Obstetrics & Gynecology

Urogynecological Research

​​This division currently has three full-time academic urogynecologists: Dr. Cathy Flood, Dr. Jane Schulz, and Dr. Momoe Hyakutake. Research has included studies of conservative and surgical management of urinary and fecal incontinence, pelvic organ prolapse and pelvic floor dysfunction.

Areas of Research Focus & Specialization

  • Conservative management of incontinence and prolapse
  • Epidemiologic studies of pelvic floor disorders and their economic impact
  • Obstetrical anal sphincter injury
  • Perineal clinic for management of obstetrical anal sphincter injury
  • Patient education and teaching tools
  • Management of overactive bladder
  • Pessaries for incontinence and prolapse
  • Physiotherapy classes for management of pelvic floor dysfunction
  • Pessaries for short cervix in pregnancy
  • Educational simulation
  • Models for surgical teaching

Clinical Research Collaborations

Clinical research guides clinical innovation and is ongoing as part of our multidisciplinary approach to pelvic floor care. Our current research collaborations include:

  • PROMOTE study (Procedurespecific Resident Objective Modular Training Evaluation)

    Collaboration with University of British Columbia and the University of Calgary.
  • Managing urinary incontinence in elderly village women in rural Bangladesh: a cluster randomized trial of a community exercise-based intervention.

    Collaboration with Dr. Cherry (School of Public Health) and Dr. Wagg (Geriatrics) made possible by CIHR operating grant.
  • Perineal Clinic

    Collaboration with pelvic floor physiotherapy to study the perineal clinic.
  • National Pelvic Floor Study

    Collaboration with Dr. Sue Ross to study pelvic floor prevalence in Canada.

Representative Publications

  1. Treatments for overactive bladder: focus on pharmacotherapy.
    Geoffrion R, Lovatsis D, Walter JE, Chou Q, Easton WA, Epp A, Harvey MA, Maslow K, Neustaeder G, Pascali D, Pierce M, Schulz JA, Senaikis V, Wilkie D. SOGC Urogynecology Committee Guidelines: Society of Obstetricians and Gynaecologists of Canada. J Obstet Gynaecol Can. 2012 Nov;34(11):1092-101.
    PMID: 23231848

  2. Technical update on pessary use.*
    Robert M, Schulz JA, Harvey MA; Urogynaecology Committee, Lovatsis D, Walter JE, Chou Q, Easton WA, Epp A, Farrell SA, Geoffrion R, Girouard L, Gupta CK, Harvey MA, Larochelle A, Maslow KD, Neustaeder G, Pascali D, Pierce M, Robert M, Ross S, Schachter J, Schulz JA, Senikas V, Wilkie DH. J Obstet Gynaecol Can. 2013 Jul;35(7):664-74. Review. *Dr. Schulz was 1 of the 2 lead authors on this guideline.
    PMID: 23876646

  3. Single incision device (TVT Secur) versus retropubic tension-free vaginal tape device (TVT) for the management of stress urinary incontinence in women: a randomized clinical trial.
    Ross S, Tang S, Schulz J, Murphy M, Goncalves J, Kaye S, Dederer L, Robert M. BMC Res Notes. 2014 Dec 22;7:941. doi: 10.1186/1756-0500-7-941.
    PMID: 25532604   Free PMC Article

  4. Treatment considerations for OAB: Case studies.
    Radomski SB, Schulz J. Can Urol Assoc J. 2013 Sep-Oct;7(9-10 Suppl 4):S177-8. doi: 10.5489/cuaj.1616.
    PMID: 24523837   Free PMC Article

  5. A retrospective review of tension-free vaginal tape/transobturator tape procedures done concomitantly with prolapse repair.
    Houwing MM, Schulz JA, Flood CG, Baydock S, Rosychuk RJ.
    J Obstet Gynaecol Can. 2013 Apr;35(4):340-7.
    PMID: 23660042

  6. Improving resident competence and knowledge regarding tension-free vaginal tape procedure: an educational module.
    Sabourin JN, Schulz JA, Flood CG. Female Pelvic Med Reconstr Surg. 2012 Sep-Oct;18(5):268-73. doi: 10.1097/SPV.0b013e31825e63ed.
    PMID: 22983269

  7. Schulz JA, Ding JL, Flood CG, Tyrell J, Janes-Kelley S. An Innovative Multidisciplinary Approach to Urogynecology Clinical Care. Poster Presentation at IUGA/AUGS combined ACM, Washington DC, USA. IUJ supplement July 2014.

  8. Bilateral sacrospinous vault fixation with tailored synthetic mesh arms: clinical outcomes at one year.
    Geoffrion R, Hyakutake MT, Koenig NA, Lee T, Cundiff GW. J Obstet Gynaecol Can. 2015 Feb;37(2):129-37.
    PMID: 25767945

  9. Timing cervicovesical fistula repair with repeat cesarean section.
    Geoffrion R, Hyakutake MT. Int Urogynecol J. 2014 Aug;25(8):1145-7. doi: 10.1007/s00192-013-2323-4. Epub 2014 Feb 13.
    PMID: 24522933

  10. Cervical elongation following sacrospinous hysteropexy: a case series.
    Hyakutake MT, Cundiff GW, Geoffrion R. Int Urogynecol J. 2014 Jun;25(6):851-4. doi: 10.1007/s00192-013-2258-9. Epub 2013 Dec 3.
    PMID: 24297063