Physicians

Division Chief, Urogynecology

Department / Division
Obstetrics/Gynecology / Urogynecology

Address
5324 McFarland Drive, Suite 310
Durham, NC 27707

2406 Blue Ridge Road, Suite 200
Raleigh, NC 27607

Appointment Telephone
919-684-2471

Office Telephone
919-401-1006

Fax Telephone
919-401-1033

Training

• MD, State University of New York Upstate Medical University College of Medicine, 1993

Residency

• OB-GYN, Strong Memorial Hospital (New York), 1997

Fellowship

• Urogynecology and Reconstructive Pelvic Surgery, Duke University Medical Center, 2000

Clinical Interests
Robotic sacrocolpopexy and hysterectomy; slings and other minimally invasive surgeries for the treatment of pelvic-organ prolapse and urinary incontinence; vesicovaginal fistula; urodynamics; management of mesh erosion and related complications

Research Interests
Robotic sacrocolpopexy, robotic hysterectomy, outcomes for surgical and non-surgical treatments of urinary incontinence and pelvic organ prolapse, robotic surgery, mesh erosion, Botox therapy for urge incontinence.

Industry Relationships and Collaborations (What's this?)

This faculty member (or a member of their immediate family) has a working relationship (i.e. consulting, research, and/or educational services) with the companies listed below. These relations have been reported to the health system leadership and, when appropriate, management plans are in place to address potential conflicts.

• American Urogynecologic Society (AUGS)
• Intuitive Surgical, Inc.

Representative Publications
Dieter, AA; Amundsen, CL; Visco, AG; Siddiqui, NY. Treatment for urinary tract infection after midurethral sling: a retrospective study comparing patients who receive short-term postoperative catheterization and patients who pass a void trial on the day of surgery. Female Pelvic Medicine and Reconstructive Surgery. 2012;18:175-178. (2012) Abstract

Siddiqui, NY; Geller, EJ; Visco, AG. Symptomatic and anatomic 1-year outcomes after robotic and abdominal sacrocolpopexy. American Journal of Obstetrics and Gynecology. 2012;206:435.e1-435.e5. (2012) Abstract

Visco, AG; Brubaker, L; Richter, HE; Nygaard, I; Paraiso, MF; Menefee, SA; Schaffer, J; Wei, J; Chai, T; Janz, N; Spino, C; Meikle, S; Pelvic Floor Disorders Network. Anticholinergic versus botulinum toxin A comparison trial for the treatment of bothersome urge urinary incontinence: ABC trial. Contemporary Clinical Trials. 2012;33:184-196. (2012) Abstract

Wu, JM; Visco, AG; Grass, EA; Craig, DM; Fulton, RG; Haynes, C; Amundsen, CL; Shah, SH. Comprehensive analysis of LAMC1 genetic variants in advanced pelvic organ prolapse. American Journal of Obstetrics and Gynecology. 2012;206:447.e1-447.e6. (2012) Abstract

Geller, EJ; Wu, JM; Jannelli, ML; Nguyen, TV; Visco, AG. Maternal outcomes associated with planned vaginal versus planned primary cesarean delivery. American Journal of Perinatology: neonatal and maternal-fetal medicine. 2010;27:675-683. (2010) Abstract

Geller, EJ; Wu, JM; Jannelli, ML; Nguyen, TV; Visco, AG. Neonatal outcomes associated with planned vaginal versus planned primary cesarean delivery. Journal of Perinatology. 2010;30:258-264. (2010) Abstract

Judd, JP; Siddiqui, NY; Barnett, JC; Visco, AG; Havrilesky, LJ; Wu, JM. Cost-minimization analysis of robotic-assisted, laparoscopic, and abdominal sacrocolpopexy. Journal of Minimally Invasive Gynecology. 2010;17:493-499. (2010) Abstract

Siddiqui, NY; Amundsen, CL; Visco, AG; Myers, ER; Wu, JM. Cost-effectiveness of sacral neuromodulation versus intravesical botulinum A toxin for treatment of refractory urge incontinence. Journal of Urology. 2009;182:2799-2804. (2009) Abstract

Visco, AG; Meyer, LC; Xi, S; Brown, CG. One disease, two lives. Clinical Journal of Oncology Nursing. 2009;13:426-432. (2009) Abstract

Wu, JM; Siddiqui, NY; Amundsen, CL; Myers, ER; Havrilesky, LJ; Visco, AG. Cost-effectiveness of botulinum toxin a versus anticholinergic medications for idiopathic urge incontinence. Journal of Urology. 2009;181:2181-2186. (2009) Abstract

Cundiff, GW; Varner, E; Visco, AG; Zyczynski, HM; Nager, CW; Norton, PA; Schaffer, J; Brown, MB; Brubaker, L; Pelvic Floor Disorders Network. Risk factors for mesh/suture erosion following sacral colpopexy. American Journal of Obstetrics and Gynecology. 2008;199:688.e1-688.e5. (2008) Abstract

Geller, EJ; Siddiqui, NY; Wu, JM; Visco, AG. Short-term outcomes of robotic sacrocolpopexy compared with abdominal sacrocolpopexy. Obstetrics and Gynecology. 2008;112:1201-1206. (2008) Abstract

Hundley, AF; Yuan, L; Visco, AG. Gene expression in the rectus abdominus muscle of patients with and without pelvic organ prolapse. American Journal of Obstetrics and Gynecology. 2008;198:220.e1-220.e7. (2008) Abstract

Visco, AG; Advincula, AP. Robotic gynecologic surgery. Obstetrics and Gynecology. 2008;112:1369-1384. (2008) Abstract

Visco, AG; Brubaker, L; Nygaard, I; Richter, HE; Cundiff, G; Fine, P; Zyczynski, H; Brown, MB; Weber, AM; Pelvic Floor Disorders Network. The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial. 2008;19:607-614. (2008) Abstract

Burgio, KL; Borello-France, D; Richter, HE; Fitzgerald, MP; Whitehead, W; Handa, VL; Nygaard, I; Fine, P; Zyczynski, H; Visco, AG; Brown, MB; Weber, AM; Pelvic Floor Disorders Network. Risk factors for fecal and urinary incontinence after childbirth: the childbirth and pelvic symptoms study. American Journal of Gastroenterology. 2007;102:1998-2004. (2007) Abstract

Geller, EJ; Barbee, ER; Wu, JM; Loomis, MJ; Visco, AG. Validation of telephone administration of 2 condition-specific quality-of-life questionnaires. American Journal of Obstetrics and Gynecology. 2007;197:632.e1-632.e4. (2007) Abstract

Hundley, AF; Maygarden, S; Wu, JM; Visco, AG; Connolly, A. Adequacy of urine cytology specimens: an assessment of collection techniques. 2007;18:997-1001. (2007) Abstract

Jannelli, ML; Wu, JM; Plunkett, LW; Williams, KS; Visco, AG. A randomized controlled trial of clean intermittent self-catheterization versus suprapubic catheterization after urogynecologic surgery. American Journal of Obstetrics and Gynecology. 2007;197:72.e1-72.e4. (2007) Abstract

Richter, HE; Burgio, KL; Goode, PS; Borello-France, D; Bradley, CS; Brubaker, L; Handa, VL; Fine, PM; Visco, AG; Zyczynski, HM; Wei, JT; Weber, AM; Pelvic Foor Desorders Network. Non-surgical management of stress urinary incontinence: ambulatory treatments for leakage associated with stress (ATLAS) trial. Clinical Trials. 2007;4:92-101. (2007) Abstract

Whitehead, WE; Bradley, CS; Brown, MB; Brubaker, L; Gutman, RE; Varner, RE; Visco, AG; Weber, AM; Zyczynski, H; Pelvic Floor Network. Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse. American Journal of Obstetrics and Gynecology. 2007;197:78.e1-78.e7. (2007) Abstract

Wu, JM; Visco, AG; Weidner, AC; Myers, ER. Is Burch colposuspension ever cost-effective compared with tension-free vaginal tape for stress incontinence?. American Journal of Obstetrics and Gynecology. 2007;197:62.e1-62.e5. (2007) Abstract

Wu, JM; Wechter, ME; Geller, EJ; Nguyen, TV; Visco, AG. Hysterectomy rates in the United States, 2003. Obstetrics and Gynecology. 2007;110:1091-1095. (2007) Abstract

Borello-France, D; Burgio, KL; Richter, HE; Zyczynski, H; Fitzgerald, MP; Whitehead, W; Fine, P; Nygaard, I; Handa, VL; Visco, AG; Weber, AM; Brown, MB; Pelvic Floor Disorders Network. Fecal and urinary incontinence in primiparous women. Obstetrics and Gynecology. 2006;108:863-872. (2006) Abstract

Brubaker, L; Cundiff, GW; Fine, P; Nygaard, I; Richter, HE; Visco, AG; Zyczynski, H; Brown, MB; Weber, AM; Pelvic Floor Disorders Network. Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. New England Journal of Medicine. 2006;354:1557-1566. (2006) Abstract

Hundley, AF; Brown, MB; Brubaker, L; Cundiff, GW; Kreder, K; Lotze, P; Richter, HE; Zyczynski, H; Weber, AM; Visco, AG. A multicentered comparison of measurements obtained with microtip and external water pressure transducers. 2006;17:400-406. (2006) Abstract

Hundley, AF; Yuan, L; Visco, AG. Skeletal muscle heavy-chain polypeptide 3 and myosin binding protein H in the pubococcygeus muscle in patients with and without pelvic organ prolapse. American Journal of Obstetrics and Gynecology. 2006;194:1404-1410. (2006) Abstract

Visco, AG; Viswanathan, M; Lohr, KN; Wechter, ME; Gartlehner, G; Wu, JM; Palmieri, R; Funk, MJ; Lux, L; Swinson, T; Hartmann, K. Cesarean delivery on maternal request: maternal and neonatal outcomes. Obstetrics and Gynecology. 2006;108:1517-1529. (2006) Abstract

Viswanathan, M; Visco, AG; Hartmann, K; Wechter, ME; Gartlehner, G; Wu, JM; Palmieri, R; Funk, MJ; Lux, L; Swinson, T; Lohr, KN. Cesarean delivery on maternal request. Evidence report/technology assessment. 2006;1-138. (2006) Abstract

Wu, JM; Wells, EC; Hundley, AF; Connolly, A; Williams, KS; Visco, AG. Mesh erosion in abdominal sacral colpopexy with and without concomitant hysterectomy. American Journal of Obstetrics and Gynecology. 2006;194:1418-1422. (2006) Abstract

Wu, JM; Williams, KS; Hundley, AF; Jannelli, ML; Visco, AG. Microscopic hematuria as a predictive factor for detecting bladder cancer at cystoscopy in women with irritative voiding symptoms. American Journal of Obstetrics and Gynecology. 2006;194:1423-1426. (2006) Abstract

Benavides, L; Wu, JM; Hundley, AF; Ivester, TS; Visco, AG. The impact of occiput posterior fetal head position on the risk of anal sphincter injury in forceps-assisted vaginal deliveries. American Journal of Obstetrics and Gynecology. 2005;192:1702-1706. (2005) Abstract

Hundley, AF; Wu, JM; Visco, AG. A comparison of perineometer to brink score for assessment of pelvic floor muscle strength. American Journal of Obstetrics and Gynecology. 2005;192:1583-1591. (2005) Abstract

Kwon, S; Visco, AG; Fitzgerald, MP; Ye, W; Whitehead, WE; Pelvic Floor Disorders Network (PFDN). Validity and reliability of the Modified Manchester Health Questionnaire in assessing patients with fecal incontinence. Diseases of the Colon and Rectum. 2005;48:323-331. (2005) Abstract

Laughon, SK; Wolfe, HM; Visco, AG. Prior cesarean and the risk for placenta previa on second-trimester ultrasonography. Obstetrics and Gynecology. 2005;105:962-965. (2005) Abstract

Tapp, K; Connolly, A; Visco, AG. Evaluation of Aa point and cotton-tipped swab test as predictors of urodynamic stress incontinence. Obstetrics and Gynecology. 2005;105:115-119. (2005) Abstract

Wu, JM; Hundley, AF; Visco, AG. Elective primary cesarean delivery: attitudes of urogynecology and maternal-fetal medicine specialists. Obstetrics and Gynecology. 2005;105:301-306. (2005) Abstract

Wu, JM; Williams, KS; Hundley, AF; Connolly, A; Visco, AG. Occiput posterior fetal head position increases the risk of anal sphincter injury in vacuum-assisted deliveries. American Journal of Obstetrics and Gynecology. 2005;193:525-528. (2005) Abstract

Hundley, AF; Visco, AG. Comparison of measurements obtained with microtip and external water pressure transducers. 2004;15:276-280. (2004) Abstract

Visco, AG; Wei, JT; McClure, LA; Handa, VL; Nygaard, IE; Pelvic Floor Disorders Network. Effects of examination technique modifications on pelvic organ prolapse quantification (POP-Q) results. 2003;14:136-140. (2003) Abstract

Visco, AG; Yuan, L. Differential gene expression in pubococcygeus muscle from patients with pelvic organ prolapse. American Journal of Obstetrics and Gynecology. 2003;189:102-112. (2003) Abstract

Barber, MD; Visco, AG; Wyman, JF; Fantl, JA; Bump, RC; Continence Program for Women Research Group. Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstetrics and Gynecology. 2002;99:281-289. (2002) Abstract

Visco, AG; Barber, MD; Myers, ER. Early physician experience with laparoscopically assisted vaginal hysterectomy and rates of surgical complications and conversion to laparotomy. American Journal of Obstetrics and Gynecology. 2002;187:1008-1012. (2002) Abstract

Cundiff, GW; Weidner, AC; Visco, AG. Effectiveness of laparoscopic cadaveric dissection in enhancing resident comprehension of pelvic anatomy. Journal of the American College of Surgeons. 2001;192:492-497. (2001) Abstract

Visco, AG; Taber, KH; Weidner, AC; Barber, MD; Myers, ER. Cost-effectiveness of universal cystoscopy to identify ureteral injury at hysterectomy. Obstetrics and Gynecology. 2001;97:685-692. (2001) Abstract

Visco, AG; Weidner, AC; Barber, MD; Myers, ER; Cundiff, GW; Bump, RC; Addison, WA. Vaginal mesh erosion after abdominal sacral colpopexy. American Journal of Obstetrics and Gynecology. 2001;184:297-302. (2001) Abstract

Weidner, AC; Myers, ER; Visco, AG; Cundiff, GW; Bump, RC. Which women with stress incontinence require urodynamic evaluation?. American Journal of Obstetrics and Gynecology. 2001;184:20-27. (2001) Abstract

Amundsen, CL; Visco, AG; Ruiz, H; Webster, GD. Outcome in 104 pubovaginal slings using freeze-dried allograft fascia lata from a single tissue bank. Urology. 2000;56:2-8. (2000) Abstract

Barber, MD; Lambers, A; Visco, AG; Bump, RC. Effect of patient position on clinical evaluation of pelvic organ prolapse. Obstetrics and Gynecology. 2000;96:18-22. (2000) Abstract

Barber, MD; Visco, AG; Weidner, AC; Amundsen, CL; Bump, RC. Bilateral uterosacral ligament vaginal vault suspension with site-specific endopelvic fascia defect repair for treatment of pelvic organ prolapse. American Journal of Obstetrics and Gynecology. 2000;183:1402-1410. (2000) Abstract

Cundiff, GW; Weidner, AC; Visco, AG; Bump, RC; Addison, WA. A survey of pessary use by members of the American urogynecologic society. Obstetrics and Gynecology. 2000;95:931-935. (2000) Abstract

Visco, AG; Cholhan, HJ; O'Toole, L; Guzick, DS. Effects of menstrual cycle and urinary tract instrumentation on uroflowmetry. Neurourology and Urodynamics. 2000;19:147-152. (2000) Abstract

Weidner, AC; Barber, MD; Visco, AG; Bump, RC; Sanders, DB. Pelvic muscle electromyography of levator ani and external anal sphincter in nulliparous women and women with pelvic floor dysfunction. American Journal of Obstetrics and Gynecology. 2000;183:1390-1399. (2000) Abstract

Visco, AG; Weidner, AC; Cundiff, GW; Bump, RC. Observed patient compliance with a structured outpatient bladder retraining program. American Journal of Obstetrics and Gynecology. 1999;181:1392-1394. (1999) Abstract

Visco, AG; Yamauchi, M. Collagen cross-linking in patients with urinary incontinence. American Journal of Obstetrics and Gynecology. 1999;181:509-510. (1999) Abstract

Cundiff, GW; Weidner, AC; Visco, AG; Addison, WA; Bump, RC. An anatomic and functional assessment of the discrete defect rectocele repair. American Journal of Obstetrics and Gynecology. 1998;179:1451-1456. (1998) Abstract

Visco, AG; Figuers, C. Nonsurgical management of pelvic floor dysfunction. Obstetrics and Gynecology Clinics of North America. 1998;25:849-vii. (1998) Abstract

Visco, AG; Del Priore, G. Postmenopausal bartholin gland enlargement: a hospital-based cancer risk assessment. Obstetrics and Gynecology. 1996;87:286-290. (1996) Abstract