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Women's Health and Education Center (WHEC)

Neena Agarwala, M.D.

Address Telephone Number
UMA 4581 402-559-4212 – office
983255 Nebraska Medical Center 402-559-5015 – office fax
Omaha, NE 68198-3255 Email: nagarwala@unmc.edu
USA

Objective

Providing comprehensive gynecological and urogynecological care, and participating in student, resident teaching along with research and surgical activities.

Special Interests

Laparoscopic Hysterectomy and Myomectomy.
Laparoscopic Management of Pelvic Pain and Endometriosis.
Laparoscopic and vaginal Urinary Incontinence Procedures.
Laparoscopic and vaginal Pelvic Prolapse Procedures.
Laparoscopic Infertility Surgery.
Laparoscopic Lysis of Adhesions.
Interstim placement for Intractable urgency, frequency.

Education and Training

  1. Fellowship in Advanced Laparoscopic and Urogynecological Surgery, sponsored by American Association of Gynecological Laparoscopists (AAGL) and Society of Reproductive Medicine (SRM), Preceptor : Dr. C.Y. Liu, M.D., Director, Chattanooga Women's Laser Center. 7/2001-7/2002.
  2. PGY 4, Chief Resident, OB/GYN, Penn State Geisinger Health System, Danville. 7/99 -6/2000
  3. PGY 2-3, Obstetrics & Gynecology, Penn State Geisinger Health System, Danville. 6/97 -6/99.
  4. PGY-2, Obstetrics and Gynecology, University of California at Los Angeles. Aug 96 - Nov 96.
  5. PGY-1, Obstetrics and Gynecology, University of California at San Francisco. June 95- July 96.
  6. M.D., Milton S. Hershey Medical Center, The Pennsylvania State University, May 1995.
  7. M.S., Molecular and Cell Biology, The Pennsylvania State University, 1990, G.P.A. - 4.0 / 4.0.
  8. B.Pharm., Pharmaceutical Sciences, Birla Institute of Technology, India.1986, G.P.A.- 3.94/4.0.

Fellowship Training

Extensive training in complex laparoscopic procedures with special emphasis on Endometriosis, Pelvic Floor Reconstruction, Urogynecologic and Reproductive Surgery procedures.

Residency Training

Excellent evaluations throughout the residency training. Developed strong interest in providing most compassionate and humane care to a multicultural and diverse population. Actively involved in resident and medical student teaching. Worked on clinical research topics such as evaluating the largest vertical pocket of amniotic fluid as an indicator of Amniotic Fluid Index. Observational training in advanced endoscopic surgery for one month with Drs. C.Y.Liu and C. Koh.

Clinical Work Experience

  1. Assistant Professor, Dept of Obstetrics and Gynecology, Urogynecology and Advanced Laparoscopic Surgery, University of Nebraska Medical Center, Omaha, NE, Oct 2002 – current.
  2. Consultant for Labor and Delivery at Eastridge Hospital, Chattanooga, TN, Aug 2001-June 2002.
  3. Staff Physician at Nason Hospital, Roaring Springs, PA, July 2000-June 2001.

Currrent Research Activities

  1. An Open-Label Study of the Efficacy and Safety of 5 and 10 mg Vesicare ( Solifenacin Succinate) in patients with Overactive Bladder Symptoms. VOLT Vesicare Open-Label Trial Principal Investigator for UNMC site. IRB approval # 290-04 FB.
  2. Comparison of Efficacy, Cost-Effectiveness, and Patient Satisfaction of Ondansetron or Granisetron plus Dexamethasone or Dexamethasone alone in Preventing Post-Operative Nausea and Vomiting. PONV Study Secondary Investigator and Primary surgeon. IRB approval # 156-03 FB
  3. Urethral Retro-Resistance Pressure correlation with Urodynamic Measurements in normal Females using Gynecare Monitorr Device – Residency Program Education.
  4. Laparoscopic Surgical and Urogynecological minimally invasive surgery evaluations.

Clinical Advancement Activities

  1. Laparoscopic Task Force, Gynecology Representative at The Nebraska Medical Center
  2. Educational Speaker for Pfizer, Watson, Wyeth, Odyssey and Yamanouchi.
  3. Storz Hysteroscopic Advances, Boston, March 2005.
  4. SIS Summit – Multidisciplinary conference for biomaterials, Cook Biotech., Santa Fe, March 2005.
  5. Speaker’s Bureau program for Odyssey, February 2005.
  6. Gynecare TVT-O Training Program, January 2004.
  7. Boston Scientific Innovations in Pelvic Floor Reconstruction and Stress Urinary Incontinence Program, September 2004.
  8. Interstim Therapy Training Program, August 2003.
  9. Cook Stratasis Mentor Program, June 2003.

Research Work Experience

  1. Research Scientist, October 1986-August 1991, Zetachron, Inc., State College, Pennsylvania.
    Co-Inventor on two U.S. patents for sustained release super cooling drug formulations and enteric acting dosage forms.

    Designed and developed dosage forms for controlled-release oral and buccal delivery systems for drugs under these categories: analgesics, antihypertensives, CNS stimulants, bronchodilators, antiemetics, antihistamines, antibiotics, hormones, and vitamins.Worked on stability and kinetics of new dosage forms using dissolution apparatus, spectrometry, chromatography, and pH meters.

  2. M.S. Thesis on Parathyroid Hormone receptors on osteoclasts, June 1989 - December 1990.
    Used gel chromatography, iso-electric focusing, advanced light and fluorescence microscopy. Presented a poster and a seminar on this research work at a graduate research exhibition and at the American Society for Cell Biology meeting.
    Graduate coursework: Neurophysiology, Evaluation of Cell Functions, Molecular Biology and Cell Regulation, Tumor Virology and Oncology, Carbohydrates, and Mathematical Methods.

Academic Honors and Awards

Earned academic grade of honors and excellent evaluations in all clerkships during the third and forth year of medical school. High scores on all. National Board Subject Examinations for clerkships (93rd-100th percentile). Consistently achieved honors grade and top rank in almost all courses, both basic science and clinical, during the first two years of medical school.

AWARDS

  1. Jerome J Hoffman Postgraduate Prize at the AAGL 33rd Annual Meeting, San Francisco, November 2004.
  2. Best Fellow Award -2002 at The Chattanooga Women’s Laser Center by Hospital and OR Staff.
  3. Best Resident Teaching Award for 1999-00 at PSGHS by Thomas Jefferson Medical Student Committee
  4. Selected for the 1999 ACOG Wyeth-Ayerst Resident Reporter Program for ACOG
  5. Berlex Laboratories PGY-2 Best Teaching Resident Award for 1997-98 at PSGHS
  6. Selected for the 1998 CREOG/Wyeth-Ayerst Educational Resident Reporter Program.
  7. Alpha Omega Alpha Medical Honor Society, elected during the junior year of medical school
  8. Hammond Award for outstanding academic performance in the first, second, and third year of medical school. Only student in medical school class to win the award for three consecutive years
  9. Virchow Prize for excellence in Pathology from the Department of Pathology in 1993
  10. First Rank holder in thel 986 batch of B.Pharm students and University-wide gold medalist
  11. G.P. Nair Award from the Indian Drug Manufacturers Association in 1986.

Publications

  1. Agarwala, N. Laparoscopic hysterectomy for morbidly obese patients, Submitted for presentation at the AAGL 34th Annual Meeting
  2. Agarwala, N., Cohen, A. Experience with Laparoscopic Hysterectomy in a teaching University Hospital. Submitted for presentation at the AAGL 34th Annual Meeting
  3. Agarwala, N. Laparoscopic bilateral uterosacral ligament suspension for vaginal prolapse. Submitted for presentation at the AAGL 34th Annual Meeting
  4. Agarwala, N, Briggs, A,. Laparoscopic Sacral Colpopexy for recurrent vault prolapse, Video presentation for the AAGL 34th Annual Meeting
  5. Agarwala, N. To compare synthetic and biologic materials for tension free sling in women with stress incontinence. Presented at American College of Obstetricians and Gynecologists’ 53rd Annual Clinical Meeting, May 2005.
  6. Agarwala, N. Ortiz, A., Colpocleisis and tension-free vaginal sling for pelvic prolapse and stress urinary incontinence. Presented at American College of Obstetricians and Gynecologists’ 53rd Annual Clinical Meeting, May 2005.
  7. Agarwala, N. To identify urodynamic characteristics of long term Burch colposuspension failures. Presented at American College of Obstetricians and Gynecologists’ 53rd Annual Clinical Meeting, May 2005.
  8. Agarwala, N., Liu, C.Y. Safe entry Techniques During Laparoscopy: Left Upper quadrant Entry Technique Using the Ninth Intercostal Space – A Review of 918 Cases. The Journal of Minimally Invasive Surgery, Vol 12, No 1, 55-61.
  9. Agarwala, N., Liu, C.Y. To evaluate biomaterials for mid-urethral sling procedures. American College of Obstetricians and Gynecologists’ 52nd Annual Clinical Meeting, May 2004.
  10. Agarwala, N. Simple technique for reduction of post-operative gas pain after Laparoscopy. American College of Obstetricians and Gynecologists’ 52nd Annual Clinical Meeting, May 2004.
  11. Agarwala, N., Liu, C.Y. Laparoscopic Uterosacral Vault or Uterine suspension: Our experience. The Journal of the American Association of Gynecologic Laparoscopists, Vol. 10, No. 3 Supplement, Aug 2003.
  12. Agarwala, N., Liu, C.Y. Minimally Invasive Management of Stress Urinary Incontinence. Current Opinions in Obstetrics and Gynecology. October 2002.
  13. Agarwala, N., Liu, C.Y. Laparoscopic Appendectomy - A review of 317 cases. The Journal of the American Association of Gynecologic Laparoscopists, 10(2), 166-168, 2003.
  14. Agarwala, N., Liu, C. Y. Long term results of Laparoscopic Burch Colposuspension. Submitted to The Journal of American Association of Gynecologic Laparoscopists.
  15. Agarwala, N., Liu, C. Y. Urinary Incontinence in Women and Current Treatments. Chapter for a book published in Argentinia.
  16. Agarwala, N., Nair, S.G., Ghosh, T.K. Experience with Neoadjuvant Methotrexate, Vincristine, Adriamycin, Cisplatin (MVAC) in Locally Advanced Cervical Carcinoma Proceedings of American Society of Clinical Oncology 2000; vol.19; 9: 1569.
  17. Agarwala, N and Gay, C.V. Specific Binding of Parathyroid Hormone to Living 0steoclasts. Journal of Bone and Mineral Research 1992; vol. 7; 9: 531-539.
  18. Snipes, W and Agarwala, N. The Molecular Basis of Human Disease and approaches to its treatment. Science and People - The Woodburn Press, 1993. ISBN 0-9612798-5-0. This book was intended for youngsters to motivate them to study life sciences, and for a large adult population that had little knowledge of human diseases.

Continuing Medical Education

  1. American College of Obstetricians and Gynecologists,
    53rd Annual Clinical Meeting, San Francisco, May, 2005.
  2. International Congress of Gynecologic Endoscopy
    AAGL 33rd Annual Meeting, San Francisco, November, 2004
  3. American College of Obstetricians and Gynecologists,
    52nd Annual Clinical Meeting, Philadelphia, May, 2004.
  4. International Congress of Gynecologic Endoscopy
    AAGL 32nd Annual Meeting, Las Vegas, November, 2003
    PG Courses: Complications of Laparoscopic Surgery, Hysterectomy Alternatives.
    Plenary session speaker: Laparoscopic Uterosacral Vault or Uterine Suspension
  5. Osler Institute Review Course in Obstetrics and Gynecology,
    Philadelphia, May, 2003
  6. International Congress of Gynecologic Endoscopy
    AAGL 31st Annual Meeting, Miami, November, 2002
    PG Courses: Laparoscopic Surgery-Outer limits, Laparoscopic Pelvic Floor reconstruction.
    Plenary session speaker: Laparoscopic Appendectomy Experience.
  7. International Congress of Gynecologic Endoscopy
    AAGL 30th Annual Meeting, San Francisco, November, 2001
    PG Courses: Laparoscopic Management of Endometriosis, Laparoscopic Urogynecology
  8. American College of Obstetricians and Gynecologists
    District III, 2000 Annual Meeting, Philadelphia, October, 2000
    Poster Presentation: Experience with Neoadjuvant MVAC in Locally Advanced Cervical Cancer.
  9. Obstetrics and Gynecology Review Course, Chicago Area Schools of Medicine, Chicago, June, 2000.
  10. American Society of Clinical Oncology
    Poster Presentation: Experience with Neoadjuvant MVAC in Locally Advanced Cervical Cancer.
  11. Advances in Gynecologic Surgery and Oncology
    36th Annual Clinical Meeting, New Orleans, May, 2000
    Course Directors: Dr. Philip DiSaia and William T. Creaseman
  12. Seventeenth Annual Houston Everett Memorail Course in Urogynecology
    Course Director: Dr. Cundiff, Johns Hopkins, Baltimore, February, 2000
  13. American College of Obstetricians and Gynecology
    ACOG 47th Annual Clinical Meeting, Philadelphia, May, 1999
    Clinical Seminars: Preeclampsia and Hypertension: Prevention and Management, Gynecologic Oncology for the general OB/GYN, Management of abnormal pap smears.
  14. International Congress of Gynecologic Endoscopy
    AAGL 27th Annual Meeting, Atlanta, November, 1998
    PG Courses: Pelvic Floor Reconstruction, Laparoscopic Hysterectomy
  15. Advances in Female Voiding Dysfunction and Pelvic Disorders
    Conducted by The Cleveland Clinic Foundation, October, 1998
    Course Directors: Rodney A. Appell, M.D. and Mark D. Walters, M.D.
  16. Advanced Endoscopic Surgery with hands-on laparoscopy lab
    Conducted by AAGL and Ethicon Endo-Surgery Institute, August, 1998
    Course Directors: Grace M Janik, M.D. and Charles H. Koh, M.D.
  17. Advanced Endoscopic Gynecologic Surgery with hands-on lapraroscopy lab
    Conducted by AAGL and Ethicon Endo-Surgery Institute, June, 1998
    Course Directors: Mark W. Surrey, M.D., Thomas L. Lyons, M.D., and C. Y. Liu, M.D.
  18. All Michigan OB/GYN Review Course - May 18-22,1998
  19. Advanced Gynecological Surgery
    Course Directors: Michael S. Baggish, M.D. and John L. Marlow, M.D., January, 1998
  20. Advances in Gynecology: Modem Management of Uterine Fibroids and Endometriosis, Palm Springs,1995

Presentations

  1. Women’s Watch Program – Lecture on Urinary Incontinence in Women, May 2005.
  2. Cadaver Lab, Laparoscopic Principles Workshop, Urogynecology Procedures Resident Lecture Series, 2004-2005.
  3. It happens to the best of Us - Speaker at the Olson Center Brown Bag Lecture Series, University of Nebraska Medical Center, Omaha, April 2005.
  4. Management of Overactive Bladder- Trospium as a new medication– Speaker at Urology and Family Practice Groups, Sioux Falls, March, 2005.
  5. Urodynamic Principles, Resident Lecture Series, March, 2005.
  6. Urogynecological Surgery, Laparoscopic Hysterectomy and Menopause – Operating Room Personell Morning Lecture Series, University of Nebraska Medical Center, Three lectures in 2004
  7. Management of Overactive Bladder – Speaker at Family Practice Grand Rounds, University of Nebraska Medical Center, Omaha, September 2004.
  8. Laparoscopic Hysterectomy – Wyeth Representative Teaching Program, March 2004.
  9. Advances in Hysteroscopic surgery – Grand Rounds, Department of Obstetrics and Gynecology, University of Nebraska Medical Center, March 2004.
  10. There is help for Incontinence – Nursing Students Educational Program, University of Nebraska, Omaha, April 2004-5.
  11. Management of Overactive Bladder – Speaker at four outreach programs, University of Nebraska Medical Center, Omaha, January- February 2004.
  12. There is help for Incontinence – Speaker at the Olson Center Brown Bag Lecture Series, University of Nebraska Medical Center, Omaha, January 2004.
  13. What’s New in Incontinence – Grand Rounds, Department of Obstetrics and Gynecology, University of Nebraska Medical Center, August 2003.
  14. Advanced Laparoscopy – Grand Rounds, Department of Obstetrics and Gynecology, University of Nebraska Medical Center, March 2003.
  15. Evaluation of Incontinence – 32nd, 33rd and 34th Annual Family Practice Review Course, Best practices for the 21st century, University of Nebraska Medical Center, April 2003-5.
  16. Surgical Anatomy, Laparoscopic Evaluation of the pelvis, Electrosurgical principles in surgery – Resident Lectures, Department of Obstetrics and Gynecology, University of Nebraska Medical Center, 2002-2003.
  17. Pelvic Organ Prolapse and Urinary Incontinence – 3rd year Student Lectures, Department of Obstetrics and Gynecology, University of Nebraska Medical Center, 2002-2005.
  18. Normal reproduction and Infertility – 2nd year Medical Student Lecture, College of Medicine, University of Nebraska Medical Center, 2002-2004.
  19. Normal menstrual cycle, Menorrhagia and Metrorrhagia – 2nd year Medical Student Lecture, College of Medicine, University of Nebraska Medical Center, 2002-2005.
  20. The menstrual cycle and abnormalities – Introduction to Medicine Lecture, Physician Assistant Program, University of Nebraska Medical Center, 2002-2004.
  21. There is help for Incontinence – Speaker at the Spring Women’s Conference, Renew, Refresh, Revive: A Day of Women’s Wellness, Omaha, March 2003.
  22. Common Medical Conditions of Aging – Speaker at the 6th Annual Omaha Women’s Health and Wellness Conference, October 2003.
  23. Surgical principles of Incontinence Surgery – Women’s Lecture Series at the Eastridge Hospital, Chattanooga, April 2002.

Certification

American Board of Obstetrics and Gynecology (ABOG) Oral Examination– completed in 12/04
Written examination for ABOG -completed in 6/2001.
Completed United States Medical Licensing Examinations Step-I. II, and III.
CREOG In-Training Examination-Standardized scores: 242 -PGY-1, 239 -PGY-2, 236 -PGY-3&4

Licensure

Licensed to practice in the state of Pennsylvania, Nebraska and Tennessee

Memberships

The American Association of Gynecological Laparoscopists,
The American College of Obstetricians and Gynecologists,
American Medical Association,
Alpha Omega Alpha,
California Medical Association and Pennsylvania Medical Society,
American Association for Advancement of Science.

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