Female Pelvic Medicine and Reconstructive Surgery Urology Fellowship
Training Program Overview
The Stanford female pelvic medicine and reconstructive surgery (FPMRS) urology fellowship is a 2 year ACGME ABU/ABOG accredited program, which prepares the fellow for a career in academic medicine by providing training in complex reconstructive urological care, as well as a solid foundation in basic science or clinical research. The training combines clinical experience at the Stanford University Medical Center and basic science or clinical health sciences research. The fellowship is a joint endeavor with Stanford Urology and Urogynecology faculty training providing a full experience of pelvic reconstruction. The program is currently accepting a urology trained fellow every even year, and a gynecology trained fellow every odd year.
The fellow is directly supervised by 4 faculty members at Stanford University Medical Center. Fellows graduate with an operative experience of 600+ procedures, including vaginal pelvic organ prolapse repair, vaginal hysterectomy, midurethral slings, bladder neck slings, male incontinence slings, artificial urinary sphincter placement, collagen injections, botulinum toxin injections, laparoscopic/robotic and open sacrocolpopexy, bladder augmentation, creation of catheterizable stomas and repair of vesicovaginal fistula. All aspects of open, endoscopic, laparoscopic, and robotic pelvic and reconstructive urology are taught. One to two days per week are spent in the operating room, with graduated responsibility for resident teaching as the year progresses. The fellow is responsible for supervising the Stanford urology residents on the service for inpatient care and consultations. Two to three days per week is spent in clinic, rotating with each faculty member. Supervising and interpreting videourodynamic studies are emphasized during portions of training.
Dr. Chen has a basic science laboratory focusing on molecular abnormalities in connective tissue metabolism in women affected with pelvic floor disorders, specifically focusing on the role of extracellular matrix proteins. Her work is recognized and funded by the National Institutes of Health. Drs. Comiter and Sokol focus on clinical research and are part of many clinical trials encompassing the use of mesh in vaginal prolapse repairs, male incontinence devices, fecal incontinence treatments and novel therapeutics for interstitial cystitis and urge incontinence. If a fellow has specific interests, such as health services/policy research, medical informatics, decision analysis, bioengineering, biodesign or other areas, we recommend that these interests and coursework possibilities be explored during the year prior to starting fellowship. Some fellowships and degree programs may require enrollment or program acceptance (for instance, the Master’s in Clinical Epidemiology). Coursework or degree tuition costs may be incurred, and the fellow may be responsible for securing funding, with appropriate faculty assistance for grant writing. Clinical research immersion programs exist, and previous fellows have participated in these full-time week long programs as well. Clinical projects are started during the clinical year, to be completed during the research year.
Recent Publications by Fellows
Dobberfuhl AD, Comiter CV. A systematic approach to the evaluation and management of the failed artificial urinary sphincter. Curr Urol Rep. March 2017
Mahal A. Emerging technologies and techniques in radiation therapy
Semin Radiat Oncol. January 2017
Mahal AS. Predictors of early postoperative voiding dysfunction and other complications following a midurethral sling. Am J Obstet Gynecol. November 2016
Dobberfuhl AD. Loss of expression of protein phosphatase magnesium-dependent 1A during kidney injury promotes fibrotic maladaptive repair. FASEB J. October 2016
Dobberfuhl AD. A novel cystometric model of pelvic floor dysfunction after rabit pelvic floor noxious electrical stimulation. Female Pelvic Med Reconstr Surg. July-August 2016
Mahal AS. Glomus tumor excision with clitoral preservation. J Low Genit Tract Dis. April 2016
Comiter CV, Dobberfuhl AD. The artificial urinary sphincter and male sling for postprostatectomy incontinence: Which patient should get which procedure? Investig Clin Urol. January 2016
Dobberfuhl AD. Noxious electrical stimulation of the pelvic floor and vagina induces transient voiding dysfunction in a rabbit survival model of pelvic floor dystonia. Korean J Urol. December 2015
Mahal AS. Management of cesarean scar pregnancy in the second trimester: a report of three cases. J Reprod Med. March-April 2015