The Department of Gynecology

Introduction

Alfred E. Bent, M.D. Chairman

The Department of Gynecology is one of the largest in Maryland. In addition to the full-time faculty, there are more than 100 active attendings who admit patients and perform the full range of gynecologic procedures.

The Department of Gynecology includes general gynecologic services as well as three formal Divisions including Urogynecology/Reconstructive Pelvic Surgery, Gynecologic Oncology and Reproductive Endocrinology. This past summer, Dr. James Dorsey, a nationally known pioneer in minimally invasive gynecologic surgery, retired as Chairman. His successor, Dr. Alfred Bent, now chairs the department as well as the Division of Urogynecology/Reconstructive Pelvic Surgery.

A total of 3,468 major and 3,560 minor gynecologic operations were performed at GBMC during FY 2000.

Division of Urogynecology and Reconstructive Pelvic Surgery

Alfred E. Bent, M.D., Head of Division

This Division currently includes a total of three urogynecologists. As director of the Division and fellowship program, Alfred Bent, MD maintains a busy and diverse urogynecology practice that includes pelvic organ prolapse, urinary and fecal incontinence, and voiding, defecatory and sexual dysfunction. The Division remains active in clinical services, development of new surgical techniques, teaching, community outreach, publications and clinical research. Through collaboration with colleagues at both Johns Hopkins Medicine and University of Maryland, the Division of Urogynecology enjoys a broad spectrum of educational and research opportunities. Journal clubs, bi-monthly didactic sessions, weekly multidisciplinary pelvic floor conferences and joint research projects foster a unique multi-center fellowship association.

The Division of Urogynecology/ Reconstructive Pelvic Surgery maintains state-of-the-art diagnostic equipment for evaluating pelvic floor disorders. This includes computer based multi-channel urodynamics, cystourethroscopy and a full range of neurophysiologic testing including EMG, terminal latency testing and assessment of pelvic floor reflexes and motor function. Over 300 patients are evaluated annually.  Additionally, two cystoscopy suites with fluoroscopic capabilities are also available for diagnostic purposes in the main operating suite. The Division continues to be actively involved with surgical innovations for pelvic floor dysfunction and numerous clinical trials and research protocols are currently underway.

Division of Gynecologic Oncology

Francis C. Grumbine, M.D., Head of Division

The Division of Gynecologic Oncology at GBMC is dedicated to the modern management and clinical investigation of patients with gynecologic cancer.  Approximately 125 newly-diagnosed patients with an invasive gynecologic malignancy receive their treatment each year at GBMC. At the bi-weekly Gynecologic Oncology Tumor Board, all new patients are presented, their pathology reviewed, and clinical staging established. The primary disease process is discussed and therapeutic decisions are formulated. Inpatients are cared for on the Gynecologic Oncology Unit where pre and post-operative care and the administration of chemotherapy are the responsibility of the resident assigned to the service. Patients receiving radiotherapy are jointly managed and followed by the GYN and Medical Oncologists.

Division of Reproductive Endocrinology

Eugene Katz, M.D. & Ricardo A. Yazigi, M.D.

The Division of Reproductive Endocrinology is responsible for the care of patients with infertility and gynecologic endocrine problems.  The Center provides the latest scientific medical care for all aspects of infertility, related endocrinology, reproductive biology and preimplantation genetics. The internationally recognized staff consists of physician specialists, a reproductive biologist, embryologists and nurses. Since the inception of the program over a dozen years ago, the reputation of the staff has attracted patients from around the nation and the world. All lab studies, treatments, procedures, pharmacy services, educational services and emotional support services offered by the Center are conveniently located in a comprehensive outpatient facility on GBMC's campus.

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