Proceedings in Obstetrics and Gynecology
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Division of Urogynecology and Reconstructive Pelvic Surgery
Get PDFThe Division of Urogynecology and Reconstructive Pelvic Surgery at the University of Iowa includes Drs. Catherine Bradley and Rene Genadry (urogynecologists) and Diane Elas, ARNP (nurse practitioner with advanced clinical training). University of Iowa Urogynecology clinics focus on the outpatient evaluation and management of female pelvic floor disorders, including urinary incontinence, pelvic organ prolapse, and other urinary and defecatory disorders. Outpatient diagnostic testing is available, including urodynamic tests and cystourethroscopy. We offer a wide spectrum of clinical care for pelvic floor disorders, including nonsurgical (e.g. pessaries and behavioral therapies) and surgical therapies. Clinic-based procedures (such as transurethral bulking injections and intra-detrusor botulinum toxin injections) are offered, as well as outpatient and inpatient surgeries. Special clinical initiatives include our minimally-invasive surgery program for urinary incontinence and prolapse, including outpatient slings and robotic hysterectomy and sacrocolpopexy
Division of Maternal-Fetal Medicine
Get PDFThe Division of Maternal-Fetal Medicine presently includes maternal-fetal specialists. They are: Kimberly K. Leslie, MD (Department Head), Stephen K. Hunter, MD, PhD, (Division Director), Jennifer R. Niebyl, MD, Asha Rijhsinghani, MD, and Mark Santillan, MD, and Jennifer Krupp, MD. Dr. Roger A. Williamson, double boarded in Genetics and Obstetrics, is an Emeritus member of the Division
The initiation of simulation training at a large community hospital
Get PDFOBJECTIVE: Since the 1990’s, simulation has been used to maintain task-oriented and behavioral skills in obstetrics and gynecology. Data on its effectiveness is still limited. The purpose of this study is to describe our experience in implementing simulation exercises at a large, private hospital. STUDY DESIGN: After reviewing the malpractice claims and maternal mortality impact of shoulder dystocia and postpartum hemorrhage, and the potential for a positive impact on patient safety through simulation training, shoulder dystocia and postpartum hemorrhage were selected as the initial focus of a new simulation training program for attending obstetrical physicians at a large, private, urban hospital. Upon obtaining approval from the institution, the Simulation Working Group developed an obstetrical simulation program emphasizing the management of shoulder dystocia and postpartum hemorrhage. Physicians who participate in deliveries at the institution were required to review a web-based educational program prior to the simulation exercise. Pre and post test questions were developed to assess the effectiveness of the information provided. The data was analyzed using Chi-Square testing with a p-value o
Primary tubal carcinoma with a preoperative diagnosis of tubo-ovarian abscess: a case report
Get PDFPrimary tuba carcinoma is a rare carcinoma type and it is quite difficult to diagnose it preoperatively. The patient who was operated by reason of preliminary diagnosis of tubaovarian abscess in our clinic, was diagnosed as primary tuba adenocarcinoma histopathologically. The patient was assessed as in stage IIc and she received chemotherapy and radiotherapy. She developed recurrence after a remission period, and her illness aggrevated into stage IV. After 36 months from diagnosis our case died because of respiratory failure