Obstetrics and Gynecology

  • Division of Urogynecology and Reconstructive Pelvic Surgery

    The Division of Urogynecology and Reconstructive Pelvic Surgery at the University of Iowa includes Drs. Catherine Bradley and Rene Genadry (urogynecologists) and Diane Elas, ARNP (nurse practitioner with advanced clinical training). University of Iowa Urogynecology clinics focus on the outpatient evaluation and management of female pelvic floor disorders, including urinary incontinence, pelvic organ prolapse, and other urinary and defecatory disorders. Outpatient diagnostic testing is available, including urodynamic tests and cystourethroscopy. We offer a wide spectrum of clinical care for pelvic floor disorders, including nonsurgical (e.g. pessaries and behavioral therapies) and surgical therapies. Clinic-based procedures (such as transurethral bulking injections and intra-detrusor botulinum toxin injections) are offered, as well as outpatient and inpatient surgeries. Special clinical initiatives include our minimally-invasive surgery program for urinary incontinence and prolapse, including outpatient slings and robotic hysterectomy and sacrocolpopexy. 

    Good clinical care for pelvic floor disorders is often multidisciplinary. Faculty and staff work closely with physical therapists who treat urinary and fecal incontinence and pelvic pain in the Urogynecology clinic. Division members also collaborate frequently with University of Iowa Hospitals and Clinics (UIHC) specialists in urology, gastroenterology and colo-rectal surgery. The Division of Urogynecology and Reconstructive Pelvic Surgery offers outpatient clinical services in the Women’s Health Clinic at UIHC and through an outreach clinic in Davenport, Iowa. In 2012, outpatient services will also be available at the new UI Health Care Iowa River Landing ambulatory care building in Coralville, Iowa. 

    In addition to clinical service, the Urogynecology and Reconstructive Pelvic Surgery Division is very active in education and research activities. Medical students work in clinics and in the operating room. Residents rotate with the Urogynecology outpatient and inpatient services in their 1st, 3rd and 4th years. Dr. Genadry has extensive international pelvic surgery experience and is leading the development of an international pelvic floor surgery elective for residents. Dr. Bradley leads an active urogynecology clinical research program focusing on overactive bladder treatment, urinary incontinence questionnaire development, and the study of overactive bladder symptoms and their risk factors in women veterans.