CURRICULUM VITAE

Jean Pierre SPINOSA

Prepared 30th June 2007

Name SPINOSA

Christian name Jean Pierre

Date of birth 12 January 1961

Nationality Swiss and Italian

Based in Lausanne - Switzerland

Civil state Divorced- 4 daughters

Languages: French

Italian

English

Spanish

Resident during childhood in Africa (Ghana, Cameroun, Madagascar, Tunisia) until the age of 13 years (Fathers career: military, lawyer and diplomat), thereafter resident in Switzerland.

Address private : Chemin des Vignes 7 – 1122 – Romanel sur Morges – Suisse

Tel. 021 869 75 09

Address Professional: Rue des Terreaux 2, CH - 1003 – Lausanne – Suisse

Tél. 021 329 09 80 – FAX 021 329 09 81

Email : spinosa@deckpoint.ch

1.CURRENT PROFESSIONAL FUNCTIONS

Gynaecologist - Obstetrician - Specialist FMH in Lausanne - Switzerland

Chief consultant to 30%, Service of Gynecology and Obstetrics - Hospital Zone - 1110 - Morges – Switzerland.

Responsible for the center of Perineology, private clinic of Montchoisi, Lausanne.

Part-time lecturer to the Faculty of Medicine of Lausanne, DBCM (Department of Cellular Biology and Morphology).

Treasurer of ICOPF (International Collaboration On the Pelvic Floor)

2. OTHER ACTIVITIES

Reviewer for European Newspaper of Obstetrics & Gynecology and Reproductive Biology Reviewer for submissions of Gynecology and Obstetrics.

Member of Advisory and Scientific Board of the SPUN (Society for Pudendal Neuralgia, Doctor Mark Conway)

Development of the chapter on the anatomy of the pudendal nerve and its relationships to the various possible sites of compression

Consultant for N.I.C.E., National Institute for health and Clinical Excellence. http://www.nice.org.uk/page.aspx?o=home

3. Academic Qualifications

· Swiss Federal Medical Diploma, Lausanne, 1985

· Certificate of the clinical branch of the "FMGEMS", U.S.A, 1986

· Italian Diploma of Laurea in Medicine, University of Aquila, 1992

Obtained with mention

· Doctor of Medicine at the University of Lausanne, Switzerland, Faculty of Medicine, 1990.

Title of thesis: " Epidermoid carcinoma of the vulva: retrospective study of a collective of 67 cases observed 1977 to 1989."

Director : Professor Felix Krauer.

· Doctor of Medicine at the University of Aquila, Italy, Faculty of Medicine, 1992.

Title of thesis: "The epidermoid carcinoma of the vulva: experience and considerations”

Director : Professor Francesco Cappa

· Centre for Diseases : Faculty of Medicine at the Louis Pasteur University

University Certificate of Centre for Diseases Strasbourg (Professor R. Renaud), 1993

Memoir: The tumour of the phyllode centre. 319 cases and review of the literature

4. Academic Distinctions

1981 Prize of the Faculty of Medicine of Lausanne for the best results with the second propaedeutics.

5. Scientific Associations (In alphabetical order)

· AFOA, Association Française for Obstetric fistula of Africa

· FMH, Federatio Medicorum Helveticorum

· FONCAM, Federazione Operativa Nazionale per il Cancro della Mammella, Italie

· GEP, Groupement Européen de Perinéologie

· GRG, Groupement Romand de la Société Suisse de Gynécologie et Obstétrique

· ICOPF, International Collaboration On the Pelvic Floor

· ICS, International Continence Society

· SFCP, Société Francophone de Chirurgie Pelvienne

· SFCPCV, Société française de Colposcopie et de pathologie cervico-Vaginale

· SFSPM, Société Française de Sénologie et de Pathologie Mammaire

· SMSR, Société Médicale de la Suisse Romande

· SPUN : Society for Pudendal Neuralgia

· SSGO, Société Suisse de Gynécologie et Obstétrique

· SSS, Société Suisse de Sénologie

· SVM, Société Vaudoise de Médecine

6. PUBLICATIONS

6a. Original Articles indexed in Pubmed

· S. Meyer, P. de Grandi, N. Schmid, W. Sanzeni, JP. Spinosa

Urodynamic parameters in patients with slight and severe genuine stress incontinence: is the stress profile useful ?

Neurourology and Urodynamics, 1993, 12:1-8.

· Spinosa JP, Dubuis PY, Riederer B

Transobturator surgery for female urinary continence: from outside to inside or from inside to outside: a comparative anatomic study.

Prog Urol. 2005 Sep;15(4):700-6.

· Spinosa JP, Beffa V, Dubuisson JB

Female urinary incontinence: a review

Rev Med Suisse. 2005 Nov. 9;1(40):2586-90

· Spinosa JP, Dubuisson JB

Transobturator vaginal tape inside out for the treatment of female stress urinary incontinence: anatomical considerations. Letter to the editor.

Journal of Urology, Dec 2005, Vol 174(6), pp 2425-2426

· Spinosa JP, Dubuis PY, Riederer B.

Suburethral sling inserted by the transobturator route in the treatment of female stress urinary incontinence: preliminary results in 117 cases.

Eur J Obstet Gynecol Reprod Biol. 2005 Dec 1;123(2):212-7

· Wenger JM, Spinosa JP, Roche B, Dubuisson JB

An Efficient and Safe Procedure for Laparoscopic Supracervical Hysterectomy

J Gynecol Surg, Dec 2005, Vol. 21, No. 4: 155-159

· Wirth G, Spinosa JP, Iselin C.

Urethrolysis: A Versatile Operation for Bladder Outlet Obstruction in Women Following Stress incontinence Surgery

Eur Urol Suppl 2006;5(2):307

· Wenger JM, Spinosa JP, Roche B, Dubuisson JB

An Efficient and Safe Procedure for Laparoscopic Supracervical Hysterectomy

Obstetrical & Gynecological Survey. 61(5):310-311, May 2006

· Riederer BM, Dubuis PY, Spinosa JP

Transobturator vaginal tape inside-out A minimally invasive treatment of stress urinary incontinence: Surgical procedure and anatomical conditions [Reisenauer C, Kirschniak A, Drews U, Wallwiener D]. Letter to the editor

Eur J Obstet Gynecol Reprod Biol 2006;127:122-8.

· JP. Spinosa.

Les trajets anatomiques des bandelettes sous-urétrales, rétropubiennes TVT et transobturatrices TOT, sont-ils différents ? Apport de l’échographie introïtale. Lettre à la rédaction

Gynecol Obstet Fertil 2006; 34:298-303

· E. Delorme with the collaboration of V. Delmas, B. Riederer, JP. Spinosa

The surgical Treatment of stress urinary incontinence in Women Using Transobturator Tape

European renal and genito-urinary Disease, Issue II, 2006

Spinosa JP, de Bisschop E, Laurencon J, Kuhn G, Dubuisson JB, Riederer BM

· Sacral staged reflexes to localize the pudendal compression: an anatomical validation of the concept. Rev Med Suisse. 2006 Oct 25;2(84):2416-8, 2420-1.

· Dubuisson JB, Jacob S, Wenger JM, Spinosa JP

Laparoscopic treatment of genital prolapse

Rev Med Suisse. 2006 Oct 25;2(84):2422, 2424-6

· E. de Bisschop, JP. Spinosa

Pudendal Nerve Latency Time in Normal Women via Intravaginal Stimulation (Geraldo A. Cavalcanti, Gilberto M. Manzano, Lydia M. Giuliano, Joao A. Nobrega, Miguel Srougi, Homero Bruschini). Letter to the editor - International Braz J Urol Vol. 32 (6): 705-712, November - December, 2006

Int Braz J Urol. 2007 Mar-Apr;33(2):264-5

· Spinosa JP, Dubuis PY, Riederer B

Transobturator surgery for female stress incontinence: A comparative anatomical study of outside-in versus inside-out techniques

British Journal of Urology – In press

6b. Published articles in Journals not indexed and other scientific work

· Agence nationale (France) d’Accréditation et d’Evaluation en Santé (ANAES)

Post partum Member of the group.

December 2002.

· Extra judiciary and Judiciary expertise (mandate for the FMH 3, private expert mandate 3)

8c. Considered Scientific Articles

De Bisschop G, Spinosa JP, de Bisschop E, Nundlall R

Anatomical and physiological considerations of the sacral reflex.

Revue Medicale Suisse - Soumis

7. Scientific COMMUNICATIONS at CONGRESs (congresses without active participation are not mentioned).

Abstracts and posters

· J.P Spinosa, PY Dubuis

The treatment of urinary incontinence via the transobturator route in Switzerland : initial experiences. Poster 130, June 2003, Lugano

· JP. Spinosa, PY Dubuis

Use of transobturator route for the mangement of stress urinary incontinence. Reflections after 63 procedures. Poster

September 2003, Périgueux.

· Treustedt J., Spinosa J.P., Kuhn A. : Urodynamic practice in Switzerland: what is the current

status ?

Congrès Société Suisse de Gynécologie et Obstétrique Poster no P III-35, Lugano, June 2005

· Iselin C., Wirth G., Spinosa JP. Obstructive dysuria post surgical cure for stress urinary incontinence in women: indication for urethrolyse with specific techniques. Poster. Congres de la société Suisse d’Urologie, Genève, September 2005

Oral Communications

· JP. Spinosa, P. Vassilakos, X. Albe, P. Schäfer, F. Krauer.

The prognostic value of ploïdie, differentiation and histological type in vulvar epidermoid carcinoma T1 and T2. A report of 33 patients. Institut Pasteur, Paris 2001

· JP. Spinosa, B. Dietrich, X. Albe, P. Schäfer, P. Vassilakos, F. Krauer

Clinical and Pathologic Predictors of Axilliary Lymph Node Metastasis in Patients with Primary Breast Cancer: a multivariate analysis. Vienne, Congrès Européen de Sénologie 2001

· Hugonnet C,  Spinosa JP: the transobturator route in the surgical treatment of female stress urinary incontinence. Out In or In Out  Approach?

Congres de la société Suisse d’Urologie, Genève, September 2005

9c. Scientific Communications by invitation in Switzerland

· Spinosa JP. Anatomie opératoire des soutènements urétraux

Congress : the transobturator route in gynecological surgery. 

December 2003, Genève.

· Spinosa JP. Paramètres importants dans le choix des matériaux prothétiques

Congress : the transobturator route in gynecological surgery

December 2003, Genève.

· Spinosa JP. Laparoscopic material for hysterectomy.

Swissendos, Fribourg, September 2004

· Spinosa JP. Hormone replacement therapy in menopause: do you think it is dangerous ?

Société Vaudoise de Pharmacie, Lausanne, UNIL, Dorigny, February 2005

· JP. Spinosa. What complications occur at the time of the installation of the sub-urethral prostheses and how to manage them.

Symposium : the complications of new surgery for incontinence and the pelvic floor.

Genève, October 2005

· JP. Spinosa – B. Riederer. Cadaver dissection of the area of the obturator and pelvis. Direct

transmission.

Symposium : the complications of new surgery for incontinence and the pelvic floor

Genève, October 2005

· JP. Spinosa. In Out or Out In  approach in the treatment of urinary incontinence?: Anatomical study.

Symposium de l’association suisse d’urogynécologie (AUG). March 2006 : Genève

· JP. Spinosa. Pelvic anatomy : the same and yet different.

Genolier, 30 march 2007

9c. International Scientific Communications by invitation

· Spinosa JP. Protheses or no protheses : which material to use.

Gynovations, Cannes, June 2004,

· Spinosa JP. Plea of the tranobturator route.

9th symposium de chirurgie gynécologique, Périgueux, September 2004,

· Spinosa JP. Anatomy of the obturator. 6 dissections on a cadaver..

The choice of armaments (Professeur Bernard Blanc) for disorders of the static pelviperimeum. Prosthetic reinforcement: biomaterial or synthetic. March 2005, Marseille

· Spinosa JP. Pitfalls of obturator surgery.

II congrès de la Société Européenne de Gynécologie et Obstétrique de langue française et allemande (Professeur P. Von Theobald). April 2005, Deauville,

· Spinosa JP. Pitfalls of obturator surgery.

SIFUD, June 2005, Nantes,

· Spinosa JP. Dangers of surgery for IUE via the transobtirator route.

Cannes, Gynovations, June 2005,

· Spinosa JP, Dubuis PY, Riederer B. Functional complications of sub urethral prothesis and their management.

10th symposium de chirurgie Périgueux. September 2005, Périgueux.

· JP. Spinosa. In-out and Out-in approach – are they identical in terms of risk?

The choice of armaments (Professeur Bernard Blanc) for disorders of the static pelviperimeum. Prosthetic reinforcement: biomaterial or synthetic. March 2006, Marseille

· JP. Spinosa. Le nerf pudendal : l’anatomie et ses pièges

The choice of armaments (Professeur Bernard Blanc) for disorders of the static pelviperimeum. Prosthetic reinforcement: biomaterial or synthetic. March 2006, Marseille

· JP. Spinosa., Beat Riederer. Anatomical demonstration and dissection : the obturator framework

SFCP (Professeur P. Mares, Docteur R. De Tayrac). Nîmes. May 2006

· JP. Spinosa. To diagnose and to treat pudendal neuropathy : a new challenge in perineology.

IUGA : Athènes (Professeur Athanasiou, Docteur J. Beco), September 2006

· JP. Spinosa. Is Transobturator surgery really so safe in female pelvic surgery

11th symposium de chirurgie gynécologique, Essaouira, Maroc, September 2006.

· JP. Spinosa. Is Transobturator surgery really so safe in female pelvic surgery.

Congress : Abordagens em Saúde, Prevenção e Qualidade de Vida. Bresil. Cabo Frio. December 2006.

· JP. Spinosa. Pudendal anatomy: is it really like we learn it?

Congres : Abordagens em Saúde, Prevenção e Qualidade de Vida. Bresil. Cabo Frio. December 2006.

· JP. Spinosa. The obturator at the cross roads. Necrotising fascitis of the thigh.

The choice of tools (Professeur Bernard Blanc). Problems with the static pelviperineum.

Marseille, March 2007

· JP. Spinosa. Neurological risks during prolapse and incontinence surgeries

5th annual meeting of Mediterranean Society of Pelvic floor Disorders. Professeur Ahmed Shafik Cairo. April 5-7, 2007

· JP Spinosa

Surgical anatomy of prolapse and urinary incontinence.

Postgraduate course, Madrid, 20 april 2007.

· JP. Spinosa

Anatomic rationale and future developments of incontinence and prolapse surgery in women.

Urology Hospital, Pretoria, South Africa, 10 May 2007. Dr Paul Swart

· JP. Spinosa

Traumatic neuropathies after prolapse surgery.

Gyngolf, 8th congress, Vittel, 17 au 20 May 2007

9d. International and Swiss Scientific Communications by review invitation

· JP. Spinosa

Injection of myoblasts for urinary incontinence in low urethral pressure. First Swiss experiences. 12th symposium of surgery

Essaouira, Maroc, September 2007

· JP. Spinosa

Treatment of stress urinary incontinence urinaire with myoblasts: an unavoidable revolution

12th symposium of surgery

Essaouira, Maroc, September 2007

· JP. Spinosa

Can one explain certain complications of prolapse surgery with nervous iatrogenic lesions?

Congress "Le choix des armes", Professeur B. Blanc, Marseille, March 2008

· JP. Spinosa

Anatomical reports of sub urethral slings : In - In

Congress "Le choix des armes", Professeur B. Blanc, Marseille, March 2008

10. CONGRESS ORGANIZATION, PRESIDENT OF ROUND TABLES, SCIENTIFIC SESSIONS

Originator and organizer of the 1st Forum of Senology, Geneva, 12 to June 16, 1995, HUG, Geneva (with Prof F Krauer and Dr. P. Schaffer)

·Organiser of the 2nd Forum of Senology, Geneva, June 1996, HUG Geneva (with Prof. F. Krauer and Dr P. Schaffer)

·Organisor of the 3rd Forum of Senology, Geneva, May 1998, HUG Geneva (with Prof. F. Krauer and Dr P. Schaffer)

·Congress Organisor. La voie transobturatrice en chirurgie gynécologique, December 2003, Geneva (with Prof JB. Dubuisson)

·Member of the Scientific Committee for Laparosocpic hysterectomy in 2004. September 2004, Swissendos, Fribourg.

·Co-president of the round table. Guide to good practice for the use of pelvic surgical materials. September 2004, Périgueux.

·Member of the Scientific Committee. Consensus for laparoscopic hysterectomy in 2005. Swissendos, Fribourg. April 2005 :

·Organisor of symposium : complications of new surgery for incontinence and the pelvic floor

Geneva, October 2005 (with Prof JB. Dubuisson)

·Responsible for the post graduate course on prolapse. ECG (Enseignement de Chirurgie Gynécologique). Service de Gynécologie, Hôpitaux Universitaires de Genève. October 2005

·Organisor of the post graduate course: Control of the transobturator route for the management of stress urinary incontinence. Hôpital de Morges, October 2005

·Person in charge for surgical teaching and demonstrations of urinary incontinence. (Enseignement de Chirurgie Gynécologique). Maternité HUG. Février 2006

·Moderator day/session: Breast cancer. 9th European – French Exchange in Oncology. Lucerne. June 2006

·Moderateur session : laparoscopic treatment of genital prolapse 11th symposium de chirurgie Périgueux.

Essaouira, Maroc, September 2006

·Member of the congress scientific committee : Abordagens em Saúde, Prevenção e Qualidade de Vida. Bresil. Cabo Frio. December 2006.

·Organizer of the mission "fight against obstetric fistula in Cameroun" in collaboration with the AFOA and the ministry for the health of Cameroun. Under the auspices of Madam President Chantal Byia and the Foundation Chantal Byia. January 2007

· Member of the International Advisory Committee

5th annual meeting of Mediterranean Society of Pelvic floor Disorders

Cairo. Professeur Ahmed. Shafik Avril 5-7, 2007

11. TEACHING EXPERIENCE

·Assistant at the Institute of Anatomy of the Faculty of Medicine of Lausanne (Professor H. Van der Loos). Responsible for the perineal dissections 1981 to 1983

·Physiopathology examiner for the school of physiotherapy, Morges, 1987 et 1988.

·Teacher for the course of general surgery of the school of nurses of Morges (ESIM), 1987 and 1988.

·Teacher responsible for the clinical surgery (ELM), for 3rd year students for the Faculty of Medicine of Lausanne, Regional Hospital, Dept of surgery, Morges, de 1987 à 1988.

·Responsible for the gynecology course at the school of nursing of Morges (ESIM), 1989, 1990 and 1991.

·Teacher at the School of Nursing of Bon Secours, Geneva, February 1993, December 1993, February 1994, March 1994 at a rate of 8 to 16 hours of course per year

·Participation in teaching of the interns and doctors in place during conferences

·Dept of surgery of the CHUV, Lausanne.

·Dept of surgery of the HZ Morges.

·Dept of gynecology of the HZ Morges.

·Department of Gynecology and Obstetrics of the CHUV, Lausanne.

·Department of Gynecology and Obstetrics of the CHU, Geneva

·JP. Spinosa (with P. Vassilakos et F. Krauer)

Ca 125 and borderline tumour of the ovary. Genève 1994.

·JP. Spinosa, B. Ody

NMR in the evaluation of the doubtful senologic radiological images, Genève, 1994.

·Teacher, Faculty of Medicine – University of Geneva – Suisse de 1995 à 1999.

·Conservative treatment of breast cancer: evolution or revolution?

Séminaire Corsa Nova, Lausanne, 23 May 1995

·Use of the "Echovist" in the assessment diagnosis of sterility and uterine pathology endo-, Seminars

oMorges, 17 May 1995

oMorges, 28 June 1995

oNeuchâtel, 7 September 1995

·A case of hyperandrogenism of long duration on Leydig ovarian tumour, seminar, CHUV, Lausanne, 31.10.95

·Post menopause osteoporosis: etiology, symptoms and management, conference, CHUV, Lausanne, 20 April 1997

·Osteoporosis, ignored; day courses ; "ostéogym"

Hôpital orthopédique, Lausanne, 3.10.98

·Interpretation of CTG; courses held within the Clinique Cecil, Lausanne, 30.9.98

·JP. Spinosa. Relevance auxilliary clearance in breast cancer. Maternité, Genève 2001

·JP. Spinosa, F. Krauer. Diseases of gestational trophoblasts: review of the literature.

Maternité, Genève 2002

·P. Vassilakos, JP. Spinosa. Tracking of cancer of the uterine collar: report and gynecologist approach. Genève 2002

·JP. Spinosa, J. Matute, P. Schäfer, F. Krauer,

Tamoxifen in the treatment of primary breast cancer: 30 case report and a review of the literature, Genève 2002

·Practical course and demonstration of the surgical procedures for urinary incontinence.

Hopital de Martigny, Doctors Friedli, Aymon, Hotelier and Schneider

October 2003, Martigny

·Practical course and demonstration of the surgical procedures for urinary incontinence.

Hopital d'Aigle, Doctor Lucciarini

24 February 2004, Aigle

· Understanding the anatomy of the obturator. Scientific Communication.

Department of Gynecologie et Obstetrics. Hôpitaux Universitaires Genève

February 2005

·Demonstrations and dissections on anatomic specimens.

Institute of Anatomy (IBCM). Faculté de Médecine, Lausanne, in collaboration with Doctor B. Riederer, P.D.

October 2005, 28 :

·Procedural demonstrations (2) available for the treatment of pelvic prolapse via the vaginal route.

ECG (Enseignement de Chirurgie Gynécologique) Genève, Maternité, HUG

October 2005, 13

·Live surgical demonstrations (4) of transobturator procedures for the treatment of stress urinary incontinence. Hôpital de Morges, October 2005

· Live surgical demonstrations (3) of procedures for the treatment of urinary incontinence.

ECG (Enseignement de Chirurgie Gynécologique) Genève, Maternité, HUG

February 2006

·JP. Spinosa. Surgical and anatomical demonstrations.

St Georges Hospital. London. Prof. M. Fynes. 13 et 14 February 2006

· JP. Spinosa. 14th Meeting of the gynecological and obstetric group. St Moritz , March 2006 

§Anatomy of the pelvis for vaginal surgery

§Le trou obturé : anatomy

§The principles of vaginal surgery

§The route of the principle nerves and vessels of the pelvis

§Les plans de clivages en chirurgie vaginale

§Sacrospinofixations. Personal experience and review of the literature.

§Pudendal nerve and neuropathy: the pitfalls

· Clinique de Montchoisi, Lausanne. Post graduate course. JP. Spinosa. June 2006, 15

§Why perform urodynamic examination for female incontinence.

§Pudendal neuropathy. Ignored pathology.

·Surgical humanitarian mission, Guinée Konakry, sponsored by l’AFOA (Association pour les Fistules Obstétricales en Afrique)

August 2006. Trip cancelled following major political troubles.

·Invited by the 4 universities of Cairo – Egypt, August 2006

Conferences and demonstrations of procedures pertaining to  « Anatomical risks of transobturator surgery » and « Surgery of urinary incontinence, next techniques »

§Ahmed Maher Teaching Hospital – Urogynecology Department - Professeur Ahlam El Saied

§Bab el-Sharia Hospital - Urology unit - Professeur Mohammed Mabrouk

§Ain Shams University - Department of Urology – Dr Mahmoud Ezzat

§El Hussien Hospital – Department of Gynecology - Dr Mourad Mahmoud

·June 2006, 8 and 9: Anatomical validation of a new surgical technique for the release of the pudendal nerve for pudendal neuropathy.

In collaboration with Doctors Jacques Beco, Liège – Belgique and B. Riederer, IBCM, Lausanne.

·Surgical urogynecological humanitarian mission, south Cameroun, ville de Sangmelima

Sponsored by l’AFOA (Association pour les Fistules Obstétricales en Afrique) and the Cameroun Ministry of Health. Under the auspices of Madam President Chantal Biya.

14 to 21 January 2007

· JP. Spinosa

Anatomical demonstrations with dissections on cadavers of the management of genital prolapse.

Urology Hospital, Pretoria, South Africa , 9 May 2007. Dr Paul Swart

· Responsible for post graduate teaching of medical assistants in the service of Gynecology and Obstetrics of the hôpital de Morges.

· JP. Spinosa, B. Riederer

Course in pelvic anatomy for the doctors in the department of gynecology at the hôpital de Morges (11 participants)

12. PUBLIC CONFERENCES AND OTHER PARTICIPATIONS

·Fibroma: available treatments. Revue Optima. January 1995

·Hormone replacement increases the risk of breast cancer.

Radison Mövenpick, Lausanne

12.10.95

·Hormone replacement therapy and the risk of breast cancer, conference

Radison Mövenpick, Lausanne

7.11.95

·Breast cancer: what is the nine ?

Clinique Cécil, Lausanne

21 may 1997

· Film « Une vie commence ». Réalisateur : Marc Oberon, Mediascreen, LDM, 92300 Levallois Perret, France

· Optimum treatment of fibroma. Review of construction.. No 47. 19 november 1997

·Interprétation du CTG

Clinique Cecil, Lausanne

30 september 98

·TVT for the treatment of urinary incontinence : evolution or revolution.

Clinique Cecil, Lausanne

Lausanne, March 2000

·The menopuase in light of recent studies.

Casino de Montbenon - Lausanne

28 november 2001

· Hormonal replacement therapy and risk of breast cancer: understating the literature.

Lausanne Beau rivage, Conférence publique, 2002

· Interest of the NMR in the exclusion of a malignant pathology in doubtful clinical case.

Casino de Montbenon, 2003

· Interview de la revue Femina sur les frottis du col: "Ciel mon frottis". Femina. 31.8.2003

·Urologie gynécologique : a promising sling..

Revue Optima. No 356

December 2003

·The transobturator: fresh progress in the surgical treatment of stress urinary incontinence.

Casino de Montbenon - Lausanne

January 2004.

·The transobturator route : another advance in the surgical treatment of stress urinary incontinence.

Televised transmission TVRL

March 2004

·Stress urinary incontinence. Evolution of surgical techniques.

Televised transmission (TVRL) 

April 2006

·Perineology, a new speciality ?

Televised transmission – Spécial santé - Le cours du jour

TRS1, TSR2, 29 november 2006

·East Wing Echoes

Fistula

DVD of the Cameroun missions.

In collaboration with the authorities and the press of Cameroun.

·Chantal Biya the women suffering with fistula

DVD of the Cameroun fistula missions

In collaboration with the authorities and the press of Cameroun.

13. RESEARCH PROJECTS, WORK IN COURSES, COLLABORATIONS

13a. Pelvic gynecological oncology

13b.Pattern of 41 lymph nodes disseminations in endometrial and ovarian cancers. Significance for the surgical strategy

13b.Anatomopathology of the perineum – pelvic prolapse (in collaboration with l’IBCM, faculté de médecine de Lausanne, Doctor B. Riederer)

Pelvic floor 3D reconstruction of the pelvic floor anatomy on the cadaver (in collaboration with Dr Thomas Vetter).

Central tendon of the perineum: anatomical confirmation of its crucial role in surgical management of prolapse (in collaboration with CID, Centre d'Imagerie Diagnostique, Lausanne).

Posterior perineal IRM : has the anococcygeal ligament a role in prolapse

Age related degeneration of the anal and urethral sphincters induced by age and their role in incontinence. Draft study supported by the foundation AETAS

.

13c.13 .Obstetric Fistula

The surgical treatment of obstetric fistula.

Article developed (with French colleagues) for the EMC (Encyclopédie Medico Chirurgicale), Elsevier-Masson, France

13d.13 .Urinary Incontinence

Treatment of urinary incontinence with myoblasts in patient’s sphincter insufficiency (in collaboration with Professor H. Strasser, Dept Urology, University Innsbruck. May 2007.

Development of a technique for the diagnosis of urethral sphincter hypotonia. In collaboration with Dr. Eric de Bisschop, Marseilles. Project accepted by industry, under development.

13e.13 .Pudendal Neuropathy

Preliminary study on Doppler ultrasonography of internal Pudendal Vessels in pudendal neuralgia. E

Pudendal nerve decompression by the transperineal (Shafik) route: first 34 experiences

Lausanne, 30 SeptemberJune 2007 Jean Pierre Spinosa