Roxana Geoffrion

Dr.

Roxana Geoffrion

M.D.C.M., F.R.C.S.C.

Program Director, Advanced Training

Associate Professor

Division of Gynaecologic Specialties

Portrait photo of Roxana Geoffrion

Providence Health Care (PHC)

Phone: 604-806-9835

Email: roxygeo@hotmail.com

www.bepelvichealthaware.ca

ORCID iD: 0000-0003-1194-0842

Overview
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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

1. Clinical outcomes of surgical interventions
2. Surgical education/simulation/curriculum development

Publications
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Publications

Geoffrion R, Badowski S, Gong M, Mann G, Tilak M, Koenig N, Lee T. The Pelvic Floor Health Index: Initial validation of a practical tool for busy clinicians, Can Fam Physician. 2023 Nov;69(11):e229-e235. doi: 10.46747/cfp.6911e229. PMID: 37963795; PMCID: PMC10645455.

Muraca GM, Ralph LE, Christensen P, D’Souza R, Geoffrion R, Lisonkova S, Joseph KS. Maternal and neonatal trauma following forceps and vacuum delivery in Canada: Lessons from the Ockenden Review?. Can Fam Physician. 2023 Nov;69(11):e229-e235. doi: 10.46747/cfp.6911e229. PMID: 37963795; PMCID: PMC10645455.

Mann G, Koenig N, Lee T, Geoffrion R. Reducing urinary tract infection in female pelvic surgery: A retrospective cohort study [published online ahead of print, 2023 May 26]. Int J Gynaecol Obstet. 2023;10.1002/ijgo.14892. doi:10.1002/ijgo.14892

Tilak M, Mann GK, Gong M, Koenig NA, Lee T, Geoffrion R. Pelvic floor healing milestones after obstetric anal sphincter injury: A prospective case control feasibility study. Int Urogynecol J. 2023 Feb;34(2):553-561.

Yang EC, Koenig NA, Gong M, Yong P, Brotto LA, Barr A, Allaire C, Bedaiwy M, Geoffrion R. Cannabis use preferences in women with myofascial pelvic pain: A cross-sectional study. Eur J Obstet Gynecol Reprod Biol X. 2023;18:100192. Published 2023 Mar 30. doi:10.1016/j.eurox.2023.100192

Park M, Wanigaratne S, D’Souza R, Geoffrion R, Williams SA, Muraca GM (2023) Asian-white disparities in obstetric anal sphincter injury: Protocol for a systematic review and meta-analysis. PLoS ONE 18(9): e0291174. https://doi.org/10.1371/journal.pone.0291174

Geoffrion R, Badowski S. Abdominal sacrohysteropexy for large iatrogenic early postpartum vesicouterine fistula. Urol Case Rep. 2022 Sep 11;45:102217. doi: 10.1016/j.eucr.2022.102217. PMID: 36131717; PMCID: PMC9483771.

Tilak M, Koenig NA, Albert A, Mayer U, Gipson T, Sim A, Geoffrion R. OASIS guideline adherence among maternity care providers in Canada: A research letter. J Obstet Gynaecol Can. 2022 Aug;44(8):868-869.

Geoffrion R, Munro S, Janssen P. #BePelvicHealthAware: Sharing clinical best practices on pelvic floor health through whiteboard animations. J Obstet Gynaecol Can. 2022 Feb 21:S1701-2163(22)00068-8. doi: 10.1016/j.jogc.2022.02.008. Epub ahead of print. PMID: 35202867.

Harvey MA, Chih HJ, Geoffrion R, Amir B, Bhide A, Miotla P, Rosier PFWM, Offiah I, Pal M, Alas AN. International Urogynecology Consultation Chapter 1 Committee 5: relationship of pelvic organ prolapse to associated pelvic floor dysfunction symptoms: lower urinary tract, bowel, sexual dysfunction and abdominopelvic pain. Int Urogynecol J. 2021 Oct;32(10):2575-2594. doi: 10.1007/s00192-021-04941-5. Epub 2021 Aug 2. PMID: 34338825.

Gong M, Mann GK, Koenig N, Geoffrion R. Documenting Perineal and Obstetrical Anal Sphincter Injury Care at Childbirth: A Cross-Sectional Study. J Obstet Gynaecol Can. 2021 Oct;43(10):1164-1169. doi: 10.1016/j.jogc.2021.02.120. Epub 2021 Mar 6. PMID: 33684531.

Zhang BY, Wong JMH, A Koenig N, Lee T, Geoffrion R. Risk factors for urinary retention after urogynecologic surgery: A retrospective cohort study and prediction model. Neurourol Urodyn. 2021 Jun;40(5):1182-1191. doi: 10.1002/nau.24676. Epub 2021 Apr 23. PMID: 33891339. 

Geoffrion R, Larouche M. Guideline No. 413: Surgical Management of Apical Pelvic Organ Prolapse in Women. J Obstet Gynaecol Can. 2021 Apr;43(4):511-523.e1. doi: 10.1016/j.jogc.2021.02.001. Epub 2021 Feb 3. PMID: 33548503.

Geoffrion R, Koenig N, Zheng M, Sinclair N, Brotto L, Lee T, Larouche M – Preoperative depression and anxiety impact on inpatient surgery outcomes: A prospective cohort study. Ann Surg-Open 2021;1:e049

Larouche M, Belzile E, Geoffrion R. Surgical management of symptomatic apical pelvic organ prolapse: A systematic review and meta-analysis. Obstet Gynecol. 2021;137(6):1061-1073.

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. Obstet Gynecol. 2021;137(1):91-99.

Vasconcelos CTM, Gomes MLS, Geoffrion R, Saboia DM, Bezerra KC, Vasconcelos Neto JA. Pessary evaluation for genital prolapse treatment: From acceptance to successful fitting. Neurourol Urodyn. 2020 Nov;39(8):2344-2352. doi: 10.1002/nau.24493. Epub 2020 Aug 26. PMID: 32846016.

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

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.

Sanaee MS, Pan K, Lee T, Koenig NA, Geoffrion R. Urinary tract infection after clean-contaminated pelvic surgery: a retrospective cohort study and prediction model. Int Urogynecol J. 2020 Sep;31(9):1821-1828. doi: 10.1007/s00192-019-04119-0. Epub 2019 Oct 31. PMID: 31673797.

Grants
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Grants

Principal Investigator:

CIHR “ Vaginal Surgery for the Pelvic Floor: A Randomized Trial of Synthetic Mesh Versus Synthetic Sutures” 2016-2023

UBC Faculty of Medicine “Summer Student Research Project – Comparison of outcomes between two native tissue pelvic organ prolapse apical suspension techniques” Summer 2023

St. Paul’s Foundation Enhanced Patient Care Fund “Surgery for Pelvic Organ Prolapse – Knowledge translation through whiteboard animation” 2022-2023

DA Boyes Memorial Research Award “Cannabis use in women with chronic and myofascial pelvic pain: A survey” 2020-2022

Michael Smith Foundation for Health Research “ #BePelvicHealthAware: Sharing clinical best practices on pelvic floor health through whiteboard animations, social medica and a dedicated website 2021-2022


Co-Investigator: 

CIHR: Principal Investigator Dr. Lori Brotto “Mobilizing knowledge to improve sexual dysfunction and genito-pelvic pain in women and gender diverse people in Canada, 2023-2027

St. Paul’s Foundation Enhanced Patient Care Fund: Prinicipal Investigator Dr. Geoffrey Cundiff “ Depression and Anxiety Related to Surgical Treatment (DEAREST II): Assessing the impact on prolonged opioid use after surgery, 2023-2024

Projects
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Projects


1. Gong M, Koenig NA, Heng-Hartse S, Harvard S, Munro S, Geoffrion R. Obstetric Anal Sphincter Injuries in women – an educational video*.
    Senior post-graduate supervisor
    Best of Three Category at the Annual Society of Obstetrician Gynaecologists national meeting

2. Gong M, Koenig NA, Heng-Hartse S, Harvard S, Munro S, Geoffrion R. Pelvic Floor Health in women – an educational video*.
    Senior post-graduate supervisor

3. Smith K, Koenig NA, Heng-Hartse S, Harvard S, Munro S, Geoffrion R. Pessaries for pelvic floor disorders – an educational video*.
    Senior post-graduate supervisor

4. Badowski S, Koenig NA, Heng-Hartse S, Harvard S, Munro S, Geoffrion R. Urinary incontinence – an educational video*.
    Senior post-graduate supervisor. r        
 

5. Mann GK, Koenig NA, Heng-Hartse S, Harvard S, Munro S, Geoffrion R. Urinary tract infections – an educational video*.
    Senior under-graduate supervisor

6. Mann GK, Koenig NA, Heng-Hartse S, Harvard S, Geoffrion R. Apical prolapse surgery – an educational video*.
    Senior under-graduate supervisor

 

 *all videos available at www.bepelvichealthaware.ca 

 

Awards
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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