Northwestern University Feinberg School of Medicine

Department of Urology

Female Pelvic Medicine and Reconstructive Surgery (FPMRS)

The Female Pelvic Medicine and Reconstructive Surgery (FPMRS) program focuses on treatment options for urological conditions such as voiding disorder, pelvic floor disorder, vaginal prolapse, and female incontinence. The main aims of this program are to train physicians and conduct research to improve current treatment options and overall health outcomes for women.

The physicians in this department have over 35 years of combined experience in the fields of female pelvic medicine and reconstructive surgery and urogynecology. Both of our board certified specialists completed fellowships in FPMRS and work with patients to provide them with the highest quality of care for their individual needs.

Dr. Kielb is an associate professor of urology and the residency program director in the Department of Urology at Feinberg School of Medicine.  She is a recognized expert in voiding dysfunction and incontinence, having performed sacral neuromodulation and botulinum toxin injections for urinary leakage procedures since 2004.  Dr. Kielb was awarded research funding to investigate the effects of sacral neuromodulation on urinary and bowel symptoms and pain, and has published numerous peer-reviewed articles in this area.  She also performs minimally invasive procedures for stress incontinence and pelvic organ prolapse, including robotic surgery as well as native-tissue and mesh slings.

Dr. Hairston is an associate professor of urology and obstetrics and gynecology. His clinical interests include female incontinence, voiding dysfunction and pelvic reconstruction. He holds a particular interest in voiding dysfunction from neurologic causes such as spinal cord injury, multiple sclerosis, stroke, etc. His research efforts have included trials encompassing the prevention of UTIs in spinal cord injury patients, a placebo-controlled trial for treating interstitial cystitis, and investigation on the safety and efficacy of the urethral bulking agent Macroplastique for the treatment of female urinary stress incontinence.

Education

The FPMRS fellowship is a collaboration between the departments of obstetrics and gynecology and urology. Our trainees are exposed to a diverse array of clinical and educational experiences to prepare them for future careers in clinical and academic settings. Many of them go on to advance in the field of healthcare research and become excellent mentors and educators throughout and after completing their training. The main aim of this program is to train physicians in advanced clinical and surgical techniques that reduce recovery time and improve overall health outcomes for women suffering from urological conditions. 

Research

FPMRS research in the department of Urology focuses on developing breakthrough treatments and providing patients with resources to improve their conditions. We aim to improve the quality of care of women suffering from pelvic floor disorders. The faculty, physicians and researchers in our department have extensive experience in conducting surgical and clinical trials as well as outcomes research based on patient responses. We have published numerous articles in highly esteemed medical journals including Urology, Nature, JAMA, and the New England Journal of Medicine. Our program is one of the best in the nation and we also are home to a cutting edge, multidisciplinary pelvic health center.

Selected Research Publications

Liu JS, Vo AX, Doolittle J, Hamoui N, Lewicky-Gaupp C, Kielb SJ. Characterizing Pelvic Organ Prolapse in Adult Spina Bifida Patients. 

Prendergast E, Silver H, Johnson LL, Simon M, Feinglass J, Kielb SJ, Hairston J, Lewicky-Gaupp C. Anatomic Outcomes of Robotic Assisted Supracervical Hysterectomy and Concurrent Sacrocolpopexy at a Tertiary Care Institution at Initial Adaptation of the Procedure.  

Liu JS, Nettey O, Vo AX, Hofer MD, Flury SC, Kielb SJProlapse repair with and without apical resuspension-Practice patterns among certifying American urologists.