Medical School:
Department: OB-GYN-Female Pelvic Med and Recon Surg
- MD, Jefferson Medical College of Thomas Jefferson University (2004)
- BA, University of Denver (CO) (2000)
- University of Missouri at Kansas City Program, Chief Resident, Obstetrics and Gynecology (2008)
- Cleveland Clinic Foundation Program, Urogynecology & Reconstructive Pelvic Surgery (2012)
Department: OB-GYN-Female Pelvic Med and Recon Surg
Professional Titles
- Associate Professor
Recognition & Awards
- 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)
- Alpha Omega Alpha Faculty Member, Alpha Omega Alpha (2019)
- Humanism Award, Department of OBGYN (2017)
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.
Teaching
-
Longitudinal Integrated Curriculum Preceptor
(2017)
School of Medicine, OB-GYN -
Women's Health Nurse Practitioner Preceptor
(2014)
College of Nursing, OB-GYN -
Research Track Medical Student Mentor
(2020)
School of Medicine, OB-GYN
Publications
- 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
- 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
- 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
- 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 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
- 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
- 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
- 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
- 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
- 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 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
- 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
- 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
- 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
- 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, 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, 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
- 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
- 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, 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
- 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
Practice Locations
Denver Health
777 Bannock St
Denver, CO 80204
303-436-6000
Hospital Affiliation
777 Bannock St
Denver, CO 80204
303-436-6000
Hospital Affiliation
- Denver Health Medical Center
Specialty Information
Specialties
- Obstetrics and Gynecology, Board Certification (2012)
- Urogynecology & Reconstructive Pelvic Surgery, Board Certification (2014)
- 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.
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 young 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
On a personal note, I live in Englewood, CO with my wife, Cristina, and young 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
General Information
Medical Schools:
- MD, Jefferson Medical College of Thomas Jefferson University (2004)
Undergraduate Schools:
- BA, University of Denver (CO) (2000)
Residency Programs:
- University of Missouri at Kansas City Program, Chief Resident, Obstetrics and Gynecology (2008)
Fellowships:
- Cleveland Clinic Foundation Program, Urogynecology & Reconstructive Pelvic Surgery (2012)
Department: OB-GYN-Female Pelvic Med and Recon Surg