Nancy Ringel, MD, MS
Cards
About
Research
Publications
2024
Effects of Obesity on Urogynecologic Prolapse Surgery Outcomes: A Systematic Review and Meta-Analysis
Ringel N, Lenger S, High R, Alas A, Houlihan S, Chang O, Pennycuff J, Singh R, White A, Lipitskaia L, Behbehani S, Sheyn D, Kudish B, Nihira M, Sleemi A, Grimes C, Gupta A, Balk E, Antosh D. Effects of Obesity on Urogynecologic Prolapse Surgery Outcomes: A Systematic Review and Meta-Analysis. Obstetrical & Gynecological Survey 2024, 79: 409-411. DOI: 10.1097/ogx.0000000000001302.Peer-Reviewed Original ResearchSexual Harassment, Abuse, and Discrimination in Obstetrics and Gynecology
Gupta A, Thompson J, Ringel N, Kim-Fine S, Ferguson L, Blank S, Iglesia C, Balk E, Secord A, Hines J, Brown J, Grimes C. Sexual Harassment, Abuse, and Discrimination in Obstetrics and Gynecology. JAMA Network Open 2024, 7: e2410706. PMID: 38717770, PMCID: PMC11079690, DOI: 10.1001/jamanetworkopen.2024.10706.Peer-Reviewed Original ResearchConceptsOB-GYN rotationOb-gynsSexual harassmentSurgical specialtiesPrevalence of sexual harassmentObstetrics and GynecologyPerpetrators of harassmentIncidents of harassmentFear of retaliationFrequency of sexual harassmentCertainty of evidenceAssociated with improved recognitionRisk of biasGynecologic oncologistsDecreased incidenceHarassing behaviorsOperating room staffSexual coercionHarassmentEligible studiesMedical studentsFull-text articlesWorkplace discriminationGender harassmentSexual attentionViews and values of the uterus across the united states – a multicenter mixed-methods analysis (VUterus)
Chang O, Huynh A, Ringel N, Hudson P, Halder G, Winkelman W, Ton J, Davidson E, Meriwether K. Views and values of the uterus across the united states – a multicenter mixed-methods analysis (VUterus). American Journal Of Obstetrics And Gynecology 2024, 230: s1162-s1163. DOI: 10.1016/j.ajog.2024.02.042.Peer-Reviewed Original ResearchSexual harassment, bullying, abuse, and discrimination among obgyn physicians and trainees: a systematic review
Gupta A, Thompson J, Ringel N, Kim-Fine S, Ferguson L, Blank S, Iglesia C, Balk E, Secord A, Hines J, Brown J, Grimes C. Sexual harassment, bullying, abuse, and discrimination among obgyn physicians and trainees: a systematic review. American Journal Of Obstetrics And Gynecology 2024, 230: s1273-s1274. DOI: 10.1016/j.ajog.2024.02.198.Peer-Reviewed Original ResearchEffects of Obesity on Urogynecologic Prolapse Surgery Outcomes
Ringel N, Lenger S, High R, Alas A, Houlihan S, Chang O, Pennycuff J, Singh R, White A, Lipitskaia L, Behbehani S, Sheyn D, Kudish B, Nihira M, Sleemi A, Grimes C, Gupta A, Balk E, Antosh D. Effects of Obesity on Urogynecologic Prolapse Surgery Outcomes. Obstetrics And Gynecology 2024, 143: 539-549. PMID: 38330397, DOI: 10.1097/aog.0000000000005525.Peer-Reviewed Original ResearchBody mass indexPelvic organ prolapseProlapse recurrenceProlapse repairSurgical outcomesSurgical approachSurgery outcomesOutcomes of pelvic organ prolapseMeta-analysisCategories of body mass indexPelvic organ prolapse repairVaginal prolapse repairAssociated with increased likelihoodFull-text screeningEffect of obesityPOP repairOrgan prolapseMesh exposureObese categoryMesh complicationsMass indexNonrandomized studiesIncreased oddsSubjective outcomesCochrane Database
2023
Estimated National Cost of Pelvic Organ Prolapse Surgery in the United States
St Martin B, Markowitz M, Myers E, Lundsberg L, Ringel N. Estimated National Cost of Pelvic Organ Prolapse Surgery in the United States. Obstetrics And Gynecology 2023, 143: 419-427. PMID: 38128098, DOI: 10.1097/aog.0000000000005485.Peer-Reviewed Original ResearchPelvic organ prolapse surgeryPOP surgeryProlapse surgeryAnnual national costNational costTenth Revision diagnosis codesUtilization Project National Inpatient SampleCurrent Procedural Terminology codesPopulation-based studyRevision diagnosis codesNational Inpatient SampleAge 50 yearsProcedural Terminology codesHealth care professionalsTotal national costMajority of casesCost-effectiveness analysisConcomitant hysterectomySurgical characteristicsTotal surgeriesDiagnosis codesInpatient SampleSurgical correctionSurgical casesTerminology codesHealth Care Disparities in Patients Undergoing Hysterectomy for Benign Indications
Wieslander C, Grimes C, Balk E, Hobson D, Ringel N, Sanses T, Singh R, Richardson M, Lipetskaia L, Gupta A, White A, Orejuela F, Meriwether K, Antosh D. Health Care Disparities in Patients Undergoing Hysterectomy for Benign Indications. Obstetrics And Gynecology 2023, 142: 1044-1054. PMID: 37826848, DOI: 10.1097/aog.0000000000005389.Peer-Reviewed Original ResearchConceptsHealth care disparitiesBenign indicationsCare disparitiesVaginal hysterectomyMedicare insuranceHysterectomy complicationsPatient-level outcomesMultivariable regression analysisInvasive hysterectomy proceduresHealth care systemPrior hysterectomyStrength of associationLaparoscopic hysterectomyBlack patientsMultivariable analysisSurgical outcomesPoor outcomeInsurance statusRisk markersIndependent associationEligible studiesSTUDY SELECTIONHysterectomy proceduresHysterectomyHispanic ethnicityThe effect of 12-month postoperative weight change on outcomes following midurethral sling for stress urinary incontinence: a secondary analysis of the ESTEEM and TOMUS randomized trials
Getaneh F, Ringel N, Kolm P, Iglesia C, Dieter A. The effect of 12-month postoperative weight change on outcomes following midurethral sling for stress urinary incontinence: a secondary analysis of the ESTEEM and TOMUS randomized trials. International Urogynecology Journal 2023, 34: 2809-2816. PMID: 37750917, DOI: 10.1007/s00192-023-05654-7.Peer-Reviewed Original ResearchConceptsMixed urinary incontinenceStress urinary incontinencePostoperative weight changeMidurethral slingUrinary incontinenceSUI curePrimary outcomeUUI episodesWeight changeBody weightHigher baseline body mass indexTreatment of SUISecondary analysisBaseline body mass indexWeight gainWeight lossSUI cure ratesMulticenter Randomized TrialImpact of obesityBody mass indexHigh smoking ratesMethodsThis secondary analysisGreater improvementMUS placementPerioperative variables
2022
Exploring Patient Perspectives Surrounding Telemedicine Versus In-Person Preoperative Visits
Davenport A, Brunn E, Creswell M, Sholklapper T, Ringel N, Gutman R. Exploring Patient Perspectives Surrounding Telemedicine Versus In-Person Preoperative Visits. Urogynecology 2022, 29: 545-551. PMID: 36701389, DOI: 10.1097/spv.0000000000001310.Peer-Reviewed Original ResearchConceptsTelemedicine visitsPreoperative visitPerson visitsVisit contentPreoperative physical examinationSingle academic institutionRole of telemedicineInvasive gynecologic surgeonsHigh satisfactionSurgical severityPreoperative appointmentOffice visitsGynecologic surgeryPhysical examinationSurgical preparednessUrogynecologic surgeonsPatient's perspectiveSurgical experiencePatient experienceGynecologic surgeonsVisitsSurgical specialtiesSurgeons' perceptionsPhone interviewsSurgeryAssociation of Artificially Sweetened Beverage Consumption and Urinary Tract Cancers in the Women’s Health Initiative Observational Study
Ringel N, Hovey K, Andrews C, Mossavar-Rahmani Y, Shadyab A, Snetselaar L, Howard B, Iglesia C. Association of Artificially Sweetened Beverage Consumption and Urinary Tract Cancers in the Women’s Health Initiative Observational Study. European Urology Open Science 2022, 47: 80-86. PMID: 36601047, PMCID: PMC9806707, DOI: 10.1016/j.euros.2022.11.016.Peer-Reviewed Original ResearchWomen's Health Initiative Observational StudyUrinary tract cancerTract cancerHigh riskBeverage consumptionObservational studyKidney cancerPostmenopausal womenFrequent consumptionSecondary analysisCancer diagnosisCox regression modelLongitudinal prospective studySweetened Beverage ConsumptionMean followHazard ratioRegression modelsProspective studyPotential confoundersBladder cancerClinical centersBeverage intakeCancer incidenceInclusion criteriaSubsequent visits
Academic Achievements & Community Involvement
Clinical Care
Overview
Nancy Ringel, MD, MS, is a urogynecologist, an obstetrician-gynecologist who specializes in female pelvic reconstruction surgery.
Growing up, Dr. Ringel says she knew she wanted a career that involved science, but it wasn’t until she was serving in the Peace Corps in Zambia when she decided health care was for her.
“I thought primary care would be the place for me because I loved forming relationships with patients and helping them improve their lives. But my first rotation in medical school was surgery, and I fell in love with it. My whole plan went out the window,” Dr. Ringel says. “But then when I did my Ob/Gyn rotation, I realized I could have the best of both worlds.”
Dr. Ringel says she finds surgery gratifying. “In the span of a few hours, I can fix someone’s problem and really improve their condition. I love helping my patients live their best lives,” she says.
She acknowledges that many of the troubles patients come to her for—including incontinence and pelvic organ prolapse—are often embarrassing to them.
“So many people don’t realize that these problems are common and can be helped,” Dr. Ringel says. “They think it’s a normal part of aging or from having children. They are told they should just accept it. But there have been many advancements in surgical techniques, and we have so much more research on these issues. Instead of living with discomfort, we can offer treatments that are solutions.”
When she first meets patients, Dr. Ringel says she lets them know the visit is centered around their needs. “I tell them that these are issues I deal with every day and we have lots of treatment possibilities. My primary role is to give them information about what their options are and to help them make informed decisions,” she says.
Dr. Ringel’s research interests include addressing health disparities and making care more equitable.
Clinical Specialties
Fact Sheets
Pelvic Organ Prolapse
Learn More on Yale MedicineUrinary Incontinence in Women
Learn More on Yale MedicineStress Incontinence
Learn More on Yale MedicineMR Defecography for Pelvic Organ Prolapse
Learn More on Yale Medicine
Board Certifications
Female Pelvic Medicine & Reconstructive Surgery
- Certification Organization
- AB of Obstetrics & Gynecology
- Original Certification Date
- 2023
Obstetrics & Gynecology
- Certification Organization
- AB of Obstetrics & Gynecology
- Latest Certification Date
- 2023
- Original Certification Date
- 2019