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CURRICULUM VITAE G. WILLY DAVILA, M.D. GUILLERMO H. DAVILA, M.D., FACOG, FPMRS Medical Director, Women and Children’s Services Holy Cross Medical Group Center for Urogynecology and Pelvic Floor Medicine Dorothy Mangurian Comprehensive Women’s Center Holy Cross Health Fort Lauderdale, Florida, USA Academic positions: Affiliate Professor, Florida Atlantic University School of Medicine Clinical Associate Professor, University of South Florida, Dept. of Obstetrics and Gynecology Address: Holy Cross HealthPlex Dorothy Mangurian Comprehensive Women’s Center 1000 NE 56th Street Fort Lauderdale, Florida 33334 Phone (954) 229-8660 FAX (954) 229-8659 Email: [email protected] Education 1976-1979 University of Texas at El Paso, Texas B.S. Biology 1976-1977 University of Bolivia Medical School, La Paz, Bolivia no degree 1979-1983 University of Texas Medical School, Houston, Texas M.D. Residency 1983-1987 University of Colorado Health Sciences Center, Denver, Colorado Obstetrics and Gynecology Postgraduate Training 1989 Gynecological Urology Clinical Preceptorship: Long Beach Memorial Hospital, University of California, Irvine Donald Ostergard, M.D., Director Previous Positions: 1999-2017 Chairman, Department of Gynecology, Cleveland Clinic Florida 1999-2018 Head, Section of Urogynecology and Reconstructive Pelvic Surgery Cleveland Clinic Florida Director, The Pelvic Floor Center at Cleveland Clinic Florida A National Association for Continence (NAFC) Center of Excellence in Pelvic Floor Care Director, Clinical Fellowship program - Urogynecology and Reconstructive Pelvic Surgery (2000-2007) 2015-2016 Clinical Director, Global Patient Services (Weston) Cleveland Clinic Foundation, International Center 2013-2016 Center Director, Obstetrics and Gynecology and Women’s Health Institute (Weston) Cleveland Clinic Foundation 1992-1999 Director, Colorado Gynecology and Continence Center, P.C. Director, Fellowship program in Urogynecology/Reconstructive Pelvic Surgery Presbyterian/St. Luke’s Medical Center and Rose Medical Center Denver, Colorado 1989-1992 Director of Urogynecology/Reconstructive Pelvic Surgery Director, OBGYN Ambulatory Care Clinic Assistant Professor Department of Obstetrics and Gynecology University of Colorado Health Sciences Center Denver, Colorado 1987-1988 Southwest Florida Health Centers (USPHS-NHSC) Fort Myers, Florida. General obstetrics and gynecology Medical Licenses: Medicine: Texas, 1983; Florida, 1987, 1999-present; Colorado, 1988; Arizona, 1995 Professional Organizations: Member American Association of Gynecologic Laparoscopists Member American College of Obstetricians and Gynecologists Member American Urogynecologic Society Member International Urogynecologic Association Member International Continence Society Member Florida Medical Society Member Broward County Medical Society Member American Society of Laser in Medicine and Surgery Honorary Memberships: 2 Latin American Society of Urogynecology and Vaginal Surgery Portuguese Society of Neurourology and Urogynecology (SPNUG) Brasilian Pelvic Floor Nucleus Argentine Urogynecologic Association (AUGA) Mexican Urogynecology Society (SMUG) Chinese Urogynecology Association Bolivian College of Surgeons Academy of Medicine of Rio de Janeiro, Brasil Australasian Gynecologic Endoscopy Society (AGES) Non-clinical positions: Federation of International GYN and OB societies (FIGO) Urogynecology and Pelvic Floor Committee member 2019-current Chairman 2017-current Member National Association for Continence (NAFC) 2004-current Board member (2004-2007) Chairman of the Board, Board of Directors (2007-2009) Chairman, Centers of Excellence Governance Board (2009-current) Foundation for International Urogynecologic Assistance (FIUGA) 2012-current Board member, Secretary (founding) Urogynecology Fellowship Program, B. P. Koirala Health Sciences Institute, Dharan, Nepal Administrative Experience: Holy Cross Health 2019-current Medical Director, Women and Children’s Services Health Information Management committee, Member Physicians Outpatient Surgery Center, Board Member International Urogynecological Association (IUGA) 1999- Past-President President (2013-2015) Vice-President (2011-2012) Secretary-Treasurer (2005-2011) Chairman, Public and Industry Relations Committee (1999-2005) Annual Clinical Meeting Local Host (Joint meeting with ICS) – Denver, 1999 Cleveland Clinic Florida 1999- Director of Clinical Services, Global Patient Services (2014-present) Access committee, Co-chair (2014-2016) Graduate Medical Education Committee member (2001-2007) Research Committee member (2004-present) Director, Clinical Fellowship program 3 Urogynecology and Reconstructive Pelvic Surgery (2000-2007, 2014) 1992-1998 Presbyterian/St. Luke's Medical Center, Denver, Colorado Institutional Review Board, member Colorado Medical Society 1993-1995 Legislative Council, member American Urogynecologic Society (AUGS) 1998-2002 Coding and Nomenclature Committee, member 1994-1995 Public Relations Committee, member University of Colorado Health Sciences Center. Department of Obstetrics and Gynecology 1988-1992 Director, Section of Urogynecology and Reconstructive Pelvic Surgery 1989-1992 Director of Medical Student Education and OBGYN Student Clerkship 1990-1992 Finance Audit Commitee member University Physicians, Inc. 1990-1992 Surgical Case Review Committee 1988-1990 Director, Ambulatory Care and Outpatient Clinics 1988-1992 Consultant staff physician, Certified Nurse Midwifery program 1988-1992 Veteran’s Administration Medical Center, Denver, Colorado Staff Gynecologist Journal Reviewer: American Journal of Obstetrics and Gynecology Obstetrics and Gynecology International Urogynecology Journal Journal of Urology Urology Neurourology and Urodynamics British Journal of Obstetrics and Gynecology Gynecologic and Obstetric Investigation European Journal of Obstetrics and Gynecology International Journal of Obstetrics and Gynecology Uroginecologia Menopause Editor positions: Journal of Clinical Gynecology and Obstetrics – Editor in Chief (2020-present) International Urogynecology Journal– Editorial Board member (2010-2015) Techniques in Coloproctology – Pelvic Floor Section editor (2016-2018) Honors: “Distinguished Service Award” – International Urogynecological Association, 2017 4 “Mentor of the Year” ACOG District VII, 2012 Cleveland Clinic Foundation - 6th Annual Innovator Award, 2009 “Excellence in Health Care Award” - South Florida Business Journal, Innovator Category, 2009 “Scholar of the Year” - Cleveland Clinic Florida. 2007. "The Most Outstanding Faculty Member Teaching Award." - UCHSC Dept. of Obstetrics and Gynecology. 1991 "Golden Apple Teaching Award" - University of Colorado Health Sciences Center, 1984-85; 1985-86 “Reproductive Medicine Award” - University of Texas Medical School, Houston. 1983 Public Recognitions: 5280 Magazine: Best Doctors in Colorado – 1998, 1999 Castle-Conolly America’s Top Doctors – 2004-2018 America’s Top Obstetricians and Gynecologists (Consumers’ Research Council of America) – 2007-2018 Gold Coast magazine: Best Doctors in South Florida – 2004-2018 Fort Lauderdale Magazine: Best Doctors – 2012-18 Best Doctors in America – 2007-2018 Patient’s Choice – www.vitals.com, 2012-18 Patents: US6068591A Pubo-urethral support harness apparatus for percutaneous treatment of female stress urinary incontinence (1988) US6221005B1 Pubo-urethral support harness apparatus for percutaneous treatment of female stress urinary incontinence with urethral hypermobility (1988) US20040106879A1 Apparatus and method for qualitative assessment of pelvic floor muscular strength (2002) – Marketed as Colpexin Pull Test (Adamed, USA, Inc.) WO2007016083A1 Methods and systems for treatment of prolapse (2005) – Marketed as Apogee kit for vaginal prolapse (American Medical Systems, Minnetonka, MN, USA) US Clinical fellows trained: Current position: 2020 David Ossin, DO University of Texas Medical Ctr., San Antonio, TX 2019 Jeffrey Schachar, MD Pvt. Practice, Fort Lauderdale, FLA 2018 Laura Martin, DO, MPH University of Miami School of Medicine, Miami, FL 2017 Hemikaa Devakumar, MD Pvt. Practice, Phoenix, AZ 2016 Alexandriah Alas, MD University of Texas Medical Ctr., San Antonio 2015 Luis Espaillat-Rijo, MD Pvt. Practice, Dominican Republic 2014 Leon Plowright, MD Pvt. Practice, Urbana, ILL 2013 Carey Gross, DO Pvt. practice, Melbourne, FLA 2012 Aimee Smith, MD Pvt. practice, Melbourne, FLA 2011 Debby Karp, MD Pvt. practice, Atlanta, GA 2010 Roger Lefevre, MD Beth Israel Med Ctr./Harvard University, Boston, MA 2009 Peter Castillo, MD Pvt. practice, San Jose, CA 2008 Marjorie Jean-Michel, MD Albert Einstein School of Medicine, Bronk, NY 2007 Daniel Biller, MD Vanderbilt University, Nashville, TN 2006 Nathan Guerette, MD Virginia Commonwealth University, Richmond, VA 2005 Jennifer Pollak, MD Pvt. practice, Hollywood, FLA 2004 Minda Neimark, MD Florida Atlantic University, Boca Raton, FLA 1999 Oscar Aguirre, MD University of Colorado, Denver, CO 1998 Kristi Keil, MD University of Colorado, Denver, CO 1997 Ken Ostermann, MD Pvt. practice, Beaver Dam, WI 5 International Research fellows (> 6 months and/or published): Kuo Hwa Wang, MD Taiwan Hung Chin, MD Taiwan Sun Hee Park, MD Korea Jae Hong Kim, MD Korea J G Sunwoo Korea Maita Araujo, MD Brasil Karthik Gunasekaran, MD India James Raders, MD US Lucas Schreiner, MD Brasil Thais Peterson, MD Brasil Alfredo Jijon, MD Ecuador Jorge Garibay, MD Peru Beatriz Arias, MD Colombia David Cohen,, MD Chile Dharmesh Kapoor, MD UK Xiaoming Gong, MD China Salomon Zebede,
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  • Relaxation of the Supporting Structures of the Female Pelvis

    Relaxation of the Supporting Structures of the Female Pelvis

    Relaxation of the Supporting Structures of the Female Pelvis DAVID H. NICHOLS, M.D. Professor of Obstetrics and Gynecology, School of Medicine, State University of New Yori< at Buffalo, Buffalo, New Yori<, and Head of the Department of Obstetrics and Gynecology, Buffalo General Hospital, Buffalo, New Yori< The purpose of this discussion is to share and Shoemaker (Fig 1). and notice that the va­ with you some thoughts about pelvic relaxation, gina in this instance has an almost vertical axis. its mysteries, some technical minutiae helpful in Is that then the goal we seek when we reposi­ identifying them and some of the surgical prob­ tion a misplaced vagina? Or is the vagina being lems involved. Thus, by looking at a number of displaced anteriorly by a full rectum, which was these diagnostic challenges, you may be stimu­ full at the time of death, as this illustration obvi­ lated to some diagnostic thinking in an office ously was from a cadaver dissection? setting. To resolve the issue, the vaginas of nulli­ Let me start with a few of the more decep­ parous young women can be lightly painted tively simple challenges in pelvic relaxation, the with a barium paste. This would not distort the goals we seek to achieve, and how to accom­ vagina but would render it radio-opaque. Lateral plish them. colpograms taken of these women demonstrate We have seen within my generation a re­ that the vagina does have an S-shaped curve examination of sexual thinking whereby aging with a horizontal inclination to the axis of the up­ persons presume to continue a reasonably per vagina (Fig 2) If we were to ask these nul­ comfortable and satisfactory coital relationship liparous patients to bear down, as by a Valsalva well into their senior years.