Female pelvic medicine and reconstructive surgery, or urogynecology, has undergone a unique evolution with recent recognition as a subspecialty of Obstetrics and Gynecology and Urology. It has never suffered from a shortage of innovation nor of innovators, and thus new treatments and therapeutic options are regularly being introduced. Who is best to perform or prescribe new, therapeutic options and their implementation in a responsible manner is controversial. In this chapter, we will review skill acquisition, credentialing, and the maintenance of skills in surgical treatment of pelvic organ prolapse and urinary incontinence.
*Department of Obstetrics & Gynecology, UW Hospital and Clinics, Madison, Wisconsin
†Department of Obstetrics & Gynaecology, St. George’s University of London, London, UK
‡Department of Obstetrics & Gynecology, Women’s Hospital, Ann Arbor, Michigan
D.E.F. received research funding from American Medical Systems. The remaining authors declare that they have nothing to disclose.
Correspondence: Dee E. Fenner, MD, Department of Obstetrics & Gynecology, L4000 Women’s Hospital, SPC 5276, Ann Arbor, MI. E-mail: firstname.lastname@example.org