Program Structure and Resources
Click here for the block diagram schedule.
Program Structure
Fellows will acquire and demonstrate medical knowledge of neurologic and idiopathic disorders of the bladder and pelvic floor leading to incontinence, voiding dysfunction, and pelvic organ prolapse based on the most recent literature and standards of practice. Trainees will understand the presentation of a wide range of pelvic floor disorders and their non-surgical and surgical management options as outlined below.
- Presentation and treatment options for disorders of pelvic floor support, musculature and innervation:
- Pelvic organ prolapse: anterior (cystocele), posterior (rectocele) and uterine/vaginal vault prolapse
- Defecation disorders and chronic constipation
- Pelvic pain and dyspareunia
- Transvaginal compartment prolapse and vault suspension repairs
- Trans-abdominal vault suspension techniques
- Minimally invasive (laparoscopic and robotic) prolapse repair
- Presentation and treatment options for female and male stress urinary incontinence, including:
- Injection of urethral bulking agents
- Pubovaginal/midurethral sling procedures
- Male artificial urinary sphincter placement/male sling procedures
- Presentation and treatment of disorders of the bladder and urethra:
- Repair of lower urinary tract injuries from synthetic mesh
- Repair of urethral diverticulum
- Repair of vesicovaginal fistula
- Comprehensive video-urodynamic studies
- Botulinum toxin intradetrusor injections
- Percutaneous tibial nerve stimulation
- Sacral neuromodulation
- Augmentation cystoplasty
- Urinary diversion
- Patients with congenital genitourinary abnormalities and participate in our monthly transitional urology clinic
- Disorders of the detrusor muscle, urinary sphincter, central nervous system and afferent and efferent neuronal pathways that innervate the bladder, including conditions such as:
- Neurogenic bladder
- Overactive bladder and urinary incontinence
- Male and female voiding dysfunction
Academic and Research Structure
The fellow candidate will participate in monthly journal club meetings and weekly didactic conferences specific to the area of pelvic floor reconstructive surgery and neuro-urology. Fellows will have the opportunity to mentor and teach medical students and residents and present at departmental grand rounds. We strongly encourage and support the fellow's participation in basic science and clinical research. All faculty members will provide opportunities for the fellow to choose and be involved in multiple research projects.