Dr.
Roxana Geoffrion
M.D.C.M., F.R.C.S.C.
Program Director, Advanced Training
Associate Professor
Division of Gynaecologic Specialties
Biography
Dr. Roxana Geoffrion is an associate professor at UBC, director of the UBC fellowship in Female Pelvic Medicine and Reconstructive Surgery and chair of the Obstetrics and Gynecology residency research committee. She values high teaching standards and guides trainees towards academic careers through combined clinical and research mentorship. Dr Geoffrion constantly strives to improve her teaching methods. She initiated randomized controlled trials and built low-fidelity simulation models for teaching and evaluation of surgical skills in gynecologic surgery. Dr Geoffrion’s research interests also include surgical optimization, and patient outcomes following pelvic floor surgeries. She has co-authored many SOGC best practice guidelines in urogynecology. More recently, she has started producing innovative whiteboard animation videos of pelvic floor health, for patient education and knowledge translation based on these guidelines.
Teaching
Dr Geoffrion takes part in bedside teaching and surgical skills instruction for undergraduate, graduate and postgraduate learners. She achieves this through low fidelity simulation models and OR instruction. She enjoys teaching pelvic anatomy through the Human Prosection/Inanimate Lab at UBC and also teaches a course in repair of obstetric anal sphincter injury on a porcine model. In addition, she mentors her peers in various pelvic surgical procedures such as mid-urethral slings, vaginal vault suspensions and colpocleisis.
Research Interests/Skills
Publications
Wong J, Zhang E, Koenig NA, Lee T, Geoffrion R. Risk factors for urinary retention after urogynecologic surgery: A retrospective cohort study – submitted to Neurourology Urodynamics; in print
Geoffrion R, Larouche M; Urogynaecology Committee: Surgical treatment of apical pelvic prolapse in women – clinical guideline; JOGC in print
Geoffrion R, Yang EC, Koenig NA, Yong P, Brotto LA, Barr A, Lee T, Allaire C, Bedaiwy M, Yong P. Recreational cannabis use pre- and post-legalization in women with pelvic pain –Obstetrics & Gynecology 2021; in print
Moreira Vasconcelos CT, Silva Gomes ML, Geoffrion R, Vasconcelos Neto JA. Pessary evaluation for genital prolapse treatment: from acceptance to successful fitting. Neurourology and Urodynamics in print
Dufour S, Wu M; Urogynaecology Committee, Chou Q, Clancy A, Diamond P, Geoffrion R, Harvey MA, Larouche M, Lemieux MC, Pascali D, Pierce M, Walter JE, Wilkie DH. Conservative care of urinary incontinence in women. J Obstet Gynaecol Can. 2020;42(4):510-22.
Moreira Vasconcelos CT, Silva Gomes ML, Ribeiro GL, Oria MOB, Geoffrion R, Vasconcelos Neto JA. Women and health care providers’ knowledge, attitudes and practice related to pessaries for pelvic organ prolapse: A systematic review; European J Obstet Gynecol Reproductive Biol. 2020 Apr;247:132-142. doi: 10.1016/j.ejogrb.2020.02.016. Epub 2020 Feb 14.
Lisonkova S, Geoffrion R, Sanaee MS, Muraca GM, Wen Q, Yong PJ, Larouche M, Cundiff GW. Regional variation and temporal trends in surgery for pelvic organ prolapse in Canada 2004-2014; J Obstet Gynaecol Can. 2020 Mar 12:S1701-2163(20)30047-5. doi: 10.1016/j.jogc.2019.12.016
Sanaee MS, Pan K, Koenig NA, Lee T, Geoffrion R. Urinary tract infection after clean-contaminated pelvic surgery: A retrospective cohort study and prediction model; Int Urogynecol J 2019 doi: 10.1007/s00192-019-04119-0
Clancy A; Urogynaecology Committee: Geoffrion R et al. Midurethral slings for stress urinary incontinence; J Obstet Gynaecol Can. 2019 In Print.
Sanaee MS, Hutcheon JA, Brown H, Larouche M, Geoffrion R. Infection prevention after midurethral sling in women: A systematic review and meta-analysis – Acta Obstet Gynecol Scand 2019, In print
Geoffrion R. Winds of Change – Past, present and future of urogynecology in Canada – J Obstet Gynaecol Can. 75th Commemorative Issue 2019;41 Suppl 2:S238-S240
Simula NK, Rikhraj K, Koenig NA, Lee T, Geoffrion R. Fibroid Surgery and long-term improvement in bladder symptoms – J Obstet Gynaecol Can. 2019, In print
Wong J, Sanaee M, Cho K, Geoffrion R. Diagnosis and management of an unusual cyst three years post sacrocolpopexy: A case report. – J Obstet Gynaecol Can. 2019, In print
Cameron B, Sabourin J, Sanaee MS, Koenig NA, Lee T, Geoffrion R. Pelvic floor hypertonicity in women with pelvic floor disorders – Neurourology and Urodynamics 2019;38(2):696-702
Walter JE, Larochelle A; Urogynaecology Committee: Geoffrion R et al. Intravaginal laser for genitourinary syndrome of menopause and stress urinary incontinence; J Obstet Gynaecol Can. 2018;40(4):503-511.
Geoffrion R, Koenig NA, Sanaee MS, Lee T, Todd NJ. Optimizing resident operative self-confidence through competency-based surgical education modules: Are we there yet? Int Urogynecol J. 2018, doi: 10.1007/s00192-018-3654-y. PMID:29644383
Larouche M, Brotto L, Koenig NA, Lee T, Cundiff GW, Geoffrion R. Depression, anxiety and pelvic floor symptoms before and after surgery for pelvic floor dysfunction. Female Pelvic Med Reconstr Surg. 2018, doi: 10.1097/SPV.0000000000000582. PMID:29688899
Houlihan S, Koenig NA, Friedman B, Lee T, Geoffrion R. Fibroid surgery and improvement in bladder symptoms: The FAB study. Neurourology and Urodynamics 2018, doi 10.1002/nau.23541. PMID 29862556
Geoffrion R, Schulz J. The perfect storm: will residency research sink or swim in the era of competency by design? J Obstet Gynaecol Can. 2018;40(5):527-8.
Hyakutake M, Han V, Baerg L, Koenig N, Lee T, Cundiff G, Geoffrion R. Pregnancy-associated pelvic floor health knowledge and reduction of symptoms: the PREPARED trial. J Obstet Gynaecol Can. 2018;40(4):418-25.
Geoffrion R. Treatments for overactive bladder: Focus on pharmacotherapy. An addendum. SOGC Guideline #353. J Obstet Gynaecol Can. 2017;39(12):1221-9
Larouche M, Geoffrion R, Walter JE. Transvaginal mesh procedures for pelvic organ prolapse. SOGC Guideline #351. J Obstet Gynaecol Can. 2017;39(11):1085-97.
Gutman RE, Rardin CR, Sokol ER, Matthews C, Park AJ, Iglesia CB, Geoffrion R, Sokol AI, Karram M, Cundiff GW, Blomquist J, Barber MD. Vaginal and laparoscopic mesh hysteropexy for uterovaginal prolapse: A parallel cohort study. Am J Obstet Gynecol. 2017 Jan;216(1):38.e1-38.e11.PMID: 27596620
Grants
Principal Investigator:
Michael Smith Foundation for Health Research : REACH Award : #BePelvicHealthAware: Sharing clinical best practices on pelvic floor health through whiteboard animations, social media and a dedicated website
Canadian Institutes of Health Research (CIHR) : Vaginal Surgery for the Pelvic Floor: A Randomized Trial of Synthetic Mesh Versus Synthetic Sutures – COMET: Composite Outcomes of Mesh vs suture Techniques for prolapse repair: A randomized controlled multicentre trial
UBC Faculty of Medicine : Summer Student Research Project – Cannabis use in chronic pelvic pain
UBC Faculty of Medicine : Summer Student Research Project – Urinary retention in urogynecologic surgery
St. Paul’s Foundation Enhanced Patient Care Fund: PHISIQUE – Postpartum pelvic floor health index
Providence Health Care Research Fund: Demographic factors associated with hypercontracted pelvic floor
UBC Faculty of Medicine :Summer Student Research Project : Demographic factors associated with hypercontracted pelvic floor
UBC Faculty of Medicine : Summer Student Research Project – MIST – Mindful DESIRE (Determination of Experience of Sexual Improvement RElated to treatment)
Projects
Awards
2020, The University of British Columbia Faculty of Medicine distinguished achievement award for meritorious performance and excellence in education
2016, The AFMC Clinical Teacher Award, Association of Faculties of Medicine of Canada – in recognition of an individual in Canada who has a sustained track record as outstanding teacher to medical students, residents and other health profession students.
2014, Carl Nimrod Educator award of the Association of Academic Professionals in Obstetrics and Gynecology, awarded to one deserving individual from each university per year in recognition of excellence, commitment, innovation and leadership demonstrated in teaching knowledge, attitudes and skills