Female Pelvic Medicine & Reconstructive Surgery
Division Director’s Message
The Division of Female Pelvic Medicine & Reconstructive Surgery (Urogynecology) at the University of Massachusetts was founded in 1990 by Dr. Stephen Young who was its director until 2010. The mission of the division is to provide high quality, prompt, accessible, cost-effective and compassionate care to women who suffer from pelvic floor disorders as well as to provide high quality, comprehensive training of fellows in the evaluation of, treatment of and research into female pelvic floor disorders.
The division provides comprehensive evaluation and treatment for the full spectrum of female pelvic floor dysfunction including: pelvic organ prolapse, urinary incontinence, overactive bladder, fecal incontinence, persistent symptoms following prior surgery, voiding and defecatory dysfunction, urethral diverticula, and genital fistulas. We perform leading-edge innovative therapies including: minimally-invasive robotic and laparoscopic surgery for prolapse, minimally-invasive repairs through the vagina (without an incision in the abdomen), minimally-invasive slings for incontinence, sacral neuromodulation for overactive bladder and voiding dysfunction, and Botox for overactive bladder. In addition, non-surgical therapies for prolapse and incontinence; which include physical therapy, bio-feedback and pessaries, are always offered to patients with disorders of the pelvic floor. One of the strengths of our clinical program is allowing the patients the autonomy to make their own choices and our Fellows their own continuity clinics to foster independence in patient care.
The division welcomed its first FPMRS fellow in 2004 and was accredited by the American Board of Obstetrician & Gynecologists in 2007. The program was accredited by the Accreditation Council for Graduate Medical Education (ACGME) in 2014. It is a two fellow per three year program with strong clinical/surgical instruction and experience. Fellows graduate the program with confidence that they possess a wide variety of skills and are competitive for academic positions. In 2015, UMass Medical school expanded to include Baystate Medical Center in Springfield as a part of its clinical training program. In 2017, we started a surgical rotation for the fellows with the Urogynecologists at Baystate. We expect this rotation to grow from the 2 one-day OR experience per month to a several one- month-long rotations.
Female Pelvic Medicine & Reconstructive Surgery (Urogynecology) has had a consistent active research program and is currently engaged in ongoing as well as upcoming projects. Individual research accomplishments are easily accessed through faculty links and the fellow research page on our website. Residents are also encouraged to pursue research projects through the division and we regularly have several resident projects ongoing.
Fellows also have the opportunity during their fellowship to earn either a Master’s of Science in Clinical Investigation degree through the UMass Graduate School of Biomedical Sciences http://www.umassmed.edu/gsbs/prospective-students/master-of-science-in-clinical-investigation/program-overview/ or Master’s of Public Health http://www.umassmed.edu/fmch/faculty-resources/mph_program/ Basic Science experience may be pursued through the strong basic science departments at the Medical School orthrough collaboration with the Biomedical Engineering Department at the nearby Worcester Polytechnic Institute http://www.wpi.edu/academics/Depts/BME/About/index.html . Since the inception of the Society of Gynecologic Surgeon’s Fellow’s Pelvic Research Network (FPRN) http://www.sgsonline.org/fprn.php ,our fellows have been quite active in this multicenter network which has resulted in numerous publications.
Residents in Obstetrics and Gynecology rotate in Female Pelvic Medicine & Reconstructive Surgery (Urogynecology) during their second and fourth years and are encouraged throughout their four years to attend our weekly didactics which include lectures, journal clubs, case presentations and research meetings. A fourth-year medical student elective in Urogynecology is offered and has very popular in past years. Urogynecology fellows are encouraged and expected to assume a teaching role for the residents so they are well-prepared for an academic career.
Thank you for your interest in the Division of Female Pelvic Medicine & Reconstructive Surgery at the University of Massachusetts. We invite you to call our office at 508.334.9189 with questions or comments.
Michael K. Flynn, MD, MHS – Division Director
Associate Professor of Obstetrics & Gynecology