Urogynecology at NKCH
Ian Rosbrugh, MD, FACOG, an OB/GYN with Meritas Health Pavilion for Women, recently earned board certification in the emerging subspecialty of urogynecology. Dr. Rosbrugh is one of only a handful of urogynecologists in Kansas City and the only one north of the river.
As the U.S population ages, there is a growing need for urogynecologists. In response, The American Board of Obstetrics and Gynecology (ABOG) recently developed formal certification for both urologists and gynecologists in urogynecology. Dr. Rosbrugh estimates that 1/3 of women in the U.S. will seek care for problems involving the pelvic floor. Women are increasingly becoming more educated and comfortable discussing these issues with their physicians so there is an ever-growing demand for physicians capable of addressing pelvic floor dysfunction.
Dr. Rosbrugh has performed urogynecologic procedures for more than 10 years, with his practice comprised mostly of gynecologic and urogynecologic patients. He has always had an interest in urogynecology and trained on numerous procedures throughout his residency and career.
Symptoms & Treatments
If patients have symptoms of prolapse or problems with incontinence or defecation, their physicians now have a place to refer them for specialized care. Dr. Rosbrugh treats the full gamut of pelvic organ prolapse, urinary incontinence and pelvic pain, including interstitial cystitis. Surgical treatments include both vaginal and abdominal approaches and laparoscopic and robotic procedures.
"The last 10-15 years have seen great strides in the field of urogynecology, I anticipate that with increased visibility and interest, research and treatment options will continue to break new ground."
Ian Rosbrugh, MD
Dr. Rosbrugh welcomes consultation from physicians seeking advice on conditions, next steps and what to watch for. "When a woman’s symptoms alter her daily living and affect her quality of life, it’s time to seek additional help,” he says. "There are so many different ways to approach each person’s unique issues. Fortunately, we can quite successfully manage the symptoms of pelvic organ prolapse and incontinence."
Due to advertising and mass media around patient lawsuits involving mesh slings and other treatments, many patients present with numerous misconceptions regarding the management of pelvic floor symptoms and incontinence. “An important part of what I do is educate patients,” says Dr. Rosbrugh. “For example, a sling is the ‘gold standard’ for correcting stress incontinence and the use of mesh in particular patients has proven success.” The American Urogynecologic Society (AUGS) has even issued statements to help correct misinformation.
For fistula repair and complex cases, Dr. Rosbrugh says he occasionally is just one part of the puzzle. Because his practice is located on the NKCH campus, he has ready access to general surgeons and urologists who consult and coordinate to solve each patient’s unique needs.
The field of urogynecology is young and still emerging. Many conditions like urgency and overflow urinary incontinence and fecal incontinence can be challenging to treat. "The last 10-15 years have seen great strides in the field of urogynecology," says Dr. Rosbrugh. "I anticipate that with increased visibility and interest, research and treatment options will continue to break new ground."
To learn more, call 816.452.3300.
Ian Rosbrugh, MD, FACOG
Dr. Rosbrugh received his medical training at the Loma Linda University School of Medicine, Loma Linda, CA. He completed his residency in obstetrics and gynecology at The University of Kansas and is double board certified in OB/GYN and urogynecology. During his training at The University of Kansas, he received awards for his research in female incontinence. Dr. Rosbrugh is a Fellow with the American Congress of Obstetricians and Gynecologist, the American Urogynecologic Society and the Kansas City Gynecology Society, and he is a member of the American Medical Association.