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Meet The Faculty

Urogynecology physicians gather for a group photo to commemorate the 2023 Raymond A. Lee Lectureship.

From the program director 

Thank you for your interest in our Urogynecology and Reconstructive Pelvic Surgery (URPS) Fellowship at Mayo Clinic in Rochester, Minnesota. Mayo Clinic has a rich tradition of vaginal surgery and a longstanding reputation for excellence in surgical innovation, education, research, and patient care. The breadth of surgical complexity and the depth of surgical expertise in our department create an environment where fellows can truly reach their highest potential. We set high standards for ourselves in the service of our patients, and we teach our fellows to aim high as a value. Mayo Clinic is truly a special place, and we enjoy bringing up the next generation of colleagues in this tradition.

As urogynecologists, we offer a comprehensive approach to care for complex female pelvic floor disorders and other conditions that require expertise in vaginal reconstructive surgery. We bring patients through a process of shared decision-making to create plans that are in line with their goals. As such, we offer the full spectrum of nonsurgical and surgical management options for pelvic floor disorders. Surgical training is well-rounded to include vaginal, endoscopic, and abdominal approaches. We see very challenging cases in patients who often have multiple medical and surgical needs. To meet these needs, we routinely coordinate with a variety of other surgical and non-surgical specialties.  Our one-on-one surgical apprenticeship model is unique and offers extended periods of time with a single surgical mentor. As a fellow, you also have the option to obtain a master’s degree in biomedical sciences.

We are proud of our graduates who are serving the needs of patients in both academic and community practices across the nation. Following completion of this fellowship, we are confident that you will also have the knowledge and skills to begin a successful and rewarding career in urogynecology and reconstructive pelvic surgery.

Annetta Madsen, M.D.
Fellowship Program Director

Faculty

Annetta Madsen, M.D.

Annetta Madsen, M.D.

Program Director

Assistant Professor of Obstetrics and Gynecology

Interests:

  • Comprehensive surgical management of pelvic floor disorders, including uterine preservation
  • Special interests in congenital anomalies and obliterative vaginal conditions
  • Complex vulvar and vaginal reconstruction, including reconstruction for female genital cutting
  • Urogenital and rectovaginal fistula
  • Childbirth-related pelvic floor disorders, including levator ani and anal sphincter injuries
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John Occhino, M.D.

John Occhino, M.D.

Chair, Division of Urogynecology

Professor of Obstetrics and Gynecology

Interests:

  • Pelvic organ prolapse
  • Urinary incontinence
  • Genital fistula
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John Gebhart, M.D.

John Gebhart, M.D.

Professor of Obstetrics and Gynecology

Interests:

  • Reconstructive pelvic surgery
  • Urinary incontinence
  • Fistula
  • Congenital anomalies
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Emanuel Trabuco, M.D.

Emanuel Trabuco, M.D.

Professor of Obstetrics and Gynecology
Chair, Obstetrics and Gynecology Research
Chair, Obstetrics and Gynecology Innovations

Interests:

  • Developing novel regenerative treatments for pelvic floor conditions
  • Minimally invasive hysterectomy
  • Patient centered outcomes research
  • Ovarian function after hysterectomy
  • Optimizing surgical treatment of stress urinary incontinence
  • International mission work
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Brian Linder, M.D., M.S.

Brian Linder, M.D., M.S.

Professor of Urology
Professor of Obstetrics and Gynecology
Vice Chair of Research, Department of Urology

Interests:

  • Pelvic organ prolapse management, including vaginal, robotic, and abdominal surgeries
  • Overactive bladder treatment, including sacral neuromodulation, tibial nerve stimulation, and bladder Botox 
  • Stress urinary incontinence, including bulking injection, synthetic and autologous slings
  • Repair of genitourinary fistula
  • Management of urethral diverticulum
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Program faculty from the Female Pelvic Reconstructive Surgery Fellowship talks with trainees at Mayo Clinic.

Department of Obstetrics and Gynecology

The Department of Obstetrics and Gynecology at Mayo Clinic's campus in Rochester, Minnesota, offers comprehensive inpatient and outpatient services for women. There are 55 physicians who provide patient care and are actively involved in research and medical education.

The department includes these specialty groups:

  • Obstetrics. Expert, personalized care for women before, during, and after pregnancy.
  • Maternal and fetal medicine. Specializes in high-risk pregnancies related to obstetric, medical, surgical, or genetic complications.
  • Reproductive endocrinology and infertility. Manages problems related to infertility, including fibroid tumors, recurrent pregnancy loss, abnormal uterine bleeding, endometriosis, and risk of genetic disorders in offspring.
  • Gynecology. Provides outpatient treatment for disorders of the female reproductive and urinary systems.
  • Minimally invasive gynecologic surgery. Provides state-of-the-art care focusing on endoscopic procedures.
  • Gynecologic Oncology. Provides state-of-the-art care for women with cancers of the female reproductive tract.
  • Urogynecology. Medically and surgically manages benign conditions including treatment of a variety of pelvic floor disorders.

The department performs more than 2,000 procedures annually specific to urogynecology and reconstructive pelvic surgery.

Mayo Clinic has a state-of-the-art electronic medical record system, which comprehensively integrates patient data including clinical notes, laboratory evaluation, radiographic imaging, and more.

The teaching faculty working in Mayo outpatient areas and at Mayo Clinic's hospital in Rochester are exclusively Mayo Clinic staff. The Mayo patient population is available to provide you with extensive learning opportunities and educational experiences.