Female pelvic reconstructive surgery fellowship

Graduate medical education in obstetrics and gynecology at Mayo Clinic

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Overview

The Urogynecology and Reconstructive Pelvic Surgery (URPS) Fellowship at Mayo Clinic's campus in Rochester, Minnesota, is a three-year subspecialty training program for obstetrics and gynecology and urology physicians who wish to specialize in urogynecology and reconstructive pelvic surgery.

The fellowship provides experience in the management of complex benign pelvic surgery, including and beyond incontinence and prolapse. It offers practical knowledge and medical and surgical skills to identify, evaluate, and treat the full spectrum of pelvic floor disorders. The goal of the fellowship is to prepare you for subspecialty board certification and a career in academic medicine.

Program highlights include:

  • A broad spectrum of experience in pelvic surgery, with an emphasis on urogynecology and reconstructive pelvic surgery. You will also gain experience in radical pelvic surgery, complex abdominal surgery, and colorectal surgery
  • Fellows receive training in all surgical modalities, including vaginal, laparoscopic/robotic, and open surgery. Training covers treatment of pelvic organ prolapse and urinary incontinence
  • A multispecialty approach to evaluating and managing urinary incontinence and pelvic floor disorders. Specialists include gastroenterology, urology, neurology, colorectal surgery, and physical medicine and rehabilitation
  • Training emphasizes clinical evaluation, including urodynamics and cystoscopy. You will also gain experience with nonsurgical treatments for urogynecologic and pelvic floor dysfunctions
  • The opportunity to obtain a Master of Biomedical Science degree in obstetrics and gynecology
  • An extensive conference and didactic schedule focused on urogynecology and reconstructive pelvic surgery. You will gain experience in pelvic floor dysfunction, congenital anomalies, neuro-urology, and general gynecologic surgery
  • Five fellowship-trained urogynecologists as primary faculty
  • Three advanced-practice providers focusing on nonsurgical management of pelvic organ prolapse and perioperative care
#1

hospital in Minnesota and nationally recognized on the Best Hospitals Honor Roll (U.S. News, 2026-27)

A fellow in the Female Pelvic Medicine and Reconstructive Surgery Fellowship performing a surgery

Your training experience

As a fellow at Mayo Clinic, you'll have access to robust clinical, educational, and research resources. You'll be part of a multidisciplinary team approach to the evaluation and treatment of women with pelvic floor disorders. You'll find support both inside and outside of the campus to promote physical and mental wellness and ensure your work/life balance.

Annette Madsen, M.D.

Director's welcome

At Mayo Clinic, we celebrate both tradition and innovation as we seek to define and deliver the best care. Here, you will be mentored in a culture of patient-centered excellence so that you can be ready to raise the bar everywhere that you go after your training. 

Program history

The Urogynecology and Reconstructive Pelvic Surgery (URPS) Fellowship at Mayo Clinic's campus in Rochester, Minnesota, began in 1970. It operated as a one-year advanced pelvic surgery fellowship through 1996. In 1997, Mayo Clinic established one of the first accredited programs in female pelvic medicine and reconstructive surgery. The program evolved into the three-year Urogynecology and Reconstructive Pelvic Surgery Fellowship. It includes one year of research and two years of clinical and surgical training. We anticipate that one trainee will complete this program annually. See where our fellows go after training.

Accreditation

The fellowship is accredited by the Accreditation Council for Graduate Medical Education (ACGME).

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