In the Division of Female Pelvic Medicine and Reconstructive Surgery, we focus on disorders impacting the pelvic floor, including pelvic organ prolapse and urinary and fecal incontinence.

We work as a multidisciplinary team with providers across other specialties including colorectal surgery, gastroenterology, urology and pelvic physical therapy to provide comprehensive care to women with the following complex disorders:

• Incontinence
• Emptying disorders
• Fistulas
• Overactive bladder
• Pelvic organ prolapse
• Urinary tract infection
• Issues with a vaginal or pelvic mesh

As this subspecialty continues to evolve, we are proud to offer treatment and training in the latest advancements in female pelvic medicine. Groundbreaking treatment methods include the following:

• Pelvic floor physical therapy
• Medication for urinary urgency, frequency and incontinence
• Specialized devices and treatments such as vaginal pessaries, collagen injections and nerve and Botox therapy
• Vaginal reconstructive, laparoscopic and robotic surgeries and other outpatient procedures

Research

Recent Publications

Cullingsworth ZE, Klausner AP, Li R, Nagel AS, Carroll AW, Roseman JT, Speich JE. Comparative-fill urodynamics in individuals with and without detrusor overactivity supports a conceptual model for dynamic elasticity regulation. Neurourol Urodyn 2020 [Epub ahead of print].

Glass Clark S, Shannon M, Gill E, Clark M, Lamb E, Carroll A. Complications after retroperitonealization of mesh at time of sacrocolpopexy; A retrospective cohort study. Female Pelvic Med Reconstr Surg 2020;26(2):116-119.

Siff, L, Hill, A, Walters, S, Walters G, Walters M, The effect of commonly performed exercises on the area of the levator hiatus and the length and strength of the pelvic floor muscles in postpartum women. Female Pelvic Med ReconstrSurg, Female Pelvic Med Reconstr Surg, 2020 Jan/Feb;26(1):56-60 PMID 29727372

Clark S, Huang, Q, Sima, A, Siff L Effect of surgery for stress incontinence on female sexual function: A secondary analysis. Obstet Gynecol. 2020 Feb;135(2):352-360.

Lauren N. Siff, MD, Matthew D. Barber, MD, MHS, Halina M. Zyczynski, MD, Charles R. Rardin, MD,Sharon Jakus-Waldman, MD, David D. Rahn, MD, Ariana L. Smith, MD, Donna Mazloomdoost, MD, Amaanti Sridhar, MS, and Marie G. Gantz, PhD, for the NICHD Pelvic Floor Disorders Network* Immediate Postoperative Pelvic Organ Prolapse Quantification Measures and 2-Year Risk of Prolapse Recurrence. Obstet Gynecol 2020 Sept 10 [Epub ahead of print.]

Glass Clark S, Nagle AS, Bernardo R, Vinod N, Carucci L, Carroll A, Speich J, Klausner AP. Use of ultrasound urodynamics to identify differences in bladder shape between individuals with and without overactive bladder. Female Pelvic Med Reconstr Surg 2018 Sep 25. DOI: 10.1097/SPV.0000000000000638. [Epub ahead of print].