Female Pelvic Medicine and Reconstructive Surgery Urology Fellowship

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.

Faculty

Craig V. Comiter, MD., Associate Professor, Urology (Fellowship Director)
Bertha Chen, MD., Professor, Gynecology
Ekene Enemchukwu, MD.,Assistant Professor, Urology
Eric R. Sokol, MD, Assistant Professor, Gynecology
Lisa Rogo-Gupta, MD, Assistant Professor, Gynecology
Chris Elliott, MD, PhD., Clinical Instructor (Affiliate)

Clinical

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.

Research

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.

Past Fellows and Current Location

2010 - 2012: Christopher S. Elliott, MD, PhD

2011 -2014: Monica Richardson L. Richardson, MD, MPH

2012-2014: Ying Jura, MD

2014-Current: Aman Mahal, MD

2015-Current: Amy Dobberfuhl, MD

Recent Publications by Fellows

Dobberfuhl AD. Female stress urinary incontinence and the mid-urethral sling: is obstruction necessary to achieve dryness? World J Urol. 2015 Sep;33(9):1243-50

Mahal AS. Management of cesarean scar pregnancy in the second trimester: a report of three cases. J Reprod Med. 2015 Mar-Apr;60(3-4):165-8.

Richardson ML and Sokol ER. Abdominal sacral colpopexy versus sacrospinous ligament fixation: a cost-effectiveness analysis. Int Urogynecol J. 2015 Aug 19

Richardson ML and Sokol ER. Richardson ML. Practice patterns regarding management of rectovaginal fistulae: a multicenter review from the Fellows' Pelvic Research Network. Female Pelvic Med Reconstr Surg. 2015 May-Jun;21(3):123-8

Jura YH, Comiter CV. Urodynamics for postprostatectomy incontinence: when are they helpful and how do we use them? Urol Clin North Am. 2014 Aug;41(3):419-27

Richardson ML. A new mouse model for female genital schistosomiasis. PLoS Negl Trop Dis. 2014 May 1;8(5):e2825.

Richardson ML. Management of vesicovaginal fistulae: a multicenter analysis from the Fellows' Pelvic Research Network.Female Pelvic Med Reconstr Surg. 2014 Jan-Feb;20(1):7-13.

Richardson ML, Elliott CS, Comiter CV, Chen B, Sokol ER.To sling or not to sling at time of abdominal sacrocolpopexy: a cost-effectiveness analysis.
J Urol. 2013 Oct;190(4):1306-12.

Elliott CS and Comiter CV (2011).  Vesico-Vaginal Fistula and Lower Urinary Tract Surgical Complications.  In Wessels H (ed.) Urological Emergencies: A Practical Guide, edition 2.  Totowa, NJ: Humana Press.  Accepted for Publication.

Elliott CS, Hsieh MH, Sokol ER, Comiter CV, Payne CK and Chen B.  Robotic Assisted Versus Open Sacrocolpopexy: A Cost Minimization Analysis.   J Urol.  Accepted for publication.

Elliott CS and Sokol ER.  New Techniques for Treating Stress Urinary Incontinence.  Contemporary OB/Gyn; Jan 2011

Elliott CS and Comiter CV.  Male Sling for Stress Urinary Incontinence: An Update.  Curr Bladder Dysfunct Rep (2010); 5: 183–190.

Application

Candidates must have completed an ACGME-approved US or Canadian urology or OB/Gyn residency. An application for FPMRS fellowship is available at http://www.sufuorg.com/.

Contact Us

Catherine Cooper
Education Program Manager
Phone (650) 497-8753
c1cooper@stanford.edu

Craig V. Comiter, MD
Program Director
Phone: (650) 725-6493
ccomiter@stanford.edu