Department of Reproductive Medicine

Charles Nager

Dr. Charles Nager, Director of the Urogynecology and Reconstructive Pelvic Surgery Division at UCSD Patient Appointments: (858) 657-8745 Administrative Office: (858) 657-8435 Fax: (858) 657-6828

EDUCATION

• Fellowship: Urogynecology & Reconstructive Pelvic Surgery St.George's Hospital and Medical School
• 1997 London, England
• Residency: Obstetrics and Gynecology University of California, San Diego
• 1983-1986 San Diego, California
• Internship: Obstetrics and Gynecology University of California, San Diego
• 1982-1983 San Diego, California
• Medical School: M.D. University of California, San Diego
• 1978-1982 School of Medicine
• San Diego, California
• Undergraduate: B.S. Biological Sciences Stanford University
• 1974-1978 Stanford, California

MEDICAL LICENSURE

• California 1983 - present

BOARD CERTIFICATION

• Diplomate, American Board of Obstetrics and Gynecology 1988
• 1998 (recertified)

ACADEMIC APPOINTMENTS

• 2001 - present Professor of Clinical Reproductive Medicine
• Department of Reproductive Medicine
• University of California, San Diego School of Medicine
• San Diego, California
• 1998 - 2001 Clinical Professor
• Department of Reproductive Medicine
• University of California, San Diego School of Medicine
• San Diego, California
• 1992 - 1998 Associate Clinical Professor
• Department of Reproductive Medicine
• University of California, San Diego School of Medicine
• San Diego, California
• 1986 - 1992 Assistant Clinical Professor
• Department of Reproductive Medicine
• University of California, San Diego School of Medicine
• San Diego, California

Non-academic appointments

• 2005 - present Chair
• Urodynamics Working Group - TOMUS trial
• Urinary Incontinence Treatment Network
• 2002 - present Chair
• Urodynamics Working Group - SISTEr trial
• Urinary Incontinence Treatment Network
• 2003 - present Director
• Fellowship Training Program
• Female Pelvic Medicine and Reconstructive Surgery, UCSD- Kaiser, San Diego
• 2005 - present Scientific Advisory Group
• NIDDK/RAND Interstitial Cystitis Epidemiology (RICE) Study
• 2004 - present Data and Safety Monitoring Board - NIDDK
• Program to Reduce Incontinence by Diet and Exercise (PRIDE)
• 2000 - 2003 Associate Director
• Fellowship Training Program
• Female Pelvic Medicine and Reconstructive Surgery, UCSD-Kaiser, San Diego
• 1999 - present Co-director
• UCSD Women's Pelvic Medicine Center
• 2005 Chair, Reproductive Medicine Department Assessment Committee
• 2004- present Graduate Medical Education Committee Enrollment Committee
• 2005 - present Chair
• Health Sciences Nominating Committee
• 2003 - present Health Sciences Nominating Committee
• 2004 - present Ad hoc Credentials Committee.
• 2000 - present UCSD Medical Group Board of Governors Nominating Committee
• 1999 - 2002 Chair
• Education Improvement Committee
• UCSD Department of Reproductive Medicine
• 1994 - 2002 Director
• Residency Training Program
• UCSD Department of Reproductive Medicine
• 1987 - 1994 Associate Director
• Residency Training Program
• UCSD Department of Reproductive Medicine
• 1999 UCSD Medical Group Medi-Cal Managed Care Planning Committee
• 1995 - 1999 Elected Member (2 terms)
• UCSD Medical Group Board of Governors
• 1998 - 1999 Chair
• UCSD Medical Group Patient Care Committee
• 1998 - 1999 Chair
• UCSD Clinical Service Chief Compensation Task Force
• 1995 UCSD Financial Model Task Force Committee
• 1986 - present UCSD Department of Reproductive Medicine Intern Selection Committee
• 1986 - 1994 UCSD Department of Reproductive Medicine
• 3^rd year Clerkship Course Committee
• 1993 - present UCSD Graduate Medical Education Committee
• 2000 - present UCSD Housestaff Hours & Working Conditions Subcommittee
• 1989 - 1992 Ambulatory Care Operations Committee
• 1993 - 1994 Medi-Cal Managed Care Clinical Teaching Task Force
• 1990 - 1993 Contracts and Managed Care Committee
• 1990 - 1999 UCSD Medical Center Oversight Committee on Housestaff Issues
• 1993 UCSD Service Delivery Operating Strategy Team
• 1992 - 1994 Chair
• UCSD Managed Care Utilization Subcommittee
• 1987 - 1995 UCSD Health Net (Managed Care Program) Utilization Review Committee
• 1990 - 1991 Chair
• UCSD Health Net (Managed Care Program) Utilization Review Committee
• 1987 - 1988 UCSD Health Net Executive Committee
• 1988 - 1999 UCSD Health Net Quality Assurance Committee
• 1988 - 1999 UCSD Patient Education Advisory Committee
• 1989 - 1992 UCSD Perlman Ambulatory Care Center Reproductive Medicine Committee
• 1988 - 1990 UCSD Campus Surgical Facility Operations Committee
• 1986 - 1987 UCSD Same Day Surgery Patient Care Study Group
• 1987 - 1989 UCSD Operation and Facilities Management Committee
• 1981 Student Representative
• UCSD Ad Hoc Committee on the National Board Exam
• 1981 UCSD Ad Hoc Committee on Graduation
• 1979 - 1981 Student Representative
• UCSD Medical School Recruitment and Admissions Committee

AWARDS AND HONORS

• 2002-2006 San Diego Magazine's "San Diego's Best Doctors" - peer selected, 5 consecutive years
• 2005 UCSD Physician Assessment and Clinical Education Program - Faculty Physician of the Year.
• 2003 APGO Excellence in Teaching Award
• 2003 UCSD "Doctor of the Year"- Award for Excellence - selection by the UCSD Medical Staff
• 2001 Finalist
• ACGME's Parker J. Palmer "Courage to Teach" Award
• 1992 UCSD Chancellor's Associate Award for Excellence in Teaching (University-wide)
• 1988, 1986 UCSD Department of Reproductive Medicine Residents Joseph M. Didio Teacher Award:
• In recognition of Excellence in Teaching
• 1987 UCSD Division of Family Medicine Residency Program, Outstanding Teacher Award
• 1982 Lemmon Company Certification of Outstanding Achievement in the Study of Reproductive Medicine, UCSD
• 1982 A. Baird Hastings Society (UCSD Medical School Honor Society)
• 1980 Exceptional Performance in Organ Physiology and Pharmacology Course, UCSD
• 1978 - 1982 California State Graduate Fellowship Recipient
• 1978 B.S. in Biological Sciences, Stanford University:
• With Distinction
• With Departmental Honors
• 1974 - 1978 California State Scholarship Recipient

PROFESSIONAL SOCIETIES

• 2004- present International Continence Society
• 2004- present Society for Gynecologic Surgeons
• 1990 - present Fellow, American College of Obstetrics and Gynecology
• 1998,
• 2005-present San Diego County Medical Society
• 1989 - present American UroGynecologic Society
• 1987 - present San Diego Gynecological Society

SERVICE TO PROFESSIONAL SOCIETIES

• 2006 - present Society for Gynecologic Surgeons, Research Committee
• 2004 - present American Urogynecologic Society - Education Committee
• 2005 - present American Urogynecologic Society - Education Committee - Chair, Task Force on Medical Student Urogynecology Learning Objectives
• 1992 - 1997 San Diego Gynecological Society: Council Member
• 1994 - 1995 Secretary-Treasurer
• 1995 - 1996 Vice-President
• 1996 - 1997 President

PEER REVIEW ACTIVITIES

• NIH ZRG1 RUS-A ( 51) Center for Scientific Review. Pilot and Feasibility Clinical Research Grants in Kidney or Urologic Disease (R21). Scientific Review Session , July 27-28, 2006.
• International Urogynecology Journal - regular reviewer
• Journal of Urology - regular reviewer
• Urology
• Obstetrics and Gynecology
• American Journal of Obstetrics and Gynecology
• New England Journal of Medicine
• British Journal of Obstetrics and Gynaecology
• Journal of Pelvic Surgery
• Journal of the American Psychosomatic Society
• European Journal of Obstetrics and Gynecology and Reproductive Biology

GRANTS AND RESEARCH AWARDS

• ACTIVE
• 1. Title: Pelvic Floor Disorders Network
• Source: NIH/NICHD 1 U10 HD54214-01
• Principal Investigator : Charles W. Nager
• Award Period: 7/2006 - 6/2011
• $899,537
• 2. Title: Urinary Incontinence Treatment Network.
• Source: NIH/NIDDK U01 DK60401-01
• Principal Investigator: Michael Albo, MD
• Co- Principal Investigator: Charles W. Nager
• Award Period: 7/2005 - 6/2010
• $996,045
• 3. Title: The Puborectalis Muscle and Anal Continence
• Source: NIH RO1 DK60733
• Principal Investigator: Ravi Mittal, M.D.
• Co-Investigator: Charles W. Nager
• Award Period: 7/2004 - 6/2008
• $250,000
• INACTIVE
• 1. Title: Residency Program in Primary Care General Internal Medicine
• Source: PHS
• Principal Investigator: Joe Ramsdell
• Co-Investigator: Charles W. Nager
• Award Period: 7/90 -6/92
• $3,385/yr

PUBLICATIONS

• Peer-Reviewed Articles:
• 1. Moore T, Hollingsworth DR, Kolterman O, Nager C. Continuous Subcutaneous Insulin Infusion in an Obese Insulin-Resistant Pregnant Women with Type II Diabetes: Accelerated Fetal Growth and Neonatal Complications. Obstet Gynecol 1987; 70: 480.
2. Nager CW, Key TC, Moore T. Cervical Ripening and Labor Outcome with Preinduction Intracervical Prostaglandin E₂ ( Prepidil ) Gel. Journal of Perinatology 1987; VII(3): 189-193.
• 3. Nager CW, Murphy AA. Ectopic Pregnancy. Clini Obstet Gynecol. Jun;34(2):403-11.
• 4. Murphy AA, Nager CW, Wujek JJ, Kettel LM, Torp VA, Chin GH. Operative Laparoscopy versus Laparotomy for the Management of Ectopic Pregnancy: A Prospective Trial. Fertility and Sterility 1992; 57(6): 1180-1185.
• 5. Hoppe DE, Bekkar BE, Nager CW. Single-Dose Systemic Methotrexate for the Treatment of Persistent Ectopic Pregnancy After Conservative Surgery. Obstet Gynecol 1994; 83: 51-54.
• 6. Lurvey LD, Nager CW, Johnson DD. Informed Consent: A Review. Prim Care Update for Ob Gyns 1996; 3: 192-196.
• 7. Johnson DD, Nager CW, Budorick NE. False-Positive Diagnosis of Spina Bifida in a fetus with Triploidy. Obstet Gyecol 1997; 89 (Part 2 of 2 Supplement): 809-11.
• 8. Nager C, Stanton SL.. Can HRT help incontinence? Community Nurse 1997; 3(4): 32-3
• . 9. Nager CW, Kumar D, Kahn MA, Stanton SL. Management of Pelvic Floor Dysfunction. The Lancet 1997; 350: 1751.
• 10. Jermy KV, Stanton SL, Nager CW, and Kumar D. A leiomyomatous perineal hernia ? Br J Ob Gyn 1999; 106: 507-8.
• 11. Nager CW, Helliwell JP. Episiotomy increases perineal laceration length in primiparous women. Am J Obstet Gynecol 2001;185:444-50.
12. Nager CW, Schulz JA, Stanton SL, Monga A. Correlation of Urethral Closure Pressure, Leak-Point Pressure and Incontinence Severity Measures. Int Urogynecol J 2001; 12:395-400.
• 13. Lukacz ES, Nager CW. Ureteral injury presenting with hyponatremia. Obstet Gynecol. 2001 Nov;98(5 Pt 2):974-6.
• 14. Lacoursiere DY, Nager CW. A comparison of two models of gynecology service consultation to the emergency department in an academic medical center. Am J Obstet Gynecol 2003 188(5) 116-8.
• 15. Lukacz ES, Luber KM, Nager CW. The effects of the tension-free vaginal tape on proximal urethral position: a prospective, longitudinal evaluation. Int Urogynecol J 2003; 14:179-184.
• 16. Lukacz ES, Luber KM, Nager CW. The effects of the tension-free vaginal tape on voiding function: a prospective, longitudinal evaluation. Int Urogynecol J 2004; 15: 32-8.
• 17. Nager CW, Albo ME. Testing in Women with Lower Urinary Tract Dysfunction. Clin Obstet Gynecol 2004 Mar; 47(1): 53-69.
• 18. Davis TL, Lukacz ES, Luber KM, Nager CW. Determinants of Patient Satisfaction after the Tension Free Vaginal Tape Procedure. Am J Obstet Gynecol 2004; 191 (1) 176-181.
• 19. Lukacz ES, Nager CW, Lawrence JM, Luber KL, Buckwalter JG. Use of Visual Analog Scales in Urogynecologic Research: A Psychometric Evaluation. Am J Obstet Gynecol 2004; 191(1) 165-70.
• 20. Schulz JA, Nager CW, Stanton SL, Baessler K. Bulking agents for stress urinary incontinence: short-term results and complications in a randomized comparison of periurethral and transurethral injections. Int Urogynecol J 2004; 15: 261-265.
• 21. Tan JS, Lukacz ES, Menefee SA, Powell CR, Nager CW. Predictive value of prolapse symptoms: a large database study. Int Urogynecol J Pelvic Floor Dysfunction 2005; 16: 203-209
• 22. Guaderrama NM, Nager CW, Liu J, Pretorius DH, Mittal RK. The vaginal pressure profile. Neurourol Urodyn. 2005;24(3): 243-7
• 23. Boreham MK, Richter HE, Kenton KS, Nager CW, Gregory WT, Aronson MP, Vogt VY, McIntire DD, Schaffer JI. Anal incontinence in women presenting for gynecologic care: Prevalence, risk factors, and impact upon quality of life. Am J Obstet Gynecol 2005;192: 1637-42.
• 24. Lukacz ES, Lawrence JM, Buckwalter JG, Burchette RJ, Nager CW, Luber KM. Epidemiology of prolapse and incontinence questionnaire: validation of a new epidemiologic survey. Int Urogynecol J Pelvic Floor Dysfunct. 2005 April 26;
• 25. Guaderrama NM, Liu J, Nager CW, Pretorius DH, Sheean G, Kassab G, Mittal RK. Evidence for the Innervation of Pelvic Floor Muscles by the Pudendal Nerve. Obstet Gynecol 2005; 106:774-81.
• 26. Liu J, Guaderrama N, Nager CW, Pretorius DH, Master S, Mittal RK.. Functional correlates of anal canal anatomy: puborectalis muscle and anal canal pressure. Am J Gastroenterol. 2006; 101(5):1092-7.
• 27. Woodman PJ, Nager CW. From the simple to the sublime: incorporating surgical models into your surgical curriculum. Obstet Gynecol Clin North Am. 2006; 33(2):267-81.
• 28. Zimmern P, Nager CW, Albo M, Fitzgerald MP, McDermott S; Urinary Incontinence Treatment Network. Interrater reliability of filling cystometrogram interpretation in a multicenter study. J Urol. 2006;175(6):2174-7.
• 29. Lukacz ES, Lawrence JM, Contreras R, Nager CW, Luber KM. Parity, mode of delivery, and pelvic floor disorders. Obstet Gynecol. 2006 ;107(6):1253-60.
• 30. Tan JS, Lukacz ES, Menefee SA, Luber KM, Albo ME, Nager CW. Determinants of vaginal length.. Am J Obstet Gynecol. 2006 Dec;195(6):1846-50.
• 31. Kuhn A, Nager CW, Hawkins E, Schulz J, Stanton SL.. A comparative study of water perfusion catheters and microtip transducer catheters for urethral pressure measurements. Int Urogynecol J Pelvic Floor Dysfunct. 2006 Nov 28; [Epub ahead of print]
• 32. Tennstedt SL, Fitzgerald MP, Nager CW, Xu Y, Zimmern P, Kraus S, Goode PS, Kusek JW, Borello-France D, Mallett V; Urinary Incontinence Treatment Network. Quality of life in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2006 Oct 12; [Epub ahead of print] 33. Nager CW, Albo ME, FitzGerald MP, McDermott S, Wruck L, Kraus S, Howden N, Norton P, Sirls L, Varner E, and Zimmern P for the Urinary Incontinence Treatment Network. Reference urodynamic values for stress incontinent women. Neurourology and Urodynamics, In Press.
• 34. Lemack GE, Xu Y, Brubaker L, Nager CW, Chai T, Moalli P, Kraus SR, Kerr L, Sirls L, Stoddard A , for the Urinary Incontinence Treatment Network. Clinical and Demographic Factors Associated with Valsalva Leak Point Pressure among Women Undergoing Burch Bladder Neck Suspension or Autologous Rectus Fascial Sling Procedures. Neurourology and Urodynamics, In Press. 35. Nager CW , Albo ME, Fitzgerald MP, McDermott SM, Kraus S, Richter HE, Zimmern P for the Urinary Incontinence Treatment Network. A Process for the Development of Multicenter Urodynamic Studies. Urology, In Press.
• Invited Articles and Reviews:
• 1. Murphy AA, Nager C. Using the Laparoscope for Ectopics. Contemp Obstet Gynecol 1988; 32(2): 102-113.
• 2. Nager C, Murphy AA. Antibiotics and Oral Contraceptive Pills. Seminars in Reproductive Endocrinology 1989; 7(3): 220-223.
• 3. Nager CW, Kumar D, Stanton SL. Female Pelvic Floor Investigations. The Diplomate 1998; 5(3):167.
• 4. Nager, CW. Invited Commentary- Duloxetine reduced the frequency of stress urinary incontinence episodes. Evidence-Based Obstetrics and Gynecology 2003; 5(2): 86-87.
• 5. Prietto N, Luber KL, Naqer CW. Simple yet thorough office evaluation of pelvic floor disorders. OBG Management 2003; 15 (5):80-95 6. Nager CW. Bladder Emptying Tests. AUGS Quarterly Report 2004; 23 (1):1-7.

Book Chapters

• 1. Murphy AA, Morales A, Nager CW. Laparoscopic Treatment of Ectopic Pregnancies. In: Azziz R, Murphy AA, eds. Practical Manual of Operative Laparoscopy and Hysteroscopy. New York: Springer-Verlag, 1992: 79-89.
• 2. Guaderrama NM, Nager CW. Surgical Treatment of Anal Incontinence. In: Chapple CR, Zimmern PE, Brubaker L, Smith ARB, Bo K, eds. Multidisciplinary Management of Female Pelvic Floor Disorders. Philadelphia: Churchill Livingstone Elsevier. 2006: 167-177.

ABSTRACTS

• 1. Marmor JB, Nager C, Hahn GM. Tumor Regression and Immune Recognition after Localized Ultrasound Heating. Radiation Research 1977; 70(3): 663-634.
• 2. Nager CW, Wujek JJ, Kettel LM, Chin HG, Murphy AA. Operative Laparoscopy versus Laparotomy for the Management of Ectopic Pregnancy: A Randomized Prospective Trial. Presented at the 46th Annual Meeting of The American Fertility Society, October 16, 1990 S42.
• 3. Nager CW, Schulz JA, Stanton SL. Bulking Agents for GSI: Short Term Results and Complications in a Randomized Comparison of Periurethral and Transurethral Injections. Presented at the Annual American Urogynecologic Society Meeting, Washington, DC, November 12-14, 1998.
• 4. Nager CW, Schulz JA, Wise B, Monga A, Stanton SL. Comparison of Water Maximum Urethral Closure Pressure (MUCP) and Valsalva Leak Point Pressure (VLPP) with Each Other and with Urinary Incontinence Severity Measures. Presented at the Annual American Urogynecologic Society Meeting, Washington, DC, November 12-14, 1998.
• 5. Nager CW, Schulz JA, Stanton SL, Kahn MA, Kumar D. The Pelvic Floor Clinic: A Model for Managing Pelvic Floor Dysfunction. Presented at the Annual American Urogynecologic Society Meeting, Washington, DC, November 12-14, 1998.
• 6. Helliwell JP and Nager CW. Predictors of Perineal Laceration during Vaginal Delivery. Presented at the Annual American Urogynecologic Society Meeting, San Diego, CA, October 14-16, 1999. Int Urogynecol J 1999 10(Suppl 2) S11
• 7. Lukacz ES, Nager CW, Luber KM. Tension-free Vaginal Tape (TVT) System: Urethral Mobility and Voiding Dysfunction. Presented at the Annual American Urogynecologic Society Meeting, Chicago, Ill. October 24-27, 2001.
• 8. Lukacz ES, Luber KM, Nager CW. Does the Tension-free Vaginal Tape System Alter Voiding? Presented at the Annual American Urogynecological Society Meeting, San Francisco, CA. October 17-19, 2002.
• 9. Nager CW for The Urinary Incontinence Treatment Network. Design of a Randomized Clinical Trial Comparing the Modified Burch Colposuspension and Autologous Fascia Sling Procedures for Stress Urinary Incontinence (SUI). Presented at the Annual American Urogynecological Society Meeting, San Francisco, CA. October 17-19, 2002.
• 10. Master S, Pretorius D, Liu J, Nager C, Mittal R. Simultaneous assessment of the three-dimensional anatomy and pressures of the anal sphincter in women. Presented at the 12th World Congress on Ultrasound in Obstetrics and Gynecology, New York, NY, November 4-7, 2002. Ultrasound in Ob/Gyn 2002 20(Suppl 1) P143.
• 11. Nager CW, Zimmern PE, McDermott SM, Albo ME. Urodynamic Challenges Posed by a Multicenter Study of Surgery for Female Stress Urinary Incontinence. Presented at the Annual Meeting of the Society of Urodynamics and Female Urology, Chicago, IL. April, 2003.
• 12. Liu J, Pretorius D, Nager C, Prietto N, Mittal R. Simultaneous 3D Ultrasound Imaging and Manometry Reveals Novel Information on the Functional Anatomy of the Anal Canal. Presented at Digestive Diseases Weekly-American Gastroenterology Society Annual Meeting, Orlando, FL May 17-21, 2003.
• 13. Pretorius D, Prietto N, Liu J, Master S, Nager C, Mittal R. Functional Anatomy of the Anal Canal Evaluated with 3D Ultrasound and Manometry. Ultrasound in Obstetricts & Gynecology, 13th World Congress on Ultrasound & Gynecology Paris, France, Aug 31-Sept 4, 2003.
• 14. Davis TL, Lukacz ES, Luber KM, Nager CW. Patient Satisfaction after Incontinence Surgery. Presented at the Annual American Urogynecology Society Meeting, Hollywood, Fl. September 11-13, 2003.
• 15. Lukacz ES, Nager CW, Lawrence JM, Luber KL, Buckwalter JG. Use of Visual Analog Scales in Urogynecologic Research: A Psychometric Evaluation. Presented at the Annual American Urogynecology Society Meeting, Hollywood, Fl. September 11-13, 2003. Journal of Pelvic Medicine & Surgery.  2003.. Volume 9, Number 5, p.217 16. Nager CW, Albo ME, Fitzgerald MP, McDermott SM, Zimmern PE. Urodynamic Inter-rater Reliability in SISTEr (Stress Incontinence Surgical Treatment-Efficacy Trial) Presented at the Annual Society of Urodynamics and Female Urology (SUFU) meeting, February 27,2004.
• 17. Liu J, Guaderrama N, Nager C, Pretorius D, Sheean G, Ghada K, Mittal R "Puborectalis and external anal sphincter in anal canal pressure: effect of pudendal nerve blockade." Presented at the American Gastroenterology Society Annual meeting, May 2004 in New Orleans, LA.
• 18. Pretorius D, Guaderrama N, Liu J, Lee J, Nager C, Sheean G, Mittal R. Acquisition and Display of Pelvic Floor Anatomy Using 3DUS. AIUM, Annual Convention, Orlando, FL June 19-22, 2004
• 19. Guaderrama N, Nager CW, Liu J, Pretorius DH, Sheean G, Kalsho G, Mittal RK; The Effect of Pudendal Nerve Blockade on Vaginal and Anal Pressures. Presented at the combined Society for Gynecologic Surgery / American Urogynecologic Society annual meeting July 2004, San Diego.
• 20. Lukacz ES, Lawrence JM, Buckwalter JG, Burchette RJ, Nager CW, Luber KM. Epidemiolgy of Prolapse and Incontinence Questionnaire (EPIQ): A new Tool for Analytic Epidemiology of Female Pelvic Floor Disorders. Presented at the combined Society for Gynecologic Surgery / American Urogynecologic Society annual meeting July 2004, San Diego.
• 21. Boreham MK, Aronson, Gregory WT, Kenton KS, McIntire DD, Nager CW, Richter HE, Schaffer JI, Vogt VY. Anal Incontinence in Women Presenting for Gynecologic Care: Prevalence, Risk Factors and Impact upon Quality of Life. Presented at the combined Society for Gynecologic Surgery / American Urogynecologic Society annual meeting July 2004, San Diego.
22. Boreham MK, Aronson, Gregory WT, Kenton KS, McIntire DD, Nager CW, Richter HE, Schaffer JI, Vogt VY. Bowel Habits in Women Presenting for Gynecologic Care. Presented at the combined Society for Gynecologic Surgery / American Urogynecologic Society annual meeting July 2004, San Diego.
• 23. Tan JS, Lukacz ES, Menefee SA, Powell CR, Nager CW. Predictive Value of Proalpse Symptoms: a large database study. Presented at the combined Society for Gynecologic Surgery / American Urogynecologic Society annual meeting July 2004, San Diego.
• 24. JM Lawrence, ES Lukacz, CW Nager, R Contreras, KM Luber.  Prevalence of Female Pelvic Floor Disorders by Age and Race/Ethnicity in a Managed Health Care Population.  [abstract]  Am J Epidemiol 2005;161 (Suppl): S141.
• 25. Guaderrama N, Liu J, Nager CW, Pretorius D, Sheean G, Mittal RK. "Reflex Contraction of the External Anal Sphincter and Puborectalis Muscle Induced by the Catheter Movement in the Anal Canal is Mediated through the Pudendal Nerve". Presented at the American Gastroenterology Society Annual Meeting, May 2005 in Chicago, IL.
• 26. Guaderrama N, Liu J, Nager CW, Pretorius D, Sheean G, Mittal RK. "Puborectalis Muscle Function Assessed by Dynamic 3D Ultrasound Imaging and Vaginal Pressures" . Presented at the American Gastroenterology Society Annual Meeting, May 2005 in Chicago, IL.
• 27. Liu J, Guaderrama N, Nager CW, Pretorius D, Sheean G and Mittal RK. Effect of Pudendal Nerve Block on the Anal and the Vaginal Canal Pressures. 20th International Symposium on Neurogastroenterology and Motility, Toulouse, France, July 3-6, 2005
• 28. Lukacz E, Lawrence J, Nager C, Contreras R, Luber K. "The Effect of Pregnancy and Mode of Delivery on Pelvic Floor Function: An Epidemiologic Study. Presented at the International Continence Society in Montreal, Canada, August 2005. Neurourology and Urodynamics 2005 Vol. 24, Number 5/6. p.508.
• 29. Guaderrama N, Nager C, Liu J, Pretorius D, Sheean G, Kassab G, Mittal R. "The Efect of Pudendal Nerve Blockade on Levator Ani Function" Presented at the International Continence Society in Montreal, Canada, August 2005. Neurourology and Urodynamics 2005 Vol. 24, Number 5/6. p.522-3. 30. Nager C, Albo M, Fitzgerald MP, Wruck L, McDermott S, Norton P, Kraus S, Howden N, Sirls L, Varner E, Zimmern P for the UITN. "Non-Invasive Uroflometry and Filling Cystometry Values in a Large Cohort of Women Undergoing Surgery for Pure or Predominant Stress Urinary Incontinence" . Presented at the International Continence Society in Montreal, Canada, August 2005. Neurourology and Urodynamics 2005 Vol. 24, Number 5/6. p 526-7.
• 31. Lukacz E, Lawrence J, Nager C, Contreras R, Luber K. "The Effect of Pregnancy and Mode of Delivery on Pelvic Floor Function: An Epidemiologic Study. 1st prize clinical paper- Presented at the American Urogynecologic Society Annual Meeting in Atlanta, GA, September 2005. Journal of Pelvic Medicine & Surgery 2005, Volume 11, Supplement 1, p. S2.
• 32. Guaderrama N, Liu J, Nager CW, Pretorius D, Sheean G, Mittal RK. "The Pudendal Nerve Mediates the Reflex Contraction caused by Anal Canal Catheter Movement." Presented at the American Urogynecologic Society Annual Meeting in Atlanta, GA, September 2005. Journal of Pelvic Medicine & Surgery 2005, Volume 11, Supplement 1, p. S28.
• 33. Guaderrama N, Liu J, Nager CW, Pretorius D, Sheean G, Mittal RK. "Asymmetry of the Proximal and Distal Anal Canal." Presented at the American Urogynecologic Society Annual Meeting in Atlanta, GA September 2005. Journal of Pelvic Medicine & Surgery 2005, Volume 11, Supplement 1, p. S28.
• 34. Guaderrama N, Liu J, Nager CW, Pretorius D, Sheean G, Mittal RK. "Pudendal Nerve Block Prevents Shortening of the Puborectalis Muscle." Presented at the American Urogynecologic Society Annual Meeting in Atlanta, GA September 2005. Journal of Pelvic Medicine & Surgery 2005, Volume 11, Supplement 1, p. S29.
• 35. JM Lawrence, ES Lukacz, CW Nager, R Contreras, KM Luber.  "Prevalence of Female Pelvic Floor Disorders by Age and Race/Ethnicity in a Managed Health Care Population". Presented at the American Urogynecologic Society Annual Meeting in Atlanta, GA September 2005. Journal of Pelvic Medicine & Surgery 2005, Volume 11, Supplement 1, p. S36.
• 36. Tennstedt S, Borello-France D, Fitzgerald MP, Goode P. Kraus S, Kusek JW, Mallett V, Nager C,. Stoddard A, Zimmern P for the Urinary Incontinence Treatment Network. "Health-Related Quality of Life in Women before Surgical Treatment for Stress Urinary Incontinence. Presented at the American Urogynecologic Society Annual Meeting in Atlanta, GA September 2005. Journal of Pelvic Medicine & Surgery 2005, Volume 11, Supplement 1, p. S38.
• 37. Weinstein MM, Jung S-A, Pretorius DH, Nager CW, den Boer D, Mittal RK. Puborectalis Muscle in Nulliparous Women: Functional Assessment using 3-D Ultrasound Imaging. Presented at Digestive Diseases Weekly-American Gastroenterology Society Annual Meeting, Los Angeles, CA , March 2006. Gastroenterology 2006: 130:A114
• 38. Jung SA, Pretorius DH, Padda BS, Weinstein, MM, Nager CW, Den Boer D, Mittal RK. Visualization of the high-pressure zone by three-dimensional ultrasound images in the pelvic floor. Presented at the 16th World Congress on Ultrasound in Obstetrics and Gynecology in London, September 2006. Ultrasound in Obstetrics and Gynecology 2006, Volume 28 :371.
• 39. Weinstein MM, Jung S-A, Pretorius DH, Nager CW, den Boer D, Mittal RK. Reliable measures of the pubovisceral muscle can be obtained with 3D Ultrasound. Presented at International Continence Society Meeting, Novemeber, 2006, Christchurch, New Zealand. Neurourol Urodyn 2006;25:623-624

INVITED PARTICIPATION AT SYMPOSIA AND CONFERENCES

• "Dysmenorrhea and Endometriosis" Gynecology Update for the Primary Care Physician Continuing Medical Education Program, San Diego, California, January 1987.
• "Human Papilloma Virus: The Emerging Epidemic" Annual Planned Parenthood Conference, Coronado, California, March 1987.
• "Sexually Transmitted Disease" Health Watch Radio Program, San Diego, California, August 1987.
• "Dysmenorrhea and Endometriosis" Gynecology Update for the Primary Care Physician Continuing Medical Education Program, San Diego, California, March 1988.
• "The Use of Ultrasound in a Comprehensive Perinatal Program" ACNM Presentation, One World - Many Hands Workshop, San Diego, California, June 1989.
• "Ectopic Pregnancy & PID" Continuing Medical Education Family Practice Board Review, San Diego, California, April 1990.
• "Gynecologic Emergencies" Continuing Medical Education Family Practice Board Review, San Diego, California, June 1990.
• "Birth Control" Continuing Medical Education Medicine Today Conference, San Diego, California, October 1990.
• "Urinary Incontinence: A Gynecologist's Perspective" Recent Advances in Geriatric Medicine Conference, San Diego, California, March 1991.
• "Birth Control" Continuing Medical Education Medicine Today Conference, San Diego, California, October 1991.
• "Pelvic Inflammatory Disease" Continuing Medical Education Advances in Infectious Disease Conference, San Diego, California, November 1992.
• "Incontinence in Women: Honest Talk and Practical Solutions" UCSD Medical Center Auxiliary Health Lecture Day, Medical Update ‘93, La Jolla, California, April 1993.
• "Travel and Exercise During Pregnancy" Continuing Medical Education Wilderness Medicine Conference, Snowmass Village, Colorado, August 1993.
• "Contraception Update" Center for Health Care Conference, San Diego, California, October 1993.
• "Gynecologic Emergencies" Continuing Medical Education Advances in Emergency Medicine Conference, San Diego, California, October 1993, October 1994, June 1996, November 1996..
• "Principles & Practice of Laparoscopic Assisted Vaginal Hysterectomy" Advanced Laser Laparoscopy & Operative Hysteroscopy Conference, San Diego, California, July 1995.
• "Urinary Incontinence: The Basics of Evaluation & Treatment" Continuing Medical Education Women's Health Issues in Primary Care Conference, San Diego, California, November 1996.
• "Exercise in Pregnancy" Primary Care Sports Medicine Fellowship, San Diego, California, March 1998.
• "Gynecologic Emergencies" Postgraduate Institute for Primary Care and Emergency Physicians Symposium III, La Jolla, California, April 1998.
• "Ob/Gyn Case Studies" Postgraduate Institute for Primary Care and Emergency Physicians Symposium III, La Jolla, California, April 1998.
• "Keeping Everything in It's Place: The Forgotten Muscles of the Pelvic Floor" UCSD Women's Health Seminar Series, San Diego, California, May 1998.
• "Update and Controversy in Urogynecology: Medford Ob/Gyn Society, Medford, Oregon, October 1998.
• "Diagnostic and Management Strategies for Urinary Incontinence" Orange County Obstetrical & Gynecologic Society, Orange, California, January 1999.
• "Diagnostic and Management Strategies for Urinary Incontinence" Continuing Medical Education Program, Encino-Tarzana Regional Medical Center, Tarzana, California, January 1999.
• "Female Urinary Incontinence" Topics and Advances in Internal Medicine Postgraduate Course, University of California, San Diego School of Medicine, San Diego, California, February 1999.
• "Women's Incontinence Update: What's New in Treatment" UCSD Women's Health Seminar Series, UCSD Medical Center, San Diego, California, September 1999.
• "Can We Predict or Prevent Pelvic Floor Trauma?", American Gynecological Club, Scientific Program, San Diego, California, October 1999.
• "Predictors of Perineal Laceration During Vaginal Delivery" American Urogynecologic Society Annual Scientific Meeting, San Diego, California, October 1999.
• "Essentials of Gynecology"- A 4 hour lecture series to midwife students. University of California, San Diego, Division of Graduate Nursing Education, San Diego, California, October 1999.
• "Pelvic Pain" San Diego State University Student Health Seminar, San Diego, California, November 1999.
• "Incontinence and Prolapse in This Millennium" UCSD Women's Continence Center, San Diego, California, January, 2000.
• "Urinary Incontinence and Pelvic Floor Dysfunction" Continuing Medical Education, Advances in Urology & Gynecology Conference, San Diego, California, February 2000.
• "Female Urinary Incontinence" Continuing Medical Education, Women's Health Symposium, Scripps Clinic, San Diego, California, March 2000.
• "Update in Female Stress Urinary Incontinence" Kaiser Obstetrics and Gynecology Retreat, Temecula, California, October 2000.
• "New Things: The Hype vs. The Data on TVT, Next Generation Anticholinergics, etc." Southern California Permanente Medical Group, 2000 Women's Pelvic Floor Disorders Symposium, San Diego, California, October 2000.
• "Urodynamics, Simple and Complex", "Lower Urinary Tract Safety", "Obstetrical Anal Sphincter Repairs"
• ACOG Postgraduate Course- "Urogynecology in a Gynecologist's Practice", Guadalajara, Mexico, March, 2001.
• "Urinary Incontinence and Pelvic Floor Dysfunction", UCSD Continuing Medical Education Advances in Urology and Gynecology for Primary Care Conference, San Diego, California, May 2001
• "Female Incontinence in the Elderly", UCSD Continuing Medical Education Aging in the New Millennium Course, San Diego, California, May 2001
• "Surgical Management of Stress Urinary Incontinence - Slings and Things", San Diego Gynecological Society, San Diego, California, September, 2001.
• "Vaginal Delivery and Pelvic Floor Damage: Are Our C-Section Rates Too Low?" Neonatal Perinatal Lecture Series, Medford, Oregon, October, 2001.
• "Obstetrical Anal Sphincter Injury" Neonatal Perinatal Lecture Series, Medford, Oregon, October, 2002.
• "Urodynamics", "Surgery for Stress Urinary Incontinence", "Complex Cases in Urogynecology"
• Eighteenth Annual Asbury Memorial Lectureship, Corvallis, Oregon, November, 2002.
• "Female Stress Urinary Incontinence", Urology and Gynecology in Primary Care Conference, San Diego, California, November 2002.
• "Ectopic Pregnancy" , Primary Care Grand Rounds, UCSD Medical Center, San Diego, CA, April, 2003
• "Ectopic Pregnancy" Emergency Department Grand Rounds, UCSD Medical Center, San Diego, CA, August, 2003.
• "Surgery for Stress Urinary Incontinence" Ob/Gyn Department Grand Rounds, Grossmont Hospital, La Mesa, CA, August, 2003
• "Adopting New Technology in Stress Incontinence Surgery" Chicago Gynecological Society, Chicago, IL, March, 2004.
• "Stress Urinary Incontinence 2004", "Fecal Incontinence and the Anal Sphincter", "Prolapse - Conservative and Surgical Management", "Common and Uncommon Vulvovaginal Disorders -Roundtable." 11th Annual Summer Conference on Obstetrics and Gynecology, Yosemite, CA , July, 2004
• "Introduction to Teaching Models". AUGS Postgraduate Course - Teaching and Evaluating Surgical Skills, AUGS Annual Meeting , San Diego, CA, July 2004. .
• "Elective Cesarean Section: Does the Data Support the Patient Demand?", "Current Management Strategies for Ectopic Preganancy", "Obstetrical Anal Sphincter Repair", Bill Young Conference for Women and Children's Health, Rogue Valley Medical Center, Medford, Oregon, September, 2004.
• "Meshes and Grafts in Reconstructive Pelvic Surgery" Discussant, Roundtable Leader. 2005 Society for Gynecologic Surgeons Annual Meeting, Rancho Mirage, CA , April 5, 2005.
• "Overactive Bladder Syndrome/ Urinary Incontinence: Overview and Treatment Options" San Diego Academy of Family Physicians, Coronado, CA , June, 2005.
• "Surgical Procedures for Stress Urinary Incontinence" (with DL Myers and MT McLennnan) American College of Obstetrics and Gynecology Update audio medical education program. November, 2005.
• "Introduction to Teaching Models" AUGS Postgraduate Course - Teaching and Evaluating Surgical Skills, AUGS Annual Meeting, Atlanta, GA, September 2005.
• "Advances in the Treatment of OAB", "Mesh and Material in Gynecologic Surgery", "Adopting New Technology for Gynecologic Surgery", "Midurethral Slings", "Lower Urinary Tract Safety in Gynecologic Surgery". 6th Annual Update in Female Incontinence and Pelvic Organ Prolapse, University of Texas Southwestern Medical Center, Dallas , Texas, November 11 - 13, 2005
• "Prolapse and Incontinence Operations and Relevant Pelvic Anatomy". Lecturer and Pelvic Anatomy Instructor, University of Texas, Galveston, Pelvic Anatomy Course, Galveston, Texas, February 23-24, 2006.
• "New Surgical Procedures - Should I or Shouldn't I". Debate with M. Toglia at Society for Gynecologic Surgeons 32nd Scientific Meeting, Tucson, Arizona, April 4, 2006.
• "Management of Stress Urinary Incontinence", "Prolapse - Pessaries and Procedures", "Vulvovaginal Disorders". 13th Annual Summer Conference on Obstetrics and Gynecology, Girdwood, Alaska, July 19-22, 2006.
• "Mesh should be used for most gynecological reconstructive surgeries -No" Debate with N. Kohli at Americal Association of Gynecological Laparoscopists Annual Meeting, Las Vegas, Nevada, November,2006.