Tyler Muffly, MD

Associate Professor, OB-GYN-Female Pelvic Med and Recon Surg

FacultyPhoto

Website

Medical School
  • MD, Jefferson Medical College of Thomas Jefferson University (2004)
Undergraduate School
  • BA, University of Denver (CO) (2000)
Residency
  • University of Missouri at Kansas City Program, Chief Resident, Obstetrics and Gynecology (2008)
Fellowships
  • Cleveland Clinic Foundation Program, Urogynecology & Reconstructive Pelvic Surgery (2012)
Languages
English
Department
OB-GYN-Female Pelvic Med and Recon Surg

Professional Titles

  • Associate Professor

Recognitions

  • Humanism Award, Department of OBGYN (2017)
  • Alpha Omega Alpha Faculty Member, Alpha Omega Alpha (2019)
  • Honor Your Mentor Recipient, Society of Gynecologic Surgeons (2022)
  • Stuart A. Gottesfeld Award For Most Outstanding Faculty Teaching Award, Department of OBGYN (2021)
  • William D. Schlaff Mentorship Award, Department of OBGYN (2021)

Research Interests

My research interests focus on how fibroid tumors of the uterus impact prolapse and incontinence. I also have a passion for creating simulators that use instruments similar to chopsticks to teach minimally invasive procedures to residents and fellows. Every day we use surgical thread, called suture, in the operating room. I enjoy studying the best ways to tie suture to make the strongest and smallest knots imaginable.

Publications

  • Am J Obstet Gynecol. 2013 Jan;208(1):54.e1-5. Common postoperative pulmonary complications after hysterectomy for benign indications. Solomon ER, Muffly TM, Barber MD.
  • Muffly TM, Iqbal IJ, Binder P, Shoup B. Female Pelvic Medicine and Reconstructive Surgery Match: A Survey of the 2012 Applicant Pool. Association of Professors of Gynecology and Obstetrics Poster Presentation.
  • Heeringa A, Muffly TM. Attributes that Accredited and Unaccredited Program Directors Desire in an Applicant: A Planned Ancillary Analysis. Association of Professors of Gynecology and Obstetrics Poster Presentation.
  • Muffly TM, Soto E, Walters MD, Falcone T. Bowel Surgery for the Benign Gynecologist. Presented at the 41st AAGL Global Congress.
  • Muffly TM, Kow NS. Effect of obesity on patients undergoing vaginal hysterectomy. J Minim Invasive Gynecol. 2014 Mar-Apr;21(2):168-75. PubMed PMID: 23933353
  • Muffly TM, Calderwood CS, Davis KM, Connell KA. “The Fate of Abstracts Presented at the Annual Meetings of the American Urogynecologic Society from 2007 to 2008.” Journal of Female Pelvic Medicine and Reconstructive Surgery.
  • Bastow B, Weterings R, Davis KM, Connell K, Muffly TM. “Demographic Characteristics and Geographic Distribution of the Practicing Members from the Society of Gynecologic Surgeons”
  • Jiang S, Davis KM, Connell K, Muffly TM. “Knot integrity as function of suture length: Longer does not mean stronger”
  • Muffly TM, Weterings R, Barber MD, Davis KM, Connell KA. “Where are the ACGME Accredited Fellowships in Female Pelvic Medicine and Reconstructive Surgery Located?”
  • Solomon E, Muffly TM, Paraiso MFR. Laparoscopic Enterocele Repair. Presented at the 41st AAGL Global Congress.
  • Muffly TM. On-Line Case of the Month: "MRSA Complicating Placement of a Sacral Nerve Stimulator." International Academy of Pelvic Surgery.
  • Solomon E, Muffly TM, Hood C, Attaran M. Residency Training In Pediatric and Adolescent Gynecology Across Obstetrics and Gynecology Residency Programs: A Cross-Sectional Study. North American Society for Adolescent and Pediatric Gynecology.
  • Shatkin-Margolis A, Kow N, Patonai N, Boin MA, Dziadek O, Muffly TM. “The Effect of an Air Knot on Surgical Knot Integrity.”
  • Iqbal, IJ, Sareen P, Shoup B, Muffly TM. “Attributes of Successfully Matched vs. Unmatched Obstetrics and Gynecology Fellowship Applicants.” American Journal of Obstetrics and Gynecology.
  • Tunitsky-Bitton E, King C, Barber MD, Ridgeway B, Lee T, Muffly TM, Paraiso MFR, Jelovsek JE. “Development and Validation of A Laparoscopic Sacrocolpopexy Simulation Model for Surgical Training.”
  • Muffly TM. “How to be a Successful Applicant for Female Pelvic Medicine and Reconstructive Surgery Fellowship.” Roundtable presentation at the 39th Annual American Urogynecologic Society.
  • Unger C, Tunitsky-Bitton E, Muffly TM, Barber MD. “Neuroanatomy, Neurophysiology, and Dysfunction of the Female Lower Urinary Tract: A Review” Female Pelvic Medicine and Reconstructive Surgery. March/April 2014, Volume 20, Issue 2.
  • Muffly TM, Strong S, Walters MD. “Small Bowel Surgery for the Benign Gynecologist”. April 2014 at the Society of Gynecologic Surgeons.
  • Muffly TM, Davis, K. “Diagnosis of Urogenital Fistula in the Office”. July 2014 at the American Urogynecologic Society.
  • Eight blog posts at urogyn.coloradowomenshealth.com.
  • Muffly TM, Weterings R, Barber MD, Steinberg AC. Discrepancies in the Female Pelvic Medicine and Reconstructive Surgeon Workforce. Female Pelvic Med Reconstr Surg. 2014 Oct 27. [Epub ahead of print] PubMed PMID: 25349940
  • Muffly TM, Strong SA, Walters MD. Small bowel surgery for the gynecologist specializing in benign disease. Int Urogynecol J. 2014 Oct 25. [Epub ahead of print] PubMed PMID: 25344224
  • Solomon ER, Muffly TM, Hull T, Paraiso MF. Laparoscopic repair of recurrent lateral enterocele and rectocele. Int Urogynecol J. 2014 Sep 16. [Epub ahead of print] PubMed PMID: 25224146
  • Shatkin-Margolis A, Kow N, Patonai N, Boin M, Muffly TM. The Effect of an Air Knot on Surgical Knot Integrity. Female Pelvic Med Reconstr Surg. 2014 Sep 2. [Epub ahead of print] PubMed PMID: 25185596
  • Guntupalli SR, Doo DW, Guy M, Sheeder J, Omurtag K, Kondapalli L, Valea F, Harper L, Muffly TM. Preparedness of Obstetrics and Gynecology Residents for Fellowship Training. Obstet Gynecol. 2015 Sep;126(3):559-68. PubMed PMID: 26244537
  • Muffly TM, Weterings R, Barber MD, Steinberg AC. Discrepancies in the female pelvic medicine and reconstructive surgeon workforce. Female Pelvic Med Reconstr Surg. 2015 Mar-Apr;21(2):99-105. PubMed PMID: 25349940
  • Tunitsky-Bitton E, Propst K, Muffly T. Development and validation of a laparoscopic hysterectomy cuff closure simulation model for surgical training. Am J Obstet Gynecol. 2015 Nov 30. [Epub ahead of print] PubMed PMID: 26640072
  • Muffly TM, Webster K, Conageski C, Guiahi M. Predictors of Manuscript Publication: A Review of Obstetrics and Gynecology Society Meeting Abstracts. Female Pelvic Med Reconstr Surg. 2015 Nov 21. [Epub ahead of print] PubMed PMID: 26516807
  • Muffly TM, Strong SA, Walters MD. Small bowel surgery for the gynecologist specializing in benign disease. Int Urogynecol J. 2015 Apr;26(4):611-2. PubMed PMID: 25344224
  • Solomon ER, Muffly TM, Hull T, Paraiso MF. Laparoscopic repair of recurrent lateral enterocele and rectocele. Int Urogynecol J. 2015 Jan;26(1):145-6. PubMed PMID: 25224146
  • Shatkin-Margolis A, Kow N, Patonai N, Boin M, Muffly TM. The effect of an air knot on surgical knot integrity. Female Pelvic Med Reconstr Surg. 2015 May-Jun;21(3):160-3. PubMed PMID: 25185596
  • International Academy of Pelvic Surgery, Venous Thromboemoblism Prophylaxis for Gynecologic Surgery
  • Urban RR, Ramzan AA, Doo DW, Galan HL, Harper L, Omurtag K, Muffly TM, Sheeder J, Guntupalli SR. Fellow perceptions of residency training in obstetrics and gynecology. Am J Obstet Gynecol. 2018 Jan 17. [Epub ahead of print] PubMed PMID: 29353035
  • Muffly MK, Singleton M, Agarwal R, Scheinker D, Miller D, Muffly TM, Honkanen A. The Pediatric Anesthesiology Workforce: Projecting Supply and Trends 2015-2035. Anesth Analg. 2018 Feb;126(2):568-578. PubMed PMID: 29116973
  • Muffly MK, Medeiros D, Muffly TM, Singleton MA, Honkanen A. The Geographic Distribution of Pediatric Anesthesiologists Relative to the US Pediatric Population. Anesth Analg. 2017 Jul;125(1):261-267. PubMed PMID: 27984248
  • Khoury H, Corral J, Muffly T. “I Have a Tear Down There?” Implementing a Three-dimensional Anatomical Education Tool Into Post-partum Perineal Laceration Care.
  • Khorshid A, Vu N, Muffly T. "Silent Hand Signals in Obstetric and Gynecologic Surgery"
  • Muffly TM, Giamberardino WH, Weterings R, Sheeder J. "Industry Payments to Obstetricians and Gynecologists under the Sunshine Act". Obstet Gynecol.
  • Robison E, Gonzalez J, Muffly TM, Keil K. "12 year Experience of Vaginal Hysterectomy and Resident Training."
  • Muffly M, Scheinker D, Muffly T, Singleton M, Agarwal R, Honkanen A. Practice Characteristics of Board-certified Pediatric Anesthesiologists in the US: A Nationwide Survey. Cureus. 2019 Sep 24;11(9):e5745. PubMed PMID: 31723506
  • Gonzalez J, Muffly TM. "Surgeons and Snowboarders: Consumer Video Gear for Filming Vaginal Surgery".
  • Muffly TM, Gonzalez J, Khorshid A, Hajagos J, Kropat G. Medicare Patient Referral Networks to Female Pelvic Medicine and Reconstructive Surgeons Across the United States. Female Pelvic Med Reconstr Surg. 2019 Jul 2. [Epub ahead of print] PubMed PMID: 31274576
  • Gonzalez J, Davidson S, Muffly TM. "Logothetopulos: Control of Intraoperative Hemorrhage with Pelvic Pressure Pack"
  • Muffly TM. "Variation in Patient Referral Networks to Female Pelvic Medicine and Reconstructive Surgeons across the United States"
  • Carrubba AR, Whitmore GT, Radhakrishnan SJ, Sheeder J, Muffly TM. Postoperative infections in women undergoing hysterectomy for benign indications: a cohort study. Minerva Ginecol. 2019 Aug;71(4):263-271. PubMed PMID: 31146518
  • Muffly TM, Witzeman K. "How to Perform the Stirrups Female Pelvic Examination in a Chronic Pelvic Pain Patient"
  • Hamlin AA, Sheeder J, Muffly TM. Brief versus Thong Hygiene in Obstetrics and Gynecology (B-THONG): A survey study. J Obstet Gynaecol Res. 2019 Jun;45(6):1190-1196. PubMed PMID: 30916426
  • Witzeman K, Muffly TM, Carrubba A. "How to Perform the Pre-Examination Female Pelvic Examination in a Chronic Pelvic Pain Patient"
  • Hamlin A, Sheeder A, Muffly TM. "Brief versus Thong Hygiene in Obstetrics and Gynecology (B-THONG): A Survey Study."
  • Lang P, Muffly TM, Whiteside J. "What do Internet-based Patient Evaluations of Obstetricians and Gynecologists Mean?"
  • Koury H, Corral J, Bastow BD, Sheeder J, Muffly TM. A 3-Dimensional Anatomical Education Model in Postpartum Perineal Laceration Care: A Pre-Post Intervention Study. Female Pelvic Med Reconstr Surg. 2019 Mar Apr;25(2):e23-e27. PubMed PMID: 30807431
  • Urban RR, Ramzan AA, Doo DW, Galan HL, Harper L, Omurtag K, Muffly TM, Sheeder J, Guntupalli SR. Fellow Perceptions of Residency Training in Obstetrics and Gynecology. J Surg Educ. 2019 Jan - Feb;76(1):93-98. PubMed PMID: 30093331
  • Cadish LA, Kropat G, Muffly TM. Hysterectomy Volume Among Recent Obstetrics and Gynecology Residency Graduates. Female Pelvic Med Reconstr Surg. 2020 Apr 30. [Epub ahead of print] PubMed PMID: 32371719
  • Muffly TM, Giamberardino WL, Guido J, Weterings R, Bastow B, Sheeder J. Industry Payments to Obstetricians and Gynecologists Under the Sunshine Act. Obstet Gynecol. 2018 Jul;132(1):9-17. PubMed PMID: 29889758
  • Brueseke T, Muffly T, Rayburn W, Connolly A, Nieto M, De La Cruz J, Wu J. Workforce Analysis of Female Pelvic Medicine and Reconstructive Surgery, 2015 to 2045. Female Pelvic Med Reconstr Surg. 2016 Sep-Oct;22(5):385-9. PubMed PMID: 27403757
  • Muffly MK, Muffly TM, Weterings R, Singleton M, Honkanen A. The Current Landscape of US Pediatric Anesthesiologists: Demographic Characteristics and Geographic Distribution. Anesth Analg. 2016 Jul;123(1):179-85. PubMed PMID: 27049856
  • Propst K, Tunitsky-Bitton E, Muffly T. Development and Validation of a Laparoscopic Vaginal Cuff Closure Simulation Model. J Minim Invasive Gynecol. 2015 Nov-Dec;22(6S):S251-S252. PubMed PMID: 27679186
  • Muffly TM, Calderwood CS, Davis KM, Connell KA. The fate of abstracts presented at annual meetings of the american urogynecologic society from 2007 to 2008. Female Pelvic Med Reconstr Surg. 2014 May-Jun;20(3):137-40. PubMed PMID: 24763154
  • Unger CA, Tunitsky-Bitton E, Muffly T, Barber MD. Neuroanatomy, neurophysiology, and dysfunction of the female lower urinary tract: a review. Female Pelvic Med Reconstr Surg. 2014 Mar-Apr;20(2):65-75. PubMed PMID: 24566208
  • Iqbal IJ, Sareen P, Shoup B, Muffly T. Attributes of successfully matched versus unmatched obstetrics and gynecology fellowship applicants. Am J Obstet Gynecol. 2014 Jun;210(6):567.e1-8. PubMed PMID: 24412118
  • Tunitsky-Bitton E, King CR, Ridgeway B, Barber MD, Lee T, Muffly T, Paraiso MF, Jelovsek JE. Development and validation of a laparoscopic sacrocolpopexy simulation model for surgical training. J Minim Invasive Gynecol. 2014 Jul-Aug;21(4):612-8. PubMed PMID: 24462591
  • Solomon ER, Muffly TM, Hood C, Attaran M. Residency training in pediatric and adolescent gynecology across obstetrics and gynecology residency programs: a cross-sectional study. J Pediatr Adolesc Gynecol. 2013 Jun;26(3):180-5. PubMed PMID: 23566793
  • Muffly TM, Ridgeway B, Abbott S, Chmielewski L, Falcone T. Small bowel obstruction after hysterectomy to treat benign disease. J Minim Invasive Gynecol. 2012 Sep-Oct;19(5):615-9. PubMed PMID: 22935302
  • Knight J, Tunitsky-Britton E, Muffly T, Michener CM, Escobar PF. Single-port gynecologic surgery with a novel surgical platform. Surg Innov. 2012 Sep;19(3):316-22. PubMed PMID: 22064489
  • Muffly TM, Barber MD, Karafa MT, Kattan MW, Shniter A, Jelovsek JE. Nomogram to predict successful placement in surgical subspecialty fellowships using applicant characteristics. J Surg Educ. 2012 May-Jun;69(3):364-70. PubMed PMID: 22483140
  • Solomon ER, Muffly TM, Barber MD. Common postoperative pulmonary complications after hysterectomy for benign indications. Am J Obstet Gynecol. 2013 Jan;208(1):54.e1-5. PubMed PMID: 23159691
  • Muffly TM, Espaillat-Rijo LM, Edwards AM, Horton A. Operating room fatigue: is your twentieth surgical knot as strong as your first?. J Surg Educ. 2012 Mar-Apr;69(2):215-7. PubMed PMID: 22365868
  • Muffly TM, Couri B, Edwards A, Kow N, Bonham AJ, Paraíso MF. Effect of petroleum gauze packing on the mechanical properties of suture materials. J Surg Educ. 2012 Jan-Feb;69(1):37-40. PubMed PMID: 22208830
  • Muffly TM, Danford JM, Iqbal I, Barber MD. Assessment of four tissue models on knot tensile strength. J Surg Educ. 2012 Jan-Feb;69(1):13-6. PubMed PMID: 22208825
  • Gibson KS, Muffly TM, Penick E, Barber MD. Factors used by program directors to select obstetrics and gynecology fellows. Obstet Gynecol. 2012 Jan;119(1):119-24. PubMed PMID: 22183219
  • Muffly TM, Paraiso MFR, Gill AS, Barber MD, Rainey MC, Walters MD. Interventional radiologic treatment of pelvic hemorrhage after placement of mesh for reconstructive pelvic surgery. Obstet Gynecol. 2012 Feb;119(2 Pt 2):459-462. PubMed PMID: 22270438
  • Muffly TM, Kow N, Iqbal I, Barber MD. Minimum number of throws needed for knot security. J Surg Educ. 2011 Mar-Apr;68(2):130-3. PubMed PMID: 21338970
  • Muffly TM, Tizzano AP, Walters MD. The history and evolution of sutures in pelvic surgery. J R Soc Med. 2011 Mar;104(3):107-12. PubMed PMID: 21357979
  • Muffly TM, Baquero P, Bonham AJ. Knot integrity as a function of suture expiration. J Surg Educ. 2011 Jan-Feb;68(1):29-31. PubMed PMID: 21292212
  • Muffly TM, Penick ER, Tang F, Bonham AJ, Smith RP, Hill RF, Blandon RE. Factors used by female pelvic medicine and reconstructive surgery fellowship directors to select their fellows. Int Urogynecol J. 2010 Mar;21(3):349-52. PubMed PMID: 19921081
  • Muffly TM, Boyce J, Kieweg SL, Bonham AJ. Tensile strength of a surgeon's or a square knot. J Surg Educ. 2010 Jul-Aug;67(4):222-6. PubMed PMID: 20816357
  • Muffly TM, Penick ER, Tang F, Smith RP, Hill RF, Blandon RE. Attributes of successful and unsuccessful female pelvic medicine and reconstructive surgery fellowship applicants. Female Pelvic Med Reconstr Surg. 2010 Jan;16(1):65-9. PubMed PMID: 22453089
  • Muffly TM, Diwadkar GB, Paraiso MF. Lumbosacral osteomyelitis after robot-assisted total laparoscopic hysterectomy and sacral colpopexy. Int Urogynecol J. 2010 Dec;21(12):1569-71. PubMed PMID: 20532751
  • Muffly TM, Cook C, Distasio J, Bonham AJ, Blandon RE. Suture end length as a function of knot integrity. J Surg Educ. 2009 Sep-Oct;66(5):276-80. PubMed PMID: 20005500
  • McCormick TC, Muffly T, Lu G, Shoup B. Aggressive small cell carcinoma of the ovary, hypercalcemic type with hypercalcemia in pregnancy, treated with conservative surgery and chemotherapy. Int J Gynecol Cancer. 2009 Nov;19(8):1339-41. PubMed PMID: 19893424
  • Muffly T, McCormick TC, Dean J, Bonham A, Hill RF. An evaluation of knot integrity when tied robotically and conventionally. Am J Obstet Gynecol. 2009 May;200(5):e18-20. PubMed PMID: 19111718
  • Muffly TM, Weeks WB. Income differentials required to make fellowship training in female pelvic medicine and reconstructive pelvic surgery financially neutral. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Jan;19(1):151-6. PubMed PMID: 17607498
  • Muffly T, McCormick TC, Cook C, Wall J. Human granulocytic ehrlichiosis complicating early pregnancy. Infect Dis Obstet Gynecol. 2008;2008:359172. PubMed PMID: 18509484
  • Muffly T, Vadlamani I, Weed JC. Massive leiomyoma of the broad ligament. Obstet Gynecol. 2007 Feb;109(2 Pt2):563-5. PubMed PMID: 17267896
  • Palmere L, Guido J, Schultz C, Curtin J, Muffly TM. Nonresearch Payments by Industry to Obstetrics and Gynecology Fellowship Directors. Obstet Gynecol. 2021 Nov 4. [Epub ahead of print] PubMed PMID: 34736274
  • Rabice SR, Schultz C, Muffly TM. Appointment Wait Times in Female Pelvic Medicine and Reconstructive Surgery: A Mystery Caller Study. Female Pelvic Med Reconstr Surg. 2021 Nov 1;27(11):681-685. PubMed PMID: 34570030
  • Cadish LA, Kropat G, Muffly TM. Hysterectomy Volume Among Recent Obstetrics and Gynecology Residency Graduates. Female Pelvic Med Reconstr Surg. 2021 Jun 1;27(6):382-387. PubMed PMID: 32371719
  • Muffly TM, Gonzalez J, Khorshid A, Hajagos J, Kropat G. Medicare Patient Referral Networks to Female Pelvic Medicine and Reconstructive Surgeons Across the United States. Female Pelvic Med Reconstr Surg. 2021 Feb 1;27(2):126-130. PubMed PMID: 31274576
  • Mann S, Duffy J, Muffly T, Tilva K, Gray S, Hetzler L, Kraft S, Malekzadeh S, Pletcher S, Cabrera-Muffly C. Effect of the COVID-19 Pandemic on Otolaryngology Trainee Surgical Case Numbers: A Multi-institutional Review. Otolaryngol Head Neck Surg. 2022 Mar 15;:1945998221083845. [Epub ahead of print] PubMed PMID: 35290132
  • Novin A, Tavakoli A, Ferzandi T, Coehlo D, Muffly TM. Medicare Patient Referral Networks to Pelvic Floor Physical Therapy Across the United States. Female Pelvic Med Reconstr Surg. 2022 Mar 1;28(3):e93-e97. PubMed PMID: 35272340
  • Akapo AO, Schultz C, Coelho D, Muffly TM. American Indian and Alaskan Native Access to Obstetrics and Gynecology Subspecialists: Findings From a National Mystery Caller Study in the United States. Cureus. 2023 Dec;15(12):e51403. PubMed PMID: 38292990
  • Steffen MR, Jiang H, Beninato T, Pool A, Tummala S, Poulas E, Kinyoun MW, Muffly TM. Subspecialty Faculty in Obstetrics and Gynecology: Distribution, Demographics, and Implications for Training and Clinical Practice. Cureus. 2023 Nov;15(11):e48736. PubMed PMID: 38094560
  • Burgard I, Palmere L, Altshuler P, Tummala S, Muffly T. The Financial Relationship Between the Medical Industry and Residency Leadership in OB/GYN and Urology. J Grad Med Educ. 2023 Dec;15(6):669-675. PubMed PMID: 38045938
  • Hall EF, Biller DH, Buss JL, Ferzandi T, Halder GE, Muffly TM, Nickel KB, Nihira M, Olsen MA, Wallace SL, Lowder JL. Medium-Term Outcomes of Conservative and Surgical Treatments for Stress Urinary Incontinence: A Medicare Claims Analysis: Developed by the AUGS Payment Reform Committee. Urogynecology (Phila). 2023 Jun 1;29(6):536-544. PubMed PMID: 37235803
  • Corbisiero MF, Tolbert B, Sanches M, Shelden N, Hachicha Y, Dao H, Thillot B, Adkins K, Muffly TM. Medicaid coverage and access to obstetrics and gynecology subspecialists: findings from a national mystery caller study in the United States. Am J Obstet Gynecol. 2023 Jun;228(6):722.e1-722.e9. PubMed PMID: 36907536
  • Mann S, Duffy J, Muffly T, Tilva K, Gray S, Hetzler L, Kraft S, Malekzadeh S, Pletcher S, Cabrera-Muffly C. Effect of the COVID-19 Pandemic on Otolaryngology Trainee Surgical Case Numbers: A Multi-institutional Review. Otolaryngol Head Neck Surg. 2023 Jan;168(1):26-31. PubMed PMID: 35290132
  • Felan NA, Garcia-Creighton E, Hirpara A, Narváez I, Miller A, Batiste AJ, Stokes DJ, Tseng R, Santiago A, Smyth A, Pulciano NR, Wharton BR, McCarty EC, Muffly TM. Navigating the Orthopaedic Maze as a New Patient: A National Mystery Caller Study on Medicaid Coverage and Access to Specialized Surgeons. J Am Acad Orthop Surg. 2024 Dec 3. [Epub ahead of print] PubMed PMID: 39637372
  • Altshuler PC, Burgard IM, Poling JK, Muffly T. Scaling the Heights: Rates of Pelvic Floor Dysfunction in Female Rock-Climbing Enthusiasts. Wilderness Environ Med. 2024 Nov 25;:10806032241290804. [Epub ahead of print] PubMed PMID: 39584777
  • Lemieux ME, Turner K, Durfee J, Mastroyannis S, Muffly T. Impact of COVID-19 on Gynecologic Oncology Wait Times: A Mystery Caller Study. Cureus. 2024 Oct;16(10):e72328. PubMed PMID: 39583346
  • Jeppson PC, Balgobin S, Wheeler T, Forner L, Caagbay D, Thompson J, Muffly TM, Meyer I, Beestrum M, Collins S, Sung V. Impact of Lifestyle Modifications on the Prevention and Treatment of Pelvic Organ Prolapse. Int Urogynecol J. 2024 Nov 19. [Epub ahead of print] PubMed PMID: 39560764
  • Brausch A, Muffly T. Exploring Clinicians' Willingness to Embrace Customizable Pessaries: A Survey Study in the USA. Int Urogynecol J. 2024 Oct;35(10):1977-1982. PubMed PMID: 39235506
  • Kyllo HM, Bresnitz W, Bickner M, Matous MA, Mulenga NM, O'Brien EA, Whitehead SM, Fordwuo NS, Wong EM, Adkins K, Muffly TM. Access to general obstetrics and gynecology care among Medicaid beneficiaries and the privately insured: a nationwide mystery caller study in the USA. Minerva Obstet Gynecol. 2024 Oct;76(5):444-451. PubMed PMID: 38837187
  • Pascual MG, Novin A, Corbisiero MF, Unciano S, Hachicha Y, Shelden N, Bresnitz W, Ferzandi T, Muffly TM. Access to Urogynecologic Care in Federally Qualified Health Centers: A Mystery Caller Study. Urogynecology (Phila). 2024 Apr 25. [Epub ahead of print] PubMed PMID: 38659101
  • Corbisiero MF, Muffly TM, Gottman DC, Olson M, Hachicha Y, Garcia-Creighton E, Gallego N, Elsayed M, Ahmed S, Cabrera-Muffly C. Insurance Status and Access to Otolaryngology Care: National Mystery Caller Study in the United States. Otolaryngol Head Neck Surg. 2024 Jul;171(1):98-108. PubMed PMID: 38606652
  • Hall EF, Biller DH, Buss JL, Ferzandi T, Halder GE, Muffly TM, Nickel KB, Nihira M, Olsen MA, Wallace SL, Lowder JL. Medium-Term Outcomes of Conservative and Surgical Treatments for Stress Urinary Incontinence: A Medicare Claims Analysis: Developed by the AUGS Payment Reform Committee. Urogynecology (Phila). 2023 Jun 1;29(6):536-544. PubMed PMID: 37235803
  • Corbisiero MF, Tolbert B, Sanches M, Shelden N, Hachicha Y, Dao H, Thillot B, Adkins K, Muffly TM. Medicaid coverage and access to obstetrics and gynecology subspecialists: findings from a national mystery caller study in the United States. Am J Obstet Gynecol. 2023 Jun;228(6):722.e1-722.e9. PubMed PMID: 36907536
  • Mann S, Duffy J, Muffly T, Tilva K, Gray S, Hetzler L, Kraft S, Malekzadeh S, Pletcher S, Cabrera-Muffly C. Effect of the COVID-19 Pandemic on Otolaryngology Trainee Surgical Case Numbers: A Multi-institutional Review. Otolaryngol Head Neck Surg. 2023 Jan;168(1):26-31. PubMed PMID: 35290132

Professional Memberships

  • American Urogynecologic Society, Member
  • Society for Gynecologic Surgeons, Member
  • American College of Obstetrics and Gynecology, Fellow
  • American College of Surgeons, Fellow

Practice Locations

Denver Health
777 Bannock St
Denver, CO 80204
303-436-6000

Hospital Affiliation
  • Denver Health Medical Center

Center Affiliations

Specialty Information

Specialties
  • Obstetrics and Gynecology, Board Certification (2012)
  • Urogynecology & Reconstructive Pelvic Surgery, Board Certification (2014)
Conditions & Treatments
  • Surgery - Robotic Surgery
  • Kidneys and Urinary System - Bladder Disease
  • Kidneys and Urinary System - Incontinence
  • Women's Health - Pelvic Organ Prolapse
  • Kidneys and Urinary System - Reconstructive Pelvic Surgery
  • Surgery - Laparoscopic Surgery
  • Women's Health - Fecal Incontinence
  • Women's Health
  • Surgery - Urologic Surgery
  • Surgery
  • Kidneys and Urinary System
Clinical Interests
My clinical passion is treating incontinence and prolapse. These are major quality of life concerns which are no longer tolerated by women today. Although the topic was stigmatized in the past, seeing improvements in my patients' quality of life after medical and surgical treatment of incontinence and prolapse motivated me to make this field my sub-specialty.

Care Philosophy
Seeing improvements in Dr. Muffly's patients’ quality of life motivated him to undertake this sub-specialty. He visits each patient for an hour and can make a diagnoses about 90 percent of the time just by asking simple questions and listening to responses. Dr. Muffly practices evidence based medicine. He’s passionate about teaching his residents, so when you come to see him, you will get two heads working together. In the operating room, he guides every decision and is present 100 percent of the time. He also takes pride in his clinical instruction, surgical expertise and bedside manner. He enjoys educating patients on treatment options to empower them to make the best health care decisions. “Our staff is especially compassionate and skilled in examining women and in helping their families understand that urogynecologic problems are not outgrown–they must be addressed and treated,” he says.

Personal Interests
On a personal note, I live in Englewood, CO with my wife, Cristina, and teenage sons. We enjoy visiting the elephant exhibit at the Denver Zoo and fishing at Kenosha Pass. My favorite place to enjoy a meal with my family is Chipotle Mexican Grill.

Public Speaking
Yes



School of Medicine

CU Anschutz
Fitzsimons Building

13001 East 17th Place

Aurora, CO 80045

303.724.5375

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General
Students