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U-POP & LUTD 2026
A Global Consensus Conference
April 20th and 21st of 2026
in Winston Salem NC.

U-POP & LUTD 2026: A Global Consensus Conference on the Primary Surgical Management of Uterovaginal Prolapse and Lower Urinary Tract Dysfunction

On behalf of the organizing committee, it is a pleasure to announce a truly global consensus meeting including key opinion leaders from all over the world brought together to discuss controversies in surgical management of primary uterovaginal prolapse, associated symptoms, preoperative assessment, outcomes, and complication mitigation. Attendance is by invitation only.

Primary Goals

  1. To develop a consensus on clinical and controversial aspects of primary surgical management of uterovaginal prolapse & Lower Urinary Tract Symptoms.
  2. To establish attainable targets in best practice for surgical indications, pre-operative assessment, surgical techniques, patient-reported outcomes, and complication mitigation.

Attendees

  • Global key opinion leaders in U-POP assessment, treatment and complication management.
  • NIH Program officer from NICHD Gynecology branch
  • Fellows and young researchers in the field.
  • Representatives from selected companies and foundations seeking to provide evidence-based treatment options for POP and develop new therapies for U-POP.
  • Patient support group for patient-reported outcomes development.

Hosted By

Wake Forest University School of Medicine Department of Urology, Division of Urogynecology and Pelvic Reconstructive Surgery

Publishing Timeline

  • IUJ Submission June 1, 2026​​
  • Deadline for initial reviews is Mid-July​​
  • Revisions are Due Mid-August​​
  • Final editorial reviews due Mid-September​​
  • Special issue published online late October/ Print version in November

Affiliate Organizations

  • AUGS
  • IUGA
  • SUFU

Supported by

  1. Wake Forest Institute of Regenerative Medicine
  2. NICHD, Gynecologic Health& Disease Branch (GHDB): Pending Grant submitted
  3. Foundation for Female Health Awareness
  4. Neomedic
  5. Coloplast
  6. Industry sponsorship TBD

ORGANIZING COMMITTEE

CHAIRS

Catherine Matthews, MD, FACS, FACOG

Prof of Urogynecology & OBGYN
Chair, IUGA Surgical Education
Wake Forest University School of Medicine

Gopal H Badlani, MD

Wake Forest University
School of Medicine
Co-Chair, Facilitator

CO-CHAIRS

Prof Anna Rosamilia MBBS, FRANZCOG, FRCOG, CU, PhD

Head of Pelvic Floor Unit
Monash Medical Centre, Southern Health
President IUGA

Ankita Gupta, MD

Assoc Fellowship Director,
Urogynecology and Reconstructive Pelvic Surgery,
University of Louisville Health

Anne Pelletier Cameron MD, FRCSC, URPS

The James Montie Legacy Prof of Urology
Vice Chair Academic Affairs and Service Chief
University of Michigan

Cara Grimes, MD, MAS, FACOG

Prof of Obstetrics and Gynecology
Vice-Chair of Research and Faculty Development
Albany Medical College

Donna Mazloomdoost, MD

Associate Prof of Obstetrics and Gynecology
Virginia Commonwealth University
NICHD Pelvic Floor Disorders Network

Dudley Robinson, MBBS, MD, FRCOG

Consultant Obstetrician and Gynecologist
Research and Development Lead in Women’s Services
Kings College Hospital, London

Jan Deprest, MD, PhD, FRCOG

Prof of Obstetrics and Gynecology
University Hospitals Leuven, Belgium
University College London

Maria Bortolini, MD, PhD

Researcher and Professor
Sector of Urogynecology and Pelvic Floor Reconstructive Surgery
Universidade Federal de São Paulo – São Paulo, Brazil

Victor W. Nitti, MD

Prof of Urology and OBGYN
Shlomo Raz Chair in Urology/ Division Chief of URPS
David Geffen School of Medicine at UCLA

Amy Sisson, MS, MLS

Research & Instruction Librarian
Coy C. Carpenter Library
Wake Forest University Medical School

U-POP 2026 Global Consensus Conference
April 20th - 21st 2026

Tentative schedule and meeting program.

DOWNLOAD PROGRAM (Tentative Program. Subject to change.)

Hotel Check-In

Hotel Check-In

150

Hotel Lobby

Dinner

Dinner

120min

TBD

Day 1 of Meeting

Day 1 of Meeting

540min

Dinner

Dinner

120min

TBD

Day 2 of Meeting

Day 2 of Meeting

450min

SUB-COMMITTEES

Indications for surgery: Assessment of Patient Factors

Overarching clinical questions:

  1. What risk factors are associated with failure of surgical intervention for primary uterovaginal POP and based on this, can one identify a “high risk phenotype”
  2. Which risk factors confer increased risk for future pathology of cervix and uterus that suggests need for hysterectomy for primary intervention.
  3. Which risk factors confer increased risk for surgical complications, and based on this, can one identify a “high risk phenotype” for transvaginal vs intra-abdominal complications.

2. Indications for surgery: Assessment and management of Urinary symptoms in women with primary uterovaginal prolapse

Overarching clinical questions:

  1. For patients with primary uterovaginal prolapse, what is the preferred method of pre-operative evaluation of urinary symptoms?
  2. What is the impact of different surgeries for uterovaginal prolapse ALONE on LUTD (no concomitant sling)?
  3. What is the impact of different surgeries for uterovaginal prolapse PLUS incontinence procedure on LUTD?
  4. How should occult and symptomatic SUI be managed at the time of U-POP repair?

Role of preoperative diagnostic testing

Overarching clinical questions:

  1. What is the minimum necessary pre-operative diagnostic testing for primary U-POP?
  2. Is there any pre-operative diagnostic test criteria/result that has been shown to change surgical intervention or improve outcomes for primary U-POP?
  3. How should symptoms of obstructed defecation and/or rectal prolapse be investigated in women with primary uterovaginal prolapse?

Surgical interventions for uterovaginal prolapse: Define ideal patient phenotype for each procedure and “best practice” surgical technique/approach.

Overarching clinical questions

  1. Does evidence exist to support specific surgical techniques within each procedure:
    1. Colpocleisis
    2. Hysteropexy with native tissue
    3. Hysteropexy with mesh
    4. Manchester procedure
    5. Hysterectomy with native tissue apical suspension
    6. Hysterectomy with Sacrocolpopexy
    7. Combined treatment of uterovaginal prolapse and rectal prolapse
    8. Vnotes hysterectomy + USLS

Management of complications: Surgical

Overarching clinical questions:

  1. What is the frequency of major intraoperative adverse events for each primary procedure for uterovaginal prolapse
  2. Are there any identified risk factors for:
    1. Visceral injury
    2. Vascular injury
    3. Nerve injury
    4. Deep pelvic infection
    5. Sacral discitis
  3. Develop management strategy for common surgical complications of uterovaginal prolapse repair.

Management of complications: Functional

Overarching clinical questions:

  1. Compare the prevalence of the following functional conditions across different procedures for primary uterovaginal prolapse:
    1. Persistent or de novo lower urinary tract symptoms
    2. Voiding dysfunction
    3. Obstructed defecation
    4. Pain
    5. Sexual function
  2. Define the preferred evaluation and management strategy for the above symptoms.

Augmenting/Alternative materials for Primary UPOP repair

Overarching clinical questions:

  1. Is there a preferred autologous, allograft, or biologic material for primary uterovaginal prolapse repair?
  2. Are there any novel cell-based, laser energy or regenerative therapies that could PRECLUDE surgery?
  3. What are the critical outcomes for augmented repair outcome assessment?

Patient reported outcomes

Tasks:

  1. Determine global definition of uterovaginal POP “success”
  2. Determine best methods to record PROs such as phone applications.

Registries and outcome standardization

Tasks:

  1. Determine global definition of uterovaginal POP “success”
  2. Determine best methods to record PROs

Role/influence of Industry /Role in simulation and surgical education

Overarching clinical questions:

  1. Define best practice for industry involvement in clinical trials
  2. Define best practice for industry engagement in surgical education, particularly simulation.

Major unanswered clinical questions and international research agenda

Tasks:

  1. Identify the major unanswered clinical questions regarding the surgical management of primary U-POP and prioritize a research agenda.
  2. Determine the preferred surgical management of primary uterovaginal prolapse in LMIC settings where resources are limited.

Who is attending?

ATTENDEES

SPONSORS

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