Fellow’s Pelvic Research Network (FPRN) Newsletter http://www.sgsonline.org/fprn.php Volume 5 Issue 1 MISSION STATEMENT: The purpose of the FPRN is to enable fellows to work together cooperatively and conduct multi-center pelvic floor research projects. The goal of the FPRNTM is to imbue fellows with greater confidence, ability and efficiency in becoming accomplished researchers. Within the FPRN fellows will work and collaborate both with peers and leaders in the field of urogynecology. The network also provides the opportunity to form ties with colleagues throughout the United States and Canada that will continue long after fellowship. Participation in the FPRN should help members become more effective researchers. MESSAGE Welcome to our BIANNUAL FPRN Newsletter. Through this newsletter, we hope to keep you updated on ongoing and new projects and the latest things the FPRN is working on. In this issue, we will report on the exciting happenings from our meeting at AUGS 2013 in Las Vegas, NV! Presentations at AUGS 2013: Oakley SH, Brown HW, Greer JA, Richardson M, Adelowo A, Yurteri-Kaplan LA, Lindo FM, Greene KA, Fok C, Book NM, Saiz CM, Plowright LN, Harvie HS, Pauls RN. Management of Rectovaginal Fistulae: A Multicenter Review from the Fellows’ Pelvic Research Network. PROJECT UPDATES Cystometric bladder capacity and other predictors of failed postoperative voiding trial following a midurethral sling Risk factors for vaginal cuff dehiscence Patients’ Knowledge of and Attitude Towards Robotic Surgery for Pelvic Organ Prolapse Risk factors for lower urinary tract injury at the time of prolapse and incontinence surgery Change in Male and Female Sexual Function After Midurethral Slings Impact of technologic innovation on hysterectomy route trends and associated implications for post-graduate surgical resident education in the United States. PI: Meadow Good, Southwestern Medical Center Mentors: David Rahn, Nazinan Ehsani Sites: Actively Recruiting Description: A case-control study of patients who fail their voiding trials versus those who pass after isolated midurethral slings to determine risk factors for short term voiding dysfunction. Timeline/ next deadline: Recruitment open now! Join! Meadow.Good@utsouthwestern.edu PI: Christine Chu, University of Pennsylvania Mentors: Heidi Harvie, Emily Weber LeBrun Sites: Henry Ford Health Systems, U. Penn Description: A cross-sectional study to determine the knowledge of and preference of robotic surgery in women with pelvic organ prolapse. Timeline/next deadline: Recruitment open now! Join! christinem.chu@uphs.upenn.edu PI: Kristie Greene, University of South Florida Mentors: Lior Lowenstein, Leise Knoepp Sites: USF, MWHC/Georgetown, Scott&White, Case Western, Mt Auburn, Loma Linda, U. New Mexico, Walter Reed Description: Multi-centered prospective trial investigating the affects of MUS on sexual function of male-female couples before and after surgery. Timeline/next deadline: Recruitment closed. Plan for SGS PI: AeuMuro Lake, Yale University Mentors: Toby Chai, R. Gala Sites: Mount Sinai, University Hospital, UPMC, North Shore, U of Chicago/Northshore Description: A case-control study of women who underwent total hysterectomy to identify preoperative risk factors associated with vaginal cuff dehiscence. Timeline/ next deadline: Recruitment open now! Join! aeumuro.lake@yale.edu PI: Stephanie Pickett, University of Oklahoma HS Center Mentors: Lior Lowenstein, Deena White Sites: OUHSC, Northwestern, U. New Mexico, Brown, U. South Florida, Washington Hospital, Scott&White, Hopkins, WIHRI Description: A case-control study of women undergoing surgery for prolapse and/or incontinence that sustained a lower urinary tract injury compared to matching controls undergoing prolapse and/or incontinence surgery who did not have lower urinary tract injury. Timeline/next deadline: Recruitment open now! Join! Stephanie-Pickett@ouhsc.edu PI: Peter Jeppson, Brown University Mentors: Vivian Sung Sites: University of New Mexico, Emory, Good Samaritan, Mount Sinai, and Brown. Description: To describe trends in hysterectomy routes before and after the implementation of robotic technology (abdominal, laparoscopic, robotic, and vaginal routes). 2015. Timeline/next deadline: Accepted to SGS 2014. Prospective study on the effect of interstim on bowel function in patients with refractory overactive bladder PI: Monica Richardson Mentors: Andy Vu, Leslie Rickey Sites: Standford, UCLA, UC Irvine, U Mass, Cleveland Clinic Florida, Mt Sinai, U. of Chicago Description:A case series evaluating changes in bowel function in patients who undergo Interstim for OAB using validated questionnaires. Timeline/next deadline: Accepted to SGS 2014. ANCILLARY STUDIES Incidence endometrial and ovarian cancer during benign hysterectomy Ancillary to: Impact of technologic innovation on hysterectomy route trends and associated implications for post-graduate surgical resident education in the United States PI: Leda Gattoc, Emory Evaluation of Male and Female Goals for Midurethral Sling Anicillary to: Change in Male and Female Sexual Function After Midurethral Slings PI: Ladin Yurteri-Kaplan, Medstar Washington Hospital Center / Georgetown Intraoperative and postoperative complications by route of hystectomy Ancillary to: Impact of technologic innovation on hysterectomy route trends and associated implications for post-graduate surgical resident education in the United States PI: Salma Rahimi, Mount Sinai Timeline / next deadline: Accepted to SGS 2014. RECENT STUDY PROPSAL ACCEPTANCE FROM AUGS Social Networking: Multi-center survey of use among Return to baseline function status in elderly women urogynecology patients undergoing pelvic organ prolapse surgery PI: Donna Mazloomdoost, Good Samaritan Hospital Mentors: Danielle Antosh, Heidi Harvie, Rachel Pauls Sites: Open for recruitment Description: A cross-sectional study to determine women’s use of social networking to seek information about pelvic floor disorders. Timeline/next deadline: Recruitment open now! Join! Donna_Mazloomdoost@trihealth.com PI: Avita Pahwa, University of Pennsylvania Mentors: Lily Ayra Sites: Open for recruitment Description: Prospective cohort study to determine the rate of return to baseline functional status for older women undergoing pelvic organ prolapse surgery. Timeline/next deadline: Recruitment open now! Join! Avita.Pahwa@uphs.upenn.edu Efficacy of repeat midurethral slings for persistent or recurrent stress urinary incontinence PI: Robert Chan, Methodist Mentors: Danielle Antosh, Robert Gutman Sites: Open for recruitment Description: Retrospective cohort study comparing outcomes of repeat midurethral sling, retropubic versus transobturator, to treat persistent stress urinary incontinence. Timeline/next deadline: Recruitment open now! Join! cardinalrcc@gmail.com ANNOUNCEMENTS Get involved in a FPRN project. Our goal is for every FPRN member to be involved in at least one project! Please contact one of the FPMRS Fellows above to enroll as an ancillary study site now! If you or your colleagues have not yet joined FPRN – go to www.sgsonline.org and click on the FPRN link from the menu RECENT PUBLICATIONS Andy UU, Nosti PA, Kane S, White D, Lowenstein L, Gutman RE, Harvie HS. Incidence of unanticipated uterine pathology at the time of minimally invasiveabdominal sacrocolpopexy. J Minim Invasive Gynecol. S1553-4650, 2013. Korbly NB, Kassis N, Good MM, Richardson ML, Brook NM, Yips S, Saguan D, Gross C, Evans J, Lopes VV, Harvie HS, Sung V. Patient Preferences for Uterine Preservation and Hysterectomy in Women with Pelvic Organ Prolapse. Am J Obstet Gynecol., 209: 470.e1-6, 2013. Good MM, Korbly N, Kassis N, Richardson ML, Book NM, Saquan D, Gross C, Evans J, Harvie HS, Sung V. Prolapse-related knowledge and attitudes in women with pelvic organ prolapse symptoms. Am J Obstet Gynecol., 209:481.e1-6, 2013. Crisp CC, Book NM, Smith AL, Cunkelman JA, Mishan V, Treszezamsky AD, Adams SR, Apostolis C, Lowenstein L, Pauls RN. Body image, regret, and satisfaction following colpocleisis. Fellows' Pelvic Research Network, Society of Gynecologic Surgeons. Am J Obstet Gynecol., 209: 473.e1-7, 2013. Nosti PA, Andy UU, Kane S, White DE, Harvie HS, Lowenstein L, Gutman RE. Outcomes of Minimally Invasive and Abdominal Sacrocolpopexy: A Fellows’ Pelvic Research Network Study. Accepted to FPMRS 2013. Oakley SH, Brown HW, Greer JA, Richardson ML, Adelowo A, Yurteri-Kaplan LA, Lindo FM, Green KA, Fok CS, Book NM, Saiz CM, Plowright LN, Harvie HS, Pauls RN. Management of Vesicovaginal Fistulae: A Multicenter Anaylsis from the Fellows’ Pelvic Research Network. Accepted to FPMRS 2013. FELLOWS We currently have 79 fellows from 51 fellowship programs involved!! SENIOR ADVISORY BOARD Husam Abed, Lily Arya, Tola Omotosho Fashokun, Rajiv Gala, Robert Gutman, Janet Hardy, Heidi Harvie, Lior Lowenstein, Miles Murphy, Cedric Oliver, Danielle Patterson, David Rahn Leslie Rickey, Rebecca Rogers, Joseph Schaffer, Vivan Sung, Thomas Wheeler, Stephen Young FPRN Liason Miles Murphy JUNIOR ADVISORY BOARD MEMBERS Sonia Adams, Arielle Allen, Danielle Antosh, Tirsit Asfaw, Ahmet Bedestani, Nina Bhatia, Bryce Bowling, Jessica Braken, Heidi Brown, Heidi Chen, Chris Chung, Andrea Crane, Catrina Crisp, Jacqueline Cunkelman, Kristina Cvach, Christina Dancz, Madeline Dick, Keith Downing, Patricia Dramitinos, Nazanin Ehsani, Maria Estanol, Janelle Evans, Cynthia Fok, Elizabeth Frankman, Sarah Freidman, Leda Gattoc, Amy George, Karen Gold, Cara Grimes, Joy Greer, Carey Gross, Sarah Hammil, Edmund Higgins, Kay Hoskey, Diego Illanes, Peter Jeppson, Sarah Kane, Deborah Karp, Sesh Kasturi, Shunaha Kim-Fine, Virginia King, Leslie Knoepp, Nicole Korbly, Mamta Mamik, Mona McCullough, Ghafar Mohamed, Stephanie Molden, Ignacio Montoya, Tyler Muffly, Rachel Nardos, Patrick Nosti, Aimee Nguyen, Apurva Pancholy, Canace ParkerAutry, Minita Patel, Hiren Patel, Danielle Patterson, Arash Rahi, Varuna Raizada, Olga Ramm, Jennifer Rothschild, Docile Saguan, Kamran Sajadi, Emily Saks, Terri-Ann Samules, Melanie Santoas, Saya Segal, Alexander Shapiro, Jon Sheperd, Larua Sckoczylas, Amiee Smith, Gina Sternschuss, Jasmine Tan-Kim, Megan Tarr, Alison Tate, Alejandro Treszezamsky, Christine Vaccaro, Andy Vu, Emily Weber Lebrun, Salim Wehbe, Amanda White, Dena White, Cheau Williams FPRN Steering Committee Kristie Greene, M.D. (Chair), University of South Florida, kgreene2@health.usf.edu Ladin Yurteri-Kaplan, M.D. (Treasurer) Washington Hospital Center, ladinyurterikaplan@gmail.com Susan Oakley, M.D. (Secretary) Good Samaritan Hospital, susan_oakley@trihealth.com Sonali Raman Vora, M.D. (Web Administrator) Brown University, Sonali.vora@gmail.com