Education and Training

The Female Urology & Neurourology Fellowship at University Hospitals Cleveland Medical Center offers a structured, immersive year of clinical and academic training within one of the region's most active tertiary referral programs. Fellows develop advanced competency across the full spectrum of female pelvic floor disorders, neurourology and reconstructive surgery, progressing through graduated autonomy under direct faculty supervision while contributing to the research and quality improvement initiatives that define the program's academic mission.

Clinical Training Overview

Fellows develop advanced clinical skills in the evaluation and management of female pelvic floor and neurourological conditions, including:

• Stress, urgency and mixed urinary incontinence
• Pelvic organ prolapse (primary and revision cases)
• Myofascial pelvic pain
• Sling complications and mesh-related disorders
• Complex voiding dysfunction
• Neurogenic bladder management

Surgical & Procedural Experience

Procedural training spans three core areas, with autonomy advancing as fellows demonstrate clinical and technical competence.

Incontinence and Prolapse

Surgical management spans the full range of incontinence and prolapse presentations, including:

• Midurethral slings and autologous fascial slings
• Urethral bulking injections
• Native tissue prolapse repairs
• Robotic mesh-augmented prolapse repair

Neuromodulation and Neurourology

Fellows develop expertise in advanced neuromodulation and neurourological intervention, including:

• Sacral neuromodulation implantation and revision
• Intravesical botulinum toxin
• Video urodynamics
• Neurourological reconstruction

Reconstructive Surgery

Complex reconstructive cases are a defining feature of the fellowship, with exposure to:

• Augmentation cystoplasty
• Continent catheterizable channels
• Urinary diversion
• Bladder neck and urethral reconstruction
• Fistula repair

Academic & Research Expectations

Fellows are active contributors to the academic mission of the UH Urology Institute. Over the course of the year, fellows participate in prospective clinical databases, contribute to clinical outcomes research and submit at least one abstract to a national urological meeting. Engagement in quality improvement initiatives is expected throughout the program. Fellows also maintain one day per week of independent clinic and participate in call coverage at westside community hospitals for general urology, building clinical independence alongside subspecialty depth.