Obstetrics and Gynecology Fellowship Programs

There are currently two Fellowship Programs offered in Obstetrics and Gynecology. For more information on both of these Fellowship Programs please consult the PGME Fellowships website.

1. Female Pelvic Medicine and Reconstructive Surgery Fellowship (Urogynecology)

Length: 2 years
Number of positions: 1
Fellowship Director: Dr. Jens-Erik Walter

The MUHC Division of Urogynaecology & Pelvic Floor Reconstructive Surgery offers tertiary level care to patients with pelvic floor dysfunction. A 2-year clinical and research fellowship training program was initiated in 2013 in Female Pelvic Medicine and Reconstructive Surgery and was designed to provide comprehensive understanding of female pelvic medicine. Conditions investigated and treated include urinary and fecal incontinence, pelvic organ prolapse, urogenital fistulae, pelvic visceral pain syndromes (particularly interstitial cystitis and myofascial pain), and voiding and sexual dysfunctions. The fellow attains awareness of pelvic floor anatomy, physiology, and the diagnostic criteria and pathophysiology of various aspects of pelvic floor dysfunction.  Management of pelvic floor dysfunction is carried out in a multidisciplinary fashion with involvement from members of the Divisions of Urology, Colorectal Surgery, and Pelvic Floor Physiotherapy. Surgical expertise is gained in laparoscopic approaches (sacral colpopexy/hysteropexy, total hysterectomy, uterosacral/paravaginal suspensions), incontinence procedures (mid-urethral slings, pubovaginal slings, periurethral bulking), vaginal approaches (hysterectomy, colporrhaphies, vaginally- assisted laparoscopic sacral colpopexy, transvaginal mesh systems, fistulae repair, sphincteroplasty, sacrospinous suspensions), cystoscopy (ureteral catheterization, Botox injection), and intraoperative injury prevention and management. Modalities offered include consultation services, pessary fitting, indications for and interpretation of multichannel urodynamic studies, outpatient cystoscopy, bladder installation therapy, behavioural modification, pharmacotherapy, and levator ani assessment.  Research projects are facilitated and presented.

2. Minimally Invasive Gynecologic Surgery

Length: 1 and 2 years
Number of positions: 1
Type of fellowship: Clinical for 1 year / Clinical and Research for 2 years
Fellowship Director: Dr. Tulandi S. Krishnamurthy 

This program has a high volume of advanced laparoscopy and hysteroscopy surgery. Fellows assist surgery in the operating room and gradually conduct advanced laparoscopic or hysteroscopic surgery under supervision. They will increasingly accept full responsibility for any surgical or medical management.

A unique feature of our program is the incorporation of fertility preservation procedures to gynecologic endoscopy. These include laparoscopic ovarian suspension for young women undergoing pelvic radiation, and laparoscopic abdominal cerclage for women with repeated pregnancy loss who have failed conventional vaginal cerclage. Laparoscopic suturing is performed on a routine basis; for example suturing for tubal anastomosis, suturing of vaginal vault, and suturing of myomectomy incision.

Fellows are expected to conduct research and publish their results.

For more information, please see the Program Goals & Objectives