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    How important is urology/gynecology collaboration?


    "It’s absolutely important. Because we have so much overlap in our patient population, our patients are best served by us working together. I do a lot of combined surgery with gynecologists. They do the hysterectomy, then I do the reconstruction.

    Read: What one thing about MOC would you change if you could?

    If a patient comes in with issues like pelvic pain, that could be something like interstitial cystitis or endometriosis. We work together to figure out the best plan for the patient, because it’s not always just a urologic issue or gynecologic issue.

    Some gynecologists are very good at treating complicated voiding dysfunction issues and others like to refer those to urology. It depends on the experience and preference of the gynecologist.

    We probably got ourselves into much of this mess with mesh issues, with urologists and gynecologists doing female reconstructive surgery by going to a Saturday morning course. That’s partially why certification came about.

    I’m board-certified in female pelvic medicine and reconstructive surgery. It’s a nice specialty, but urologists or gynecologists with 20 years’ experience under their belt can also do a good job in that area without having board certification—especially when they work together.

    Also see: What one thing about MOC would you change if you could?

    Another advantage of working with gynecologists is the referral pattern. I do at least eight combined surgeries a month with gynecologists and probably have 20 gynecologists who refer patients to me.”

    Maggie Vuturo, MD / Boise, ID

    Next: "One reason we have subspecialty training for people from both backgrounds is that we can’t completely exist without each other"

    Karen Nash
    Karen Nash is a medical reporter and media consultant based in Monroeville, PA.


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