Veronica Mallett | |
---|---|
Nationality | American |
Occupation(s) | Physician, Medical academic |
Known for | Urogynecology, Health Equity |
Spouse | Kevin Isaac Brisco |
Children | 6 |
Dr. Veronica Thierry Mallett, M.D., MMM, is a women's health physician in the United States known for her work in urogynecology, specifically with respect to genital organ prolapse and urinary incontinence, and for her efforts in reducing health disparities. [1]
She has authored or co-authored more than 30 articles, as well as two chapters of the fourth edition of Tintinalli's Emergency Medicine: a comprehensive study guide on obstetrics and gynecology. [2]
Currently she serves as senior VP and chief administrative officer of the More in Common Alliance (MICA), a collaboration between CommonSpirit Health and Morehouse School of Medicine, and on the board of directors of Sharecare. [3]
Veronica Mallett was born to Dr. Conrad L. Mallett, Sr., Ed.D [4] and Dr. Claudia Gwendolyn Jones Mallett, Ed.D [5] in Detroit, Michigan, the youngest of three children. [6]
Dr. Mallett graduated from Barnard College at Columbia University in 1979 with a pre-med degree. [7] While at Barnard, Mallett served as the president of the Barnard Organization of Black Women. [8]
She returned to her home state of Michigan, enrolling in Michigan State University's College of Human Medicine. She graduated from the College of Human Medicine in 1983 and went on to complete a residency at Wayne State University School of Medicine, [8] in conjunction with Detroit Medical Center. She finished the program in 1987, [7] then took a position at Northwestern University in Chicago. While at Northwestern, she began to focus on urogynecology. [8]
She also obtained a Master's degree in Medical Management from Carnegie Mellon. [9] [10]
She returned to Wayne State in 1991, accepting a fellowship that ended in 1993. She stayed on at the University as an assistant professor, and in 1994 became director of Hutzel Women's Hospital's Women's Continence and Pelvic Surgery Center. In 1999, Mallett was promoted to residency program director, and in 2000, she became an associate professor at Wayne State. [8]
A 2001 listing of medical professionals in Black Enterprise stated Mallett offered a procedure known as the Tension-Free Vaginal Sling that aided female patients suffering from incontinence. It was an outpatient procedure offered at Oakwood Hospital and Medical Center in Dearborn, MI. [11] She continued to be employed with Oakwood at the beginning of 2005. [12]
Dr. Mallett moved to Tennessee in 2005, taking the position as first female chair of a clinical department at the University of Tennessee [8] where she served as the medical director of healthcare excellence. [13]
Dr. Mallett established the position of chair of obstetrics and gynecology at Texas Tech's Paul L. Foster School of Medicine in El Paso in 2011, [8] making her the Founding Chair. [10] [14] She helped launch the OB/GYN school at the university. [13] She helped establish a medical school and health science center to address the physician shortage in El Paso. It is located on the U.S. border between Texas and Mexico. [9]
Mallet returned to Tennessee on March 1, 2017 [15] to serve as the Dean at Meharry Medical College, [1] replacing Dr. Marquetta L. Faulkner. [9] Mallett intended to turn Meharry into an example of "innovation and excellence in providing high-quality, cost-efficient, safe, patient-centered care in an urban safety net teaching environment." One area on which she focused was telemedicine, recognizing the growing trend and a need to address how to handle virtual treatment in the curriculum. [15]
During her tenure as senior vice president of health affairs and Dean of Meharry, Nashville General Hospital began taking in fewer patients due to longstanding financial issues. Third and fourth year students at Meharry doing their hospital rotations traditionally completed at least some at Nashville General, but with fewer patients, the arrangement was no longer viable. Working with President James Hildreth and HCA Healthcare, a new agreement to allow Meharry students to complete the necessary rotations at TriStar Southern Hills in Nashville was reached. [16]
Dr. Mallett also worked with the Detroit Medical Center to establish a cooperative partnership that allowed Meharry students to study and train at the Detroit facilities. [17] [18] Sinai-Grace Hospital had already accepted Meharry students in July 2018, alongside residency students from both Michigan State and Wayne State universities. [17]
She also worked with MTSU and the state of Tennessee to finalize a deal that would allow six college freshmen to fast-track their medical degree education with state-subsidized tuition in exchange for staying in Tennessee to practice medicine for at least two years. Negotiations began in 2017 shortly after she accepted the position of Dean, and were finalized in 2019. [19]
Mallett also served as the executive director of the Center for Women's Health Research. [14] [20]
During the COVID-19 pandemic, Mallett joined with Nashville's emergency management team and helped conduct in-person testing at Meharry and at Nissan Stadium. [21]
In 2021, Meharry launched Meharry Medical College Ventures, naming Dr. Mallett as the president and CEO. [13] [22] She was succeeded in the position of CEO by Reginald Holt, [23] who took over in April 2023. [24]
Mallett joined the staff of the More in Common Alliance, a ten-year initiative begun in December 2020, as its chief administrative officer in May 2022. The Alliance is a joint venture between CommonSpirit Health, a Catholic-oriented U.S. hospital chain, and Morehouse School of Medicine, a medical school in Atlanta, GA. [25]
Part of Mallett's role includes raising funds to match CommonSpirit's financial commitment. The goal of the program is, essentially, to help patients and doctors build trust by ensuring patients are not only able to verbally communicate with their physicians but also to relate to them culturally or ethnically. [26]
Dr. Mallett is a member of The Links, Inc., [14] and an alumna of Drexel University's Executive Leadership in Academic Medicine program (2007). [27]
She joined the American Association of Gynecologic Laparoscopists in December 2011. [28]
In 2020 she was recognized by the Nashville Business Journal as a "woman of influence". [29]
She received the Nashville 2022 ATHENA Traditional award, [30] an acknowledgement of leadership skills recognized in eleven nations. [31]
Dr. Mallett is certified by the American Board of Obstetrics and Gynecology in both obstetric and gynecologic medicine and in female pelvic medicine and reconstructive surgery. [7]
Throughout her career, Dr. Mallett has authored or co-authored numerous works in the field of urogynecology and gynecology, as well as on medical equity.
Sanderson, Maureen; Cook, Mekeila; et al. (2023-06-09). "Lifetime Interpersonal Violence or Abuse and Diabetes Rates by Sex and Race". American Journal of Preventive Medicine . 65 (5): 783–791. doi: 10.1016/j.amepre.2023.06.007 . PMC 10592556 . PMID 37302511.
Blasingame, Miaya; Mallett, Veronica; et al. (2023-01-11). "Association of Psychosocial Factors on COVID-19 Testing among YWCA Service Recipients". International Journal of Environmental Research and Public Health . 20 (2): 1297. doi: 10.3390/ijerph20021297 . PMC 9859612 . PMID 36674054.
Mallett, Veronica (2022-09-01). "Opinion: We must redesign medical education to support clinician diversity" . Modern Healthcare. Retrieved 2023-08-21.
Maldonado, Pedro Antonio; Jackson, Elisha; et al. (January 2021). "Qualitative Analysis of Knowledge, Attitudes, and Beliefs About Pessary Use Among Spanish-Speaking Women on the US-Mexico Border" . Female Pelvic Medicine & Reconstructive Surgery. 27 (1): 96–100. doi:10.1097/SPV.0000000000000825. PMID 32149869.
Montoya, T. Ignacio; Rondeau, Nancy U.; et al. (January 1, 2021). "Decision Aid Video for Treatment Selection in Latinas With Symptomatic Pelvic Organ Prolapse: A Randomized Pilot Study" . Female Pelvic Medicine & Reconstructive Surgery. 27 (1): 39–45. doi:10.1097/SPV.0000000000000727. PMID 31008776.
Montoya, Teodoro I.; Morera, Osvaldo; et al. (March 2020). "Validation of the body image in pelvic organ prolapse questionnaire in Spanish-speaking Latinas". American Journal of Obstetrics and Gynecology . 222 (3): S789. doi: 10.1016/j.ajog.2019.12.064 .
Maldonado, Pedro A.; Robb, James; et al. (March 2019). "Satisfaction and comprehension after informed consent in Spanish-speaking patients undergoing gynecologic surgery". American Journal of Obstetrics and Gynecology . 220 (3): S748. doi: 10.1016/j.ajog.2019.01.094 .
Maldonado, Pedro A.; Wisecup, Ciara; et al. (March 2019). "Informed consent for gynecologic surgery: patient and provider priorities". American Journal of Obstetrics and Gynecology . 220 (3): S748. doi: 10.1016/j.ajog.2019.01.095 .
Robb, James; Mackay, Alex; et al. (January 2019). "Spanish Language Pelvic Floor Disorders Patient Information Handouts: How Readable Are They?" . Female Pelvic Medicine and Reconstructive Surgery. 25 (1): 72–75. doi:10.1097/SPV.0000000000000510. PMID 29095247.
Gher, Jessica; Mendez, Melissa; et al. (April 2018) [March 19, 2018]. "Provider Attitudes, Beliefs, and Barriers About Contraceptive Counseling in Adolescents along the Texas-Mexico Border" . Journal of Pediatric and Adolescent Gynecology . 31 (2): 167. doi:10.1016/j.jpag.2018.02.028.
Mallett, Veronica T.; Jezari, Anna M.; et al. (February 2018) [August 2, 2017]. "Barriers to seeking care for urinary incontinence in Mexican American women". International Urogynecology Journal. 29 (2): 235–241. doi:10.1007/s00192-017-3420-6. PMID 28770297.
Montoya, Teodoro I.; Rondeau, Nancy; et al. (February 2018). "Decision aid video for treatment selection in Latina patients with symptomatic pelvic organ prolapse: A pilot study". American Journal of Obstetrics and Gynecology . 218 (2, S2): S887–S888. doi: 10.1016/j.ajog.2017.12.196 .
Jackson, Elisha; Hernandez, Loretta; et al. (September 2017). "Knowledge, Perceptions, and Attitudes Toward Pelvic Organ Prolapse and Urinary Incontinence in Spanish-Speaking Latinas" . Female Pelvic Medicine & Reconstructive Surgery. 23 (5): 324–28. doi:10.1097/SPV.0000000000000393. PMID 28118172.
Jackson, Elisha; Bilbao, Jorge A.; et al. (December 2015) [July 15, 2015]. "Risk factors for ureteral occlusion during transvaginal uterosacral ligament suspension" . International Urogynecology Journal. 26 (12): 1809–1814. doi:10.1007/s00192-015-2770-1. PMID 26174656.
Mallett, Veronica (2012-09-17). "Dr. Veronica Mallett: You needn't 'live with' incontinence, other pelvic problems" . El Paso Times . ProQuest 1039876349 . Retrieved 2023-08-22.
FitzGerald, Mary P.; Dubeau, Catherine E.; et al. (September 2011). "Patient expectations did not predict outcome of drug and behavioral treatment of urgency urinary incontinence". Female Pelvic Medicine and Reconstructive Surgery. 17 (5). Urinary Incontinence Treatment Network: 231–237. doi:10.1097/SPV.0b013e31822dd10b. PMC 3329782 . PMID 22453106.
Burgio, Kathryn L.; Kraus, Stephen R.; et al. (August 5, 2008). "Behavioral therapy to enable women with urge incontinence to discontinue drug treatment: a randomized trial". Annals of Internal Medicine . 149 (3). Urinary Incontinence Treatment Network: 161–169. doi: 10.7326/0003-4819-149-3-200808050-00005 . PMC 3201984 . PMID 18678843.
Kraus, Stephen; Markland, Alayne; et al. (May 2008). "Race/Ethnic Differences in Symptoms and Impacts of Urinary Incontinence in Women Undergoing Stress Incontinence Surgery" . UroToday International Journal. 1 (15).
Mallett, Veronica T.; Brubaker, Linda; et al. (March 2008). "The expectations of patients who undergo surgery for stress incontinence" . American Journal of Obstetrics and Gynecology . 198 (3). Urinary Incontinence Treatment Network: 308.E1 - 308/.E6. doi:10.1016/j.ajog.2007.09.003. PMID 18313452.
FitzGerald, Mary P.; Burgio, Kathryn L.; et al. (October 2007) [August 7, 2007]. "Pelvic-floor strength in women with incontinence as assessed by the brink scale". Physical Therapy. 7 (10). Urinary Incontinence Treatment Network: 1316–1324. doi: 10.2522/ptj.20060073 . PMID 17684087.
Kraus, Stephen R.; Markland, Alayne; et al. (July 2007). "Race and ethnicity do not contribute to differences in preoperative urinary incontinence severity or symptom bother in women who undergo stress incontinence surgery". American Journal of Obstetrics and Gynecology . 97 (1). Urinary Incontinence Treatment Network: 92.E1 - 92.E6. doi: 10.1016/j.ajog.2007.03.072 . PMC 2034292 . PMID 17618773.
Albo, Michael E.; Richter, Holly E.; et al. (May 24, 2007). "Burch Colposuspension versus Fascial Sling to Reduce Urinary Stress Incontinence". New England Journal of Medicine . 356 (21). Urinary Incontinence Treatment Network: 2143–2155. doi: 10.1056/NEJMoa070416 . PMID 17517855.
Albo, Michael E.; Richter, Holly E.; et al. (May 22, 2007). "Results of the Sister Randomized Surgical Trial Comparing the Autologous Rectus Fascia Sling to the Burch Colposuspension". The Journal of Urology . 177 (4): 556. doi: 10.1016/S0022-5347(18)31864-0 .
Tennstedt, Sharon L.; FitzGerald, Mary Pat; et al. (May 2007) [October 12, 2006]. "Quality of life in women with stress urinary incontinence". International Urogynecology Journal & Pelvic Floor Dysfunction. 18 (5). Urinary Incontinence Treatment Network: 543–549. doi:10.1007/s00192-006-0188-5. PMID 17036169.
Mallett, Veronica; Burks, David; et al. (April 2007). "Solifenacin treatment for overactive bladder in black patients: patient-reported symptom bother and health-related quality of life outcomes" . Current Medical Research and Opinion . 23 (4): 821–831. doi:10.1185/030079907x178847. PMID 17407639. ProQuest 207995486.
Mallett, V.T.; Brubaker, L.; et al. (March 2006). "Abstract for Oral Presentation 9: The Expectations of Surgical Patients: Are We Talking the Same Language?". Journal of Pelvic Medicine and Surgery. 12 (2). Urinary Incontinence Treatment Network: 68. doi:10.1097/00146866-200603000-00011.
Richter, Holly E.; Burgio, Kathryn L.; et al. (December 2005). "Factors associated with incontinence frequency in a surgical cohort of stress incontinent women". American Journal of Obstetrics and Gynecology . 193 (6): 2088–2093. doi: 10.1016/j.ajog.2005.07.068 . PMID 16325621.
Richter, H.E.; Burgio, K.L.; et al. (March 2005). "Predictors of Incontinence Severity in a Cohort of Stress Incontinent Women Undergoing Surgical Treatment" . Journal of Pelvic Medicine and Surgery. 11 (2): 78–79. doi:10.1097/01.spv.0000156019.60072.78.
Mallett, Veronica T. (January 2005). "Female urinary incontinence: what the epidemiologic data tell us". International Journal of Fertility and Women's Medicine. 50 (1): 12–17. ISSN 1534-892X. PMID 15971716.
Tennstedt, S.; Borello-France, D.; et al. (2005). "Health-Related Quality of Life in Women Before Surgical Treatment for Stress Urinary Incontinence". Journal of Pelvic Medicine and Surgery. 11 (S1). Urinary Incontinence Treatment Network: S38. doi: 10.1097/01.spv.0000178882.54258.8f .
FitzGerald, M.P.; Mallett, V.; et al. (2005). "Pelvic Muscle Strength Decreases with Increasing Age, Parity and Symptoms of Stress Incontinence". Journal of Pelvic Medicine and Surgery. 11 (S1): S15. doi: 10.1097/01.spv.0000176106.35296.28 .
Diokno, Ananais C.; Estanol, Maria Victoria; et al. (March 2004). "Epidemiology of lower urinary tract dysfunction" . Clinical Obstetrics and Gynecology . 47 (1): 36–43. doi:10.1097/00003081-200403000-00007. PMID 15024271.
Northington, G.M.; Wilson, G.S.; et al. (2004). "Comparison of Graft Material as a Risk Factor for Mesh Erosion and Infection Following Abdominal Sacrocolpopexy" . Journal of Pelvic Medicine and Surgery. 10 (S1): S61–S62. doi:10.1097/01.spv.0000134118.68352.cb.
Dolan, Lucia M.; Hosker, Gordon L.; et al. (December 2003). "Stress incontinence and pelvic floor neurophysiology 15 years after the first delivery". BJOG . 110 (12): 1107–1114. doi:10.1111/j.1471-0528.2003.02415.x. ISSN 1471-0528. PMID 14664882.
Mallett, Veronica T. (July 1, 2002). "The unspeakable illness: the work-up of female urinary incontinence". International Journal of Fertility & Women's Medicine. 47 (4): 162–168. PMID 12199412.
Graham, Carol A.; Mallett, Veronica T. (July 2001). "Race as a predictor of urinary incontinence and pelvic organ prolapse" . American Journal of Obstetrics and Gynecology . 185 (1): 116–120. doi:10.1067/mob.2001.114914. ISSN 0002-9378. PMID 11483914.
McIntosh, Lisa J.; Stanitski, Deborah F.; et al. (1996). "Ehlers-Danlos Syndrome: Relationship between Joint Hypermobility, Urinary Incontinence, and Pelvic Floor Prolapse" . Gynecologic and Obstetric Investigation. 41 (2): 135–139. doi:10.1159/000292060. PMID 8838976.
Mcintosh, Lisa J.; Mallett, Veronica T.; et al. (December 30, 1995). "Gynecologic Disorders in Women With Ehlers-Danlos Syndrome" . JSGI . 2 (3): 559–564. doi:10.1177/107155769500200309. PMID 9420859.
Mallett, Veronica T.; Bump, Richard C. (August 1994). "The epidemiology of female pelvic floor dysfunction" . Current Opinion in Obstetrics and Gynecology. 6 (4): 308–312. doi:10.1097/00001703-199408000-00002. ISSN 1040-872X. PMID 7742490.
Mallett, Veronica T. (1996). "96: Gynecologic Emergencies; 101: Common Complications of Gynecologic Procedures". In Tintinalli, Judith E.; Ruiz, Ernst; Krome, Ronald L. (eds.). Emergency medicine : a comprehensive study guide . American College of Emergency Physicians (4th ed.). New York: McGraw-Hill. pp. 555–560, 583–586. ISBN 9780070648791.
She is married to husband Kevin Brisco. They have six children. [32]
Her brother is retired Michigan Supreme Court Chief Justice Conrad L. Mallett, Jr. who also served as president of Sinai-Grace Hospital. [33] [34]
Vulvodynia is a chronic pain condition that affects the vulvar area and occurs without an identifiable cause. Symptoms typically include a feeling of burning or irritation. It has been established by the ISSVD that for the diagnosis to be made symptoms must last at least three months.
Gynaecology or gynecology is the area of medicine that involves the treatment of women's diseases, especially those of the female reproductive organs. It is often paired with the field of obstetrics, which focuses on pregnancy and childbirth, thereby forming the combined area of obstetrics and gynaecology (OB-GYN).
Urinary incontinence (UI), also known as involuntary urination, is any uncontrolled leakage of urine. It is a common and distressing problem, which may have a large impact on quality of life. It has been identified as an important issue in geriatric health care. The term enuresis is often used to refer to urinary incontinence primarily in children, such as nocturnal enuresis. UI is an example of a stigmatized medical condition, which creates barriers to successful management and makes the problem worse. People may be too embarrassed to seek medical help, and attempt to self-manage the symptom in secrecy from others.
Hysterectomy is the surgical removal of the uterus and cervix. Supracervical hysterectomy refers to removal of the uterus while the cervix is spared. These procedures may also involve removal of the ovaries (oophorectomy), fallopian tubes (salpingectomy), and other surrounding structures. The term “partial” or “total” hysterectomy are lay-terms that incorrectly describe the addition or omission of oophorectomy at the time of hysterectomy. These procedures are usually performed by a gynecologist. Removal of the uterus renders the patient unable to bear children and has surgical risks as well as long-term effects, so the surgery is normally recommended only when other treatment options are not available or have failed. It is the second most commonly performed gynecological surgical procedure, after cesarean section, in the United States. Nearly 68 percent were performed for conditions such as endometriosis, irregular bleeding, and uterine fibroids. It is expected that the frequency of hysterectomies for non-malignant indications will continue to fall given the development of alternative treatment options.
A pessary is a prosthetic device inserted into the vagina for structural and pharmaceutical purposes. It is most commonly used to treat stress urinary incontinence to stop urinary leakage and to treat pelvic organ prolapse to maintain the location of organs in the pelvic region. It can also be used to administer medications locally in the vagina or as a method of contraception.
The pelvic floor or pelvic diaphragm is an anatomical location in the human body, which has an important role in urinary and anal continence, sexual function and support of the pelvic organs. The pelvic floor includes muscles, both skeletal and smooth, ligaments and fascia. and separates between the pelvic cavity from above, and the perineum from below. It is formed by the levator ani muscle and coccygeus muscle, and associated connective tissue.
Vaginoplasty is any surgical procedure that results in the construction or reconstruction of the vagina. It is a type of genitoplasty. Pelvic organ prolapse is often treated with one or more surgeries to repair the vagina. Sometimes a vaginoplasty is needed following the treatment or removal of malignant growths or abscesses to restore a normal vaginal structure and function. Surgery to the vagina is done to correct congenital defects to the vagina, urethra and rectum. It may correct protrusion of the urinary bladder into the vagina (cystocele) and protrusion of the rectum (rectocele) into the vagina. Often, a vaginoplasty is performed to repair the vagina and its attached structures due to trauma or injury.
Pelvic floor dysfunction is a term used for a variety of disorders that occur when pelvic floor muscles and ligaments are impaired. The condition affects up to 50 percent of women who have given birth. Although this condition predominantly affects women, up to 16 percent of men are affected as well. Symptoms can include pelvic pain, pressure, pain during sex, urinary incontinence (UI), overactive bladder, bowel incontinence, incomplete emptying of feces, constipation, myofascial pelvic pain and pelvic organ prolapse. When pelvic organ prolapse occurs, there may be visible organ protrusion or a lump felt in the vagina or anus. Research carried out in the UK has shown that symptoms can restrict everyday life for women. However, many people found it difficult to talk about it and to seek care, as they experienced embarrassment and stigma.
The cystocele, also known as a prolapsed bladder, is a medical condition in which a woman's bladder bulges into her vagina. Some may have no symptoms. Others may have trouble starting urination, urinary incontinence, or frequent urination. Complications may include recurrent urinary tract infections and urinary retention. Cystocele and a prolapsed urethra often occur together and is called a cystourethrocele. Cystocele can negatively affect quality of life.
Pelvic organ prolapse (POP) is characterized by descent of pelvic organs from their normal positions into the vagina. In women, the condition usually occurs when the pelvic floor collapses after gynecological cancer treatment, childbirth or heavy lifting. Injury incurred to fascia membranes and other connective structures can result in cystocele, rectocele or both. Treatment can involve dietary and lifestyle changes, physical therapy, or surgery.
Vaginectomy is a surgery to remove all or part of the vagina. It is one form of treatment for individuals with vaginal cancer or rectal cancer that is used to remove tissue with cancerous cells. It can also be used in gender-affirming surgery. Some people born with a vagina who identify as trans men or as nonbinary may choose vaginectomy in conjunction with other surgeries to make the clitoris more penis-like (metoidioplasty), construct of a full-size penis (phalloplasty), or create a relatively smooth, featureless genital area.
Stress incontinence, also known as stress urinary incontinence (SUI) or effort incontinence is a form of urinary incontinence. It is due to inadequate closure of the bladder outlet by the urethral sphincter.
Uterine prolapse is a form of pelvic organ prolapse in which the uterus and a portion of the upper vagina protrude into the vaginal canal and, in severe cases, through the opening of the vagina. It is most often caused by injury or damage to structures that hold the uterus in place within the pelvic cavity. Symptoms may include vaginal fullness, pain with sexual intercourse, difficulty urinating, and urinary incontinence. Risk factors include older age, pregnancy, vaginal childbirth, obesity, chronic constipation, and chronic cough. Prevalence, based on physical exam alone, is estimated to be approximately 14%.
Female genital disease is a disorder of the structure or function of the female reproductive system that has a known cause and a distinctive group of symptoms, signs, or anatomical changes. The female reproductive system consists of the ovaries, fallopian tubes, uterus, vagina, and vulva. Female genital diseases can be classified by affected location or by type of disease, such as malformation, inflammation, or infection.
Michael L. Brodman is an American gynecologist and obstetrician and currently the Ellen and Howard C. Katz Professor and Chairman of the Department of Obstetrics, Gynecology and Reproductive Science at Mount Sinai Hospital, Mount Sinai Health System, and Icahn School of Medicine at Mount Sinai in New York City. He is recognized internationally as a pioneer in the field of urogynecology.
A vestibulectomy is a gynecological surgical procedure that can be used to treat vulvar pain, specifically in cases of provoked vestibulodynia. Vestibulodynia is a chronic pain syndrome that is a subtype of localized vulvodynia where chronic pain and irritation is present in the vulval vestibule, which is near the entrance of the vagina. Vestibulectomy may be partial or complete.
A urethrovaginal fistula is an abnormal passageway that may occur the urethra and the vagina. It is a sub-set of vaginal fistulas. It results in urinary incontinence as urine continually leaves the vagina. It can occur as an obstetrical complication, catheter insertion injury or a surgical injury.
A urogenital fistula is an abnormal tract that exists between the urinary tract and bladder, ureters, or urethra. A urogenital fistula can occur between any of the organs and structures of the pelvic region. A fistula allows urine to continually exit through and out the urogenital tract. This can result in significant disability, interference with sexual activity, and other physical health issues, the effects of which may in turn have a negative impact on mental or emotional state, including an increase in social isolation. Urogenital fistulas vary in etiology. Fistulas are usually caused by injury or surgery, but they can also result from malignancy, infection, prolonged and obstructed labor and deliver in childbirth, hysterectomy, radiation therapy or inflammation. Of the fistulas that develop from difficult childbirth, 97 percent occur in developing countries. Congenital urogenital fistulas are rare; only ten cases have been documented. Abnormal passageways can also exist between the vagina and the organs of the gastrointestinal system, and these may also be termed fistulas.
Pelvic floor physical therapy (PFPT) is a specialty area within physical therapy focusing on the rehabilitation of muscles in the pelvic floor after injury or dysfunction. It can be used to address issues such as muscle weakness or tightness post childbirth, dyspareunia, vaginismus, vulvodynia, constipation, fecal or urinary incontinence, pelvic organ prolapse, and sexual dysfunction. Licensed physical therapists with specialized pelvic floor physical therapy training address dysfunction in individuals across the gender and sex spectra, though PFPT is often associated with women's health for its heavy focus on addressing issues of pelvic trauma after childbirth.
Transvaginal mesh, also known as vaginal mesh implant, is a net-like surgical tool that is used to treat pelvic organ prolapse (POP) and stress urinary incontinence (SUI) among female patients. The surgical mesh is placed transvaginally to reconstruct weakened pelvic muscle walls and to support the urethra or bladder.