Department of Obstetrics and Gynecology




	Intrdoutcion
	Welcome to Urogynecology and pelvic floor division, Obstetrics and Gynecology, Chang Gung Memorial Hospital at Lin-Kao General Hospital. With aging population, factors in close association with aging in terms of female genitalia, urinary and pelvic floor muscle functional abnormalities have become an increasing problem in the GYN clinics. Although this group of disease is not immediately life threatening, it is not to neglect the fact that they affect not only the patient physiologically, but also psychologically. Our department prospectively established the Division on Urogynecology Specialty in 1996 by having foreseen these trends and expected these problems in the Gynecologic field. We are specialized in dealing with problems related to female genital organs, as well as urinary function and pelvic floor abnormalities. At that time, we were not only the first division tasked on urogynecological problems in Taiwan, but also the first in the world. In addition, the Division of Urogynecology has achieved many of the first in Taiwan. At 1994, we set up our own Urodynamic study room. At 1995, we introduced micro-invasive Tension-free Vaginal Tape surgery (TVT) for urinary incontinence. At 1996, we have outpatient clinic for Flexible Cystoscopy. At 1999, we integrated the Pelvis Bladder Function Rehabilitation Centre with licensed-trained physical therapists. Being the one with the longest history in the Urogynecology specialty in Asia, we do play important role in medical education and academic activity, by having with largest quantity and highest quality on medical paper publication at subspecialty related medical journals in Asia. In addition, we are the only one in Asia to provide international fellowship program. In the years past, we have more than ten fellows over countries such as England and many other Asian countries here with us to complete their training. Lastly, we will continue to put our effort into this field as we have traditionally been known for, but also to actively be involved in new techniques, medical knowledge and development.

	General feature on the division:
	The center is Asia first, university based, international renowned urogynecologic center. The center is Asia largest urogynecologic subspecialty provides comprehensive treatment modality for all urogynecologic disorders. The center has Asia only formal international urogynecologic fellowship training program accredited from the International Urogynecological Association. The center publishes most urogynecology relevant SCI cited medical paper and handles most urogynecologic patient in Taiwan.

	Our mission
	The Urogynecology and Reconstructive Pelvic Surgery at Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital Lin-Kou general hospital was established at 1996. Our mission is to provide state-of-the-art care for patients with pelvic floor disorders, in addition, to serve as a major referral site for women with urogynecological problems in Asia and provide excellent training for medical students, residents, and fellows in urogynecology.

	Health care
	We dedicate to provide the uppermost level of care for women with urologic, gynecologic and pelvic problems by being committed to designing treatments that complement each woman's way of life and overall health needs. We provide expertise in the evaluation and comprehensive in treatment of pelvic floor disorders, including pelvic organ prolapse, urinary incontinence, fistula and complex conditions including neurogenic bladder. Now the largest divisions nationally in this subspecialty, it has become an integral part of the department through it's clinical care contributions and handles most urogynecologic patient in the nation.

	Division Members
	Staff Prof. Alex C. Wang Staff Prof. Ching-Chung Liang Staff/ Director Associate Prof. Tsia-Shu Lo Staff Assistant Prof. Ling-Hong Tseng Staff Assistant Prof. Yi-Haou Lin UDs specialist Shu-Jane Lee, RN Physical therapist Ching-Yi Lu, PT Nurse specialist I-Chen Ki, RN

	Training for subspecialty doctors from oversea
	In 1997 our fellowship program received accreditation from the International Urogynecological Association as a formal and only fellow training site in Asia. The 2-year fellowship in Female Pelvic Medicine and Reconstructive Surgery offers fellows an extensive clinical training, basic science and clinical research. Both basic and advanced urodynamic testing, including videourodynamic testing, is available to evaluate women with lower urinary tract symptoms and pelvic floor disorders. Trainee here can learn many different urogynecology treatments available for pelvic floor disorders include both conservative and surgical. For continence procedures include Tension-free Vaginal Tape (TVT), Suprapubic Arch (SPARC), Trans-Obturator Tapes (TOT, TVT-O), Mini-Slings (MiniArc, Ajust) and sacral neuromodulation. To treat pelvic organ prolapse, Sacral Colpopexy and vaginal reconstruction with and without mesh implantation. In addition, commercial kits include Apogee, Perigee, Prolift and Prosima also are available. Innovative procedures include Botox injections for neurogenic/nonneurogenic incontinence and peri/transurethral bulking agents (collagen, coaptite) injections for stress incontinence. We also offer protocol for treatment of interstitial cystitis/painful bladder syndrome included physiotherapy, Elmiron, bladder cocktail or hyaluronic acid (Cysistat) injection. Number of international fellowship availability per year: 2 Number of graduates: 12
	Fellowship Program Director
	T.S. Lo M.D. / Director, Division of Urogynecology and pelvic floor, Department of Obs/Gyn, Chang Gung Memorial Hospital Lin-Kou and University of Chang Gung, School of Medicine, Taiwan Add: 5 Fu-Hsing Street, Kwei-Shan, Tao-Yuan, Taiwan 333 Tel: 886-3-3281200 ext.8258 Fax: 886-3-3288252 E-mail: 2378@cgmh.org.tw