.

If your patient has a pelvis, you will benefit from this conference! You don’t have to be a practicing internal pelvic health therapist in order to profit from this one-day conference.

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.

Besides great programming and educational opportunities, conferences are where new friendships are made and new business gets developed. It is a place to build new connections with a multi-disciplinary community in a different way than a weekend class does.


Highlights of Examining and Treating Males – Dr. Holly Herman

This lecture will highlight important issues to cover when examining and treating males who come to your office with orthopedic, bowel, bladder and sexual functioning impairments. Specific topics will include: pre and post prostatectomy, erectile dysfunction, premature ejaculation, peyronie’s disease, hard/flaccid conditions, testicular pain, ejaculatory pain, urinary frequency and retention, constipation, anal fissures.  We will discuss how orthopedic impairments throughout the body can influence these conditions along with validated questionnaires, pelvic floor and orthopedic forms for natal (assigned sex at birth: male/female), gay, bisexual and transgender males . Evidenced based treatment protocols will be provided.


  • The participant will understand  pre and post prostatectomy protocols
  • The participant will understand 2 PT interventions for ED, premature ejaculation, Peyronie’s, testicular and ejaculatory pain
  • The participant will understand the differences in validated forms
  • The participant will understand how to provide an open, inclusionary office environment and intake forms for all male populations

Role of Manometry Assessment for the Investigation of Pelvic Floor Dysfunction – Dr. Louis Liu

Chronic constipation and fecal incontinence are common disorders, reported in 14% of the general population.  Both conditions can be related to anorectal neuromuscular sensory and/or motor dysfunction. Pelvic floor dyssynergic (dyssynergic defecation, DD) is found in at least one third of patients with chronic constipation. We have recently reported that patients’ self-report constipation symptoms using a standardize questionnaire is useful in predicting DD in patients with CC. This presentation will present the utility of clinical history along and digital rectal examination to determine the of DD in patients presented with CC. This would allow clinicians to make a timely diagnosis to implement an appropriate treatment program, including biofeedback therapy, or referral for further investigation with ARM and BET.

Sex & Pain Postpartum: The Bigger Picture – Tynan Rhea

Sexual health is so much more than just how our bodies work, how we feel, or the state of our relationships. Pain with sex can have a domino effect across a person’s quality of life, especially during the unique stresses of the postpartum period. What do you do when your client has needs outside of your scope of practice?

In this presentation, learn how to apply Tynan’s Sexual Self Model in practical ways to:

  • Incorporate basic sex education into your practice (that will make big differences!)
  • Screen for compounding sexual health factors
  • Make educated referrals and provide up-to-date resources

Suicidality in Urologic Disease for Men and Women – Dr. Dean Tripp

In this presentation Dr. Tripp will be highlighting the prevalence of suicide risk in patients suffering from Interstitial Cystitis, Prostate Cancer, and Inflammatory Bowel Disease. He will also provide interesting insights into the suicidality models that help us understand such behaviour. Particular emphasis will be placed on predictive and protective factors ranging from depression to assessments of resilience. These clinically relevant data will be discussed in regard to current treatment options such as cognitive behavioural therapy and interventions such as de-catastrophizing.

Integrating CBT into Clinical Practice – Lara Desrosiers

Lara Desrosiers will provide a summary of the upcoming Pelvic Health Solution’s course, CBT skills for distressing physical symptoms. Participants will learn about the evidence to support the use of CBT for chronic pelvic pain and other distressing symptoms related to pelvic health. We will discuss how thoughts and beliefs about symptoms can support OR stall recovery and how our language as health providers can serve to re-enforce maladaptive beliefs OR promote hope and healing

Pudendal Neuralgia and other Intrapelvic Causes of Neuropathic Pain – Dr. Nucelio Lemos

Pudendal neuralgia and other intrapelvic nerve entrapment syndromes are poorly understood conditions.  This lecture will go through the definition and symptoms associated with intrapelvic nerve entrapment, briefly reviewing the laparoscopic anatomy of the intrapelvic nerves.  Dr. Lemos will briefly describe what minimally invasive surgery is and review how candidates are chosen for surgery.  He will outline what physiotherapists need to know for their patients before and after surgery including timelines and exercise prescription.



Dr. Holly Herman

Dr. Hollis Herman (Holly) has been a physical therapist for 43 years. Her passion is Women and Men’s Health including LGBTQAI community. Holly is board certified as an Orthopedic, Women’s Health, Biofeedback Specialist and Pelvic Rehabilitation. Holly is an AASECT certified Sexuality Counselor and an ISSWSH Sexuality Fellow. She has pioneered physical therapy evaluation and treatment of problems that involve orthopedic, urologic, colorectal, obstetric, gynecologic, reproductive and sexual medicine. She maintains a vibrant private practice, HealthyWomen HealthyMen HealthyPeople, in Cambridge, MA, seeing patients in addition to training thousands of health professionals in these areas worldwide.

Holly has authored numerous books, book chapters and peer reviewed articles. She has received many grants and awards for her dedication and clinical excellence in physical therapy. Holly co-founded the Herman & Wallace Pelvic Rehabilitation Institute in 2005, though, no longer affiliated. Her present courses through HWHMeducation can be viewed on hollyherman.com and facebook.com/HWHMeducation/

Holly believes all patients deserve the right to be validated, educated and empowered so that they can live healthy, functional, active lives.

Dr. Louis Liu

Dr Louis Liu completed his Bachelor, Masters and PhD in Engineering, followed by Doctor of Medicine at McMaster University. He is the Head of Gastroenterology in University Health Network and Sinai Health System, and the Director of the Clinical Motility Unit in University Health Network. Dr. Liu has been actively involved in medical education. He established the University of Toronto Neurogastroenterology and Motility Fellowship Program in 2009 and the International Gastroenterology Fellowship Training Program at UHN and MSH. In addition, he served as the course co-director of the Metabolism and Nutrition Unit in the University of Toronto undergraduate MD Program between 2011-2015. Internationally, he is the University of Toronto Lead of the GI Residency Training Program at Addis Ababa University of Ethiopia and inaugurated the first Endoscopy Training Center in Ethiopia at the Tikur Anbessa Hospital with the support from World Gastroenterology Organization in 2015. He is a dedicated and accomplished educator and researcher who has received multiple education and research awards.

Tynan Rhea

Tynan Rhea is a queer, nonbinary settler with German and Czechoslovakian ancestry. Tynan has a private practice in Tkaronto (Toronto) as a sexual health counselor, educator, and aromatherapist. Tynan developed and teaches the Sex & Birth course for Doula Training Canada and is the founder of PostpartumSex.com. Tynan approaches their practice from sex-positive, queer & trans-affirming, trauma-informed, anti-oppressive, and feminist frameworks. You can find Tynan on Facebook, Instagram @TynanRhea or TynanRhea.com

Dr. Dean Tripp

Dean Tripp completed his PhD in Clinical Psychology at Dalhousie University, holding several university positions before joining Queen’s University in 2001. Dr. Tripp is currently Professor in the Department of Psychology, and cross appointed to Anesthesiology and Urology at Queen’s. He has been nationally and locally awarded for his excellence in teaching and research (e.g., Excellence in Interprofessional Pain from the Canadian Pain Society; Frank Knox Award for Excellence in Teaching). His research has focused on pain and psychosocial factors associated with adjustment within various patient populations (Chronic Pelvic Pain, Prostate Cancer, Perioperative Pain, Adjustment following Surgery, Inflammatory Bowel Disease). Dr. Tripp has published over 80 peer-reviewed publications & chapters, 5 treatment manuals, has developed 14 annual Pain Education events in Kingston (CME accredited), has presented his research in many national and international forums, and has consulted around the world on clinical research, patient engagement, and how organizations can use Positive Psychology to improve productivity.

Lara Desrosiers

Lara is an Occupational Therapist who has worked in community mental health settings since graduating from McMaster University in 2009. She has a passion for mental health and several years of experience addressing mental illness, trauma, and addiction using occupational therapy frameworks, Cognitive Behavioral Therapy and other psychotherapeutic strategies. While navigating her own journey with pelvic floor dysfunction, Lara realized the value of applying these strategies in the field of pelvic health and discovered the abundant evidence supporting this application.

Currently, Lara is an Occupational Therapist at Homewood Health Centre where she is an advocate for integrating pain education and programming into mental health care. Lara also operates a private practice (Pelvic Resilience) with a mission of supporting individuals experiencing pelvic floor dysfunction and/or persistent pain to address symptoms, manage distress, and navigate each unique experience in a way that promotes whole person wellness.

Dr. Nucelio Lemos

Nucelio Lemos underwent his medical graduation, as well as his gynecology, urogynecology and MIS training and PhD in Gynecology in Sao Paulo Brazil and attended a Fellowship in Pelvic Neurodysfunctions by the International School of Neuropelveology in Zurich, Switzerland. Upon returning to São Paulo, he funded the Pelvic Neurodysfunction Clinics of the Department of Gynecology of the Federal University of São Paulo, which he still currently chairs and where he develops extensive research and teaching of all fields of Neuropelveology: treatment of Intrapelvic Nerve Entrapments and Neuropathic Pain of Intrapelvic Etiology; Nerve-Sparing Radical Pelvic Procedures (including endometriosis and pelvic malignancies); and rehabilitation of paraplegic patients through the Laparoscopic Implantation of Neuroprosthesis.

He is past Chairman of the Scientific Committee of the International Continence Society (2013-2016) and is currently the Chairman of the Scientific and Education Committee of the Latin American Pelvic Floor Association (ALAPP). He is also a Founding Member of the International Society of Neuropelveology and the Director of the School of Pelvic Pain of the International Continence Society Institute.

As of January 2017 he has been recruited as Associate Professor at the Faculty of Medicine of the University of Toronto, where he is starting the Pelvic Functional Surgery and Neuropelveology Clinic, at the Department of Obstetrics and Gynecology of Mount Sinai and Women’s College Hospitals.