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Curriculum - Descriptions of Rotations

Residents learn principles of urodynamics and the evaluation of female patients with urinary incontinence. They follow patients from the initial exam through the diagnostic work-up to the operating room and throughout postoperative care.

Structure

Third-year residents participate in office urodynamics and perform urogynecology procedures. The third-year urogynecology resident and the second-year and fourth-year residents on the gynecology service perform all pelvic reconstruction surgery at Sentara Norfolk General Hospital (SNGH), thereby gaining experience in operative urogynecology, including the management of vaginal prolapse and pelvic support defects, cystoscopy, pelvic reconstruction, postoperative complications and the medical and surgical management of female incontinence, including pessary insertion.

In the office setting, residents learn to differentiate between types of incontinence and to perform and interpret urodynamic testing. Surgical experience focuses on pelvic reconstruction including cystocele, rectocele, and enterocele repairs; uterine and cuff prolapse; and the latest urology procedures including slings and TVTs.

Teaching

The urogynecologists assign readings and reviews one-on-one with the resident to expand knowledge in assessing pelvic organ prolapse and female incontinence.

Supervision

The urogynecologists supervise the residents' learning and patient procedures.