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Department of Obstetrics, Gynecology and Reproductive Sciences Gynecologic Oncology Surgery Division of GYN Oncology

department of obstetrics, gynecology and reproductive sciences

Clinical Programs

 

The Department of Obstetrics, Gynecology and Reproductive Sciences is nationally recognized for its strengths in the areas of pelvic reconstructive and vaginal surgery, high-risk obstetrics (perinatology), and gynecologic oncology. Our clinical divisions include:

 

Division of Obstetrics and Maternal-Fetal Medicine

Division of General Obstetrics and Gynecology

Women's Pelvic Health Program

Division of Reproductive Ambulatory Medicine

Division of Gynecologic Oncology

 

Division of Obstetrics and Maternal-Fetal Medicine

 

The Division of Maternal-Fetal Medicine is staffed by perinatologists who serve as consultants for all high-risk obstetrical patients within the Temple University Health System. The division members provide consultative services at several outlying hospitals: Northeastern Hospital, Central Montgomery Medical Center (formerly North Penn Hospital), Jeanes Hospital, and others. Perinatologists conduct non-invasive and invasive fetal evaluations and studies and provide consultations to other clinical services. In addition, to our consultative service, the division also has a private practice, receiving referrals from within the institution, the local community and suburban locations. The division’s research efforts continue to generate many publications of scientific articles, abstracts and book chapters.

 

Ossie Geifman-Holtzman, MD, Director Reproductive Genetics & Research

Claro Floro, MD, Interim Director Maternal-Fetal Center

Janet Ober, MS

Mary Dearry, RNC

Marie Chambers, RN

Kohren Dawson, RN, BSN

 

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Division of General Obstetrics and Gynecology

 

The Division of General Obstetrics and Gynecology , directed by Ashwin Chatwani, MD, counts with an experienced group of physicians who provide care in general gynecology and obstetrics, as well as specialized services in gynecology such as, endoscopic surgery; urogynecology & pelvic reconstructive surgery; menopause care and geriatric gynecology. There is active publication of scientific articles by the members of the division.

 

The division members see patients primarily at Temple, but also have satellite offices at Episcopal Hospital, Jeanes Hospital and in the Roxborough neighborhood. Office hours are held during the day, evenings and on weekends.

 

Ashwin Chatwani, MD, Director

Bruce Mabine, MD, Director, Episcopal Section

Bruce Carnivale, DO

Vani Dandolu, MD

Robert Filosa, MD

Claro Floro, MD

Stacey Jeronis, MD

Abegael Lorico, MD

Gerard Remé , MD

Marisa Rose, MD

Theresa Smigo, RN, MSN, CNP

Eufrocina (Precy) Laudico, RNC, MSN

 

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Specialized services in this division include:

 

Women's Pelvic Health Program

 

The Women's Public Health Program at Temple University Hospital has been established to provide state-of-the-art care for a wide range of gynecological and urological conditions.  The Program is unique in that it offers the specialized services of both a fellowship-trained urologist and a urogynecologist in one clinical setting.

 

Urologist William Jaffe, MD, and urogynecologist Vani Dandolu, MD created the program -- the first of its kind in the Philadelphia area -- to provide a single location where patients can benefit from comprehensive evaluations, state-of-the-art testing and the most advanced treatment options available for women with pelvic floor defects and dysfunction.  Gastroenterologists and colorectal surgeons are also involved in the care of patients when necessary.

 

Since disorders of the lower urinary tract, female reproductive system and lower GI tract are often interrelated, treatment of such pelvic floor disorders requires attention to all three.  However, the significant overlap in symptoms often makes it necessary for patients to schedule appointments with more than one physician.  Now, patients only need to make one appointment to receive the care of multiple specialists.

 

The Center for Women's Pelvic Health specializes in treating patients whose previous surgery for incontinence or prolapse was either unsuccessful or resulted in complications or new symptoms.

 

Once a patient receives a complete pelvic examination and the type and severity of incontinence or the extent of prolapse has been determined, a series of sophisticated tests are conducted.  Typically performed by Drs. Jaffe and Dandolu, these tests help to pinpoint the best course of treatment.

  • Urodynamic studies.  This test measures the activity of the bladder and urethra during filling and emptying.  The test is often useful in pinpointing the exact cause of a patient's symptoms and can lead to more effective treatment.  In addition, the study is critical in planning a patient's surgical procedure.
  • Cystoscopy.  This procedure involves looking into the interior lining of the bladder with a cystoscopy to rule out stones, tumors or foreign bodies.
  • Biofeedback.  A process similar to Kegels exercises, these techniques record bladder pressures as well as electrical activity.  As the information is recorded, it is displayed for the patient.  By watching the information, the patient learns to relax the bladder and abdominal muscles and contract the pelvic floor muscles based on the information displayed.

After the necessary testing is completed and the appropriate course of treatment has been determined, the physicians are equipped to perform certain specialized procedures, particularly for stress incontinence and prolapse.  Sacral modulation, which utilizes a technology similar to a pacemaker, is used for treating patients with overactive bladders who have failed medical therapy or in women who cannot empty their bladders completely.  Botox injections at different sites in the bladder have been effective in treating bladder symptoms in patients with neurological disorders, as well as refractory overactive bladder.

 

The procedures performed in the Program have been shown to be effective in cases where other methods, including drug therapy, may have failed.

 

Dr. Vani Dandolu heads the Section of Urogynecology and Pelvic Reconstructive Surgery.  The Women's Pelvic Health Center is co-directed by Dr. William Jaffe.

 

Vani Dandolu, MD, Director

Ashwin Chatwani, MD

 

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Division of Reproductive Ambulatory Medicine

 

This division covers both the obstetric and gynecology/family planning outpatient services.

 

The obstetric service is located in the Hudson building (on Carlisle Street just behind the Medical School building). A number of initiatives have been introduced in this clinic based on lessons learned from our previous community outreach projects such as the need for child care, transportation and snacks, in addition to the usual medical and social services. Dr. Valerie Whiteman is the Director of Outpatient Obstetrics.

 

The Gynecology and Family Planning Programs have been combined and are located on the 8th floor of Temple University Hospital Outpatient building. The program receives funding from the Family Planning Council of Southeastern Pennsylvania in the form of a grant. The Healthy Women Program is a state-supported cancer screening program which provides cancer screening to women not yet eligible for Medicare. There are over 12,000 patient visits a year.

 

Ashwin Chatwani, MD, Director - Gynecology

Theresa Smigo, RN, MSN, CNP

Francine Liberman, RN

 

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Division of Gynecologic Oncology


The Division of Gynecologic Oncology is directed by Enrique Hernandez, MD, FACOG, FACS. The Division is staffed by two gynecologic oncologists and two oncology certified nurses. The mission of the Division is to provide comprehensive care to women with malignant and premalignant gynecologic conditions within the Temple Health Care System. The gynecologic oncologists perform surgery ranging from minimally invasive to radical surgery (including intestinal and urological). Difficult or high-risk surgery for benign gynecologic pathology is also performed, as well as laser surgery of the lower genital tract.

 

Our residents participate not only in the surgical management of women with gynecologic malignancies, but also are involved in the administration of chemotherapy, the placement of intracavitary Cesium implants and the surgical and medical management of complications due to the malignancy or its therapy.

 

Enrique Hernandez, MD, Director

M. Bijoy Thomas, MD

Rachel Shank, RNC, OCN

Mimi Kuriger, RNC

 

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