Anthony Gabriele Visco

Anthony Gabriele Visco

Professor of Obstetrics and Gynecology

Robotic sacrocolpopexy, robotic hysterectomy, outcomes for surgical and non-surgical treatments of urinary incontinence and pelvic organ prolapse, robotic surgery, mesh erosion, Botox therapy for urge incontinence, innovation and entrepreneursihp.

Appointments and Affiliations

  • Professor of Obstetrics and Gynecology
  • Chief, Division of Urogynecology

Contact Information

  • Office Location: 5324 McFarland Drive Suite 310, Box 3192, Durham, NC 27617
  • Office Phone: (919) 401-1006
  • Email Address: anthony.visco@duke.edu

Education

  • University of Rochester, 1997
  • M.D. State University of New York Upstate Medical University, 1993

Representative Publications

  • Wu, JM; Visco, AG; Grass, EA; Craig, DM; Fulton, RG; Haynes, C; Amundsen, CL; Shah, SH, Comprehensive analysis of LAMC1 genetic variants in advanced pelvic organ prolapse., American Journal of Obstetrics and Gynecology, vol 206 no. 5 (2012), pp. 447.e1-447.e6 [10.1016/j.ajog.2012.01.033] [abs].
  • Siddiqui, NY; Geller, EJ; Visco, AG, Symptomatic and anatomic 1-year outcomes after robotic and abdominal sacrocolpopexy., American Journal of Obstetrics and Gynecology, vol 206 no. 5 (2012), pp. 435.e1-435.e5 [10.1016/j.ajog.2012.01.035] [abs].
  • Dieter, AA; Amundsen, CL; Visco, AG; Siddiqui, NY, Treatment for urinary tract infection after midurethral sling: a retrospective study comparing patients who receive short-term postoperative catheterization and patients who pass a void trial on the day of surgery., Female Pelvic Medicine & Reconstructive Surgery, vol 18 no. 3 (2012), pp. 175-178 [10.1097/SPV.0b013e3182544e03] [abs].
  • Visco, AG; Brubaker, L; Richter, HE; Nygaard, I; Paraiso, MF; Menefee, SA; Schaffer, J; Wei, J; Chai, T; Janz, N; Spino, C; Meikle, S; Pelvic Floor Disorders Network,, Anticholinergic versus botulinum toxin A comparison trial for the treatment of bothersome urge urinary incontinence: ABC trial., Contemp Clin Trials, vol 33 no. 1 (2012), pp. 184-196 [10.1016/j.cct.2011.09.019] [abs].
  • Geller, EJ; Wu, JM; Jannelli, ML; Nguyen, TV; Visco, AG, Maternal outcomes associated with planned vaginal versus planned primary cesarean delivery., Am J Perinatol, vol 27 no. 9 (2010), pp. 675-683 [10.1055/s-0030-1249765] [abs].
  • Judd, JP; Siddiqui, NY; Barnett, JC; Visco, AG; Havrilesky, LJ; Wu, JM, Cost-minimization analysis of robotic-assisted, laparoscopic, and abdominal sacrocolpopexy., Journal of Minimally Invasive Gynecology, vol 17 no. 4 (2010), pp. 493-499 [10.1016/j.jmig.2010.03.011] [abs].
  • Geller, EJ; Wu, JM; Jannelli, ML; Nguyen, TV; Visco, AG, Neonatal outcomes associated with planned vaginal versus planned primary cesarean delivery., J Perinatol, vol 30 no. 4 (2010), pp. 258-264 [10.1038/jp.2009.150] [abs].
  • Siddiqui, NY; Amundsen, CL; Visco, AG; Myers, ER; Wu, JM, Cost-effectiveness of sacral neuromodulation versus intravesical botulinum A toxin for treatment of refractory urge incontinence., The Journal of Urology, vol 182 no. 6 (2009), pp. 2799-2804 [10.1016/j.juro.2009.08.031] [abs].
  • Visco, AG; Meyer, LC; Xi, S; Brown, CG, One disease, two lives., Clin J Oncol Nurs, vol 13 no. 4 (2009), pp. 426-432 [10.1188/09.CJON.426-432] [abs].
  • Wu, JM; Siddiqui, NY; Amundsen, CL; Myers, ER; Havrilesky, LJ; Visco, AG, Cost-effectiveness of botulinum toxin a versus anticholinergic medications for idiopathic urge incontinence., The Journal of Urology, vol 181 no. 5 (2009), pp. 2181-2186 [10.1016/j.juro.2009.01.037] [abs].
  • Visco, AG; Advincula, AP, Robotic gynecologic surgery., Obstetrics and Gynecology, vol 112 no. 6 (2008), pp. 1369-1384 [10.1097/AOG.0b013e31818f3c17] [abs].
  • Cundiff, GW; Varner, E; Visco, AG; Zyczynski, HM; Nager, CW; Norton, PA; Schaffer, J; Brown, MB; Brubaker, L; Pelvic Floor Disorders Network,, Risk factors for mesh/suture erosion following sacral colpopexy., American Journal of Obstetrics and Gynecology, vol 199 no. 6 (2008), pp. 688.e1-688.e5 [10.1016/j.ajog.2008.07.029] [abs].
  • Geller, EJ; Siddiqui, NY; Wu, JM; Visco, AG, Short-term outcomes of robotic sacrocolpopexy compared with abdominal sacrocolpopexy., Obstetrics and Gynecology, vol 112 no. 6 (2008), pp. 1201-1206 [10.1097/AOG.0b013e31818ce394] [abs].
  • Visco, AG; Brubaker, L; Nygaard, I; Richter, HE; Cundiff, G; Fine, P; Zyczynski, H; Brown, MB; Weber, AM; Pelvic Floor Disorders Network,, The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial., Int Urogynecol J Pelvic Floor Dysfunct, vol 19 no. 5 (2008), pp. 607-614 [10.1007/s00192-007-0498-2] [abs].
  • Hundley, AF; Yuan, L; Visco, AG, Gene expression in the rectus abdominus muscle of patients with and without pelvic organ prolapse., American Journal of Obstetrics and Gynecology, vol 198 no. 2 (2008), pp. 220.e1-220.e7 [10.1016/j.ajog.2007.08.047] [abs].
  • Geller, EJ; Barbee, ER; Wu, JM; Loomis, MJ; Visco, AG, Validation of telephone administration of 2 condition-specific quality-of-life questionnaires., American Journal of Obstetrics and Gynecology, vol 197 no. 6 (2007), pp. 632.e1-632.e4 [10.1016/j.ajog.2007.08.019] [abs].
  • Wu, JM; Wechter, ME; Geller, EJ; Nguyen, TV; Visco, AG, Hysterectomy rates in the United States, 2003., Obstetrics and Gynecology, vol 110 no. 5 (2007), pp. 1091-1095 [10.1097/01.AOG.0000285997.38553.4b] [abs].
  • Burgio, KL; Borello-France, D; Richter, HE; Fitzgerald, MP; Whitehead, W; Handa, VL; Nygaard, I; Fine, P; Zyczynski, H; Visco, AG; Brown, MB; Weber, AM; Pelvic Floor Disorders Network,, Risk factors for fecal and urinary incontinence after childbirth: the childbirth and pelvic symptoms study., American Journal of Gastroenterology, vol 102 no. 9 (2007), pp. 1998-2004 [10.1111/j.1572-0241.2007.01364.x] [abs].
  • Hundley, AF; Maygarden, S; Wu, JM; Visco, AG; Connolly, A, Adequacy of urine cytology specimens: an assessment of collection techniques., Int Urogynecol J Pelvic Floor Dysfunct, vol 18 no. 9 (2007), pp. 997-1001 [10.1007/s00192-006-0277-5] [abs].
  • Jannelli, ML; Wu, JM; Plunkett, LW; Williams, KS; Visco, AG, A randomized controlled trial of clean intermittent self-catheterization versus suprapubic catheterization after urogynecologic surgery., American Journal of Obstetrics and Gynecology, vol 197 no. 1 (2007), pp. 72.e1-72.e4 [10.1016/j.ajog.2007.02.043] [abs].
  • Whitehead, WE; Bradley, CS; Brown, MB; Brubaker, L; Gutman, RE; Varner, RE; Visco, AG; Weber, AM; Zyczynski, H; Pelvic Floor Network,, Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse., American Journal of Obstetrics and Gynecology, vol 197 no. 1 (2007), pp. 78.e1-78.e7 [10.1016/j.ajog.2007.02.046] [abs].
  • Wu, JM; Visco, AG; Weidner, AC; Myers, ER, Is Burch colposuspension ever cost-effective compared with tension-free vaginal tape for stress incontinence?, American Journal of Obstetrics and Gynecology, vol 197 no. 1 (2007), pp. 62.e1-62.e5 [10.1016/j.ajog.2007.02.039] [abs].
  • Richter, HE; Burgio, KL; Goode, PS; Borello-France, D; Bradley, CS; Brubaker, L; Handa, VL; Fine, PM; Visco, AG; Zyczynski, HM; Wei, JT; Weber, AM; Pelvic Foor Desorders Network,, Non-surgical management of stress urinary incontinence: ambulatory treatments for leakage associated with stress (ATLAS) trial., Clinical Trials, vol 4 no. 1 (2007), pp. 92-101 [10.1177/1740774506075237] [abs].
  • Visco, AG; Viswanathan, M; Lohr, KN; Wechter, ME; Gartlehner, G; Wu, JM; Palmieri, R; Funk, MJ; Lux, L; Swinson, T; Hartmann, K, Cesarean delivery on maternal request: maternal and neonatal outcomes., Obstetrics and Gynecology, vol 108 no. 6 (2006), pp. 1517-1529 [10.1097/01.AOG.0000241092.79282.87] [abs].
  • Borello-France, D; Burgio, KL; Richter, HE; Zyczynski, H; Fitzgerald, MP; Whitehead, W; Fine, P; Nygaard, I; Handa, VL; Visco, AG; Weber, AM; Brown, MB; Pelvic Floor Disorders Network,, Fecal and urinary incontinence in primiparous women., Obstetrics and Gynecology, vol 108 no. 4 (2006), pp. 863-872 [10.1097/01.AOG.0000232504.32589.3b] [abs].
  • Hundley, AF; Brown, MB; Brubaker, L; Cundiff, GW; Kreder, K; Lotze, P; Richter, HE; Zyczynski, H; Weber, AM; Visco, AG, A multicentered comparison of measurements obtained with microtip and external water pressure transducers., Int Urogynecol J Pelvic Floor Dysfunct, vol 17 no. 4 (2006), pp. 400-406 [10.1007/s00192-005-0027-0] [abs].
  • Hundley, AF; Yuan, L; Visco, AG, Skeletal muscle heavy-chain polypeptide 3 and myosin binding protein H in the pubococcygeus muscle in patients with and without pelvic organ prolapse., American Journal of Obstetrics and Gynecology, vol 194 no. 5 (2006), pp. 1404-1410 [10.1016/j.ajog.2006.01.049] [abs].
  • Wu, JM; Wells, EC; Hundley, AF; Connolly, A; Williams, KS; Visco, AG, Mesh erosion in abdominal sacral colpopexy with and without concomitant hysterectomy., American Journal of Obstetrics and Gynecology, vol 194 no. 5 (2006), pp. 1418-1422 [10.1016/j.ajog.2006.01.051] [abs].
  • Wu, JM; Williams, KS; Hundley, AF; Jannelli, ML; Visco, AG, Microscopic hematuria as a predictive factor for detecting bladder cancer at cystoscopy in women with irritative voiding symptoms., American Journal of Obstetrics and Gynecology, vol 194 no. 5 (2006), pp. 1423-1426 [10.1016/j.ajog.2006.01.053] [abs].
  • Brubaker, L; Cundiff, GW; Fine, P; Nygaard, I; Richter, HE; Visco, AG; Zyczynski, H; Brown, MB; Weber, AM; Pelvic Floor Disorders Network,, Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence., The New England Journal of Medicine, vol 354 no. 15 (2006), pp. 1557-1566 [10.1056/NEJMoa054208] [abs].
  • Viswanathan, M; Visco, AG; Hartmann, K; Wechter, ME; Gartlehner, G; Wu, JM; Palmieri, R; Funk, MJ; Lux, L; Swinson, T; Lohr, KN, Cesarean delivery on maternal request., Evidence Report/Technology Assessment no. 133 (2006), pp. 1-138 [abs].
  • Wu, JM; Williams, KS; Hundley, AF; Connolly, A; Visco, AG, Occiput posterior fetal head position increases the risk of anal sphincter injury in vacuum-assisted deliveries., American Journal of Obstetrics and Gynecology, vol 193 no. 2 (2005), pp. 525-528 [10.1016/j.ajog.2005.03.059] [abs].
  • Laughon, SK; Wolfe, HM; Visco, AG, Prior cesarean and the risk for placenta previa on second-trimester ultrasonography., Obstetrics and Gynecology, vol 105 no. 5 Pt 1 (2005), pp. 962-965 [10.1097/01.AOG.0000158114.47925.fa] [abs].
  • Hundley, AF; Wu, JM; Visco, AG, A comparison of perineometer to brink score for assessment of pelvic floor muscle strength., American Journal of Obstetrics and Gynecology, vol 192 no. 5 (2005), pp. 1583-1591 [10.1016/j.ajog.2004.11.015] [abs].
  • Benavides, L; Wu, JM; Hundley, AF; Ivester, TS; Visco, AG, The impact of occiput posterior fetal head position on the risk of anal sphincter injury in forceps-assisted vaginal deliveries., American Journal of Obstetrics and Gynecology, vol 192 no. 5 (2005), pp. 1702-1706 [10.1016/j.ajog.2004.11.047] [abs].
  • Kwon, S; Visco, AG; Fitzgerald, MP; Ye, W; Whitehead, WE; Pelvic Floor Disorders Network (PFDN),, Validity and reliability of the Modified Manchester Health Questionnaire in assessing patients with fecal incontinence., Diseases of the Colon & Rectum, vol 48 no. 2 (2005), pp. 323-331 [10.1007/s10350-004-0899-y] [abs].
  • Wu, JM; Hundley, AF; Visco, AG, Elective primary cesarean delivery: attitudes of urogynecology and maternal-fetal medicine specialists., Obstetrics and Gynecology, vol 105 no. 2 (2005), pp. 301-306 [10.1097/01.AOG.0000151110.05801.c0] [abs].
  • Tapp, K; Connolly, A; Visco, AG, Evaluation of Aa point and cotton-tipped swab test as predictors of urodynamic stress incontinence., Obstetrics and Gynecology, vol 105 no. 1 (2005), pp. 115-119 [10.1097/01.AOG.0000146642.68543.69] [abs].
  • Hundley, AF; Visco, AG, Comparison of measurements obtained with microtip and external water pressure transducers., Int Urogynecol J Pelvic Floor Dysfunct, vol 15 no. 4 (2004), pp. 276-280 [10.1007/s00192-004-1157-5] [abs].
  • Visco, AG; Yuan, L, Differential gene expression in pubococcygeus muscle from patients with pelvic organ prolapse., American Journal of Obstetrics and Gynecology, vol 189 no. 1 (2003), pp. 102-112 [10.1067/mob.2003.372] [abs].
  • Visco, AG; Wei, JT; McClure, LA; Handa, VL; Nygaard, IE; Pelvic Floor Disorders Network,, Effects of examination technique modifications on pelvic organ prolapse quantification (POP-Q) results., Int Urogynecol J Pelvic Floor Dysfunct, vol 14 no. 2 (2003), pp. 136-140 [10.1007/s00192-002-1030-3] [abs].
  • Visco, AG; Barber, MD; Myers, ER, Early physician experience with laparoscopically assisted vaginal hysterectomy and rates of surgical complications and conversion to laparotomy., American Journal of Obstetrics and Gynecology, vol 187 no. 4 (2002), pp. 1008-1012 [10.1067/mob.2002.126642] [abs].
  • Barber, MD; Visco, AG; Wyman, JF; Fantl, JA; Bump, RC; Continence Program for Women Research Group,, Sexual function in women with urinary incontinence and pelvic organ prolapse., Obstetrics and Gynecology, vol 99 no. 2 (2002), pp. 281-289 [10.1016/s0029-7844(01)01727-6] [abs].
  • Visco, AG; Taber, KH; Weidner, AC; Barber, MD; Myers, ER, Cost-effectiveness of universal cystoscopy to identify ureteral injury at hysterectomy., Obstetrics and Gynecology, vol 97 no. 5 Pt 1 (2001), pp. 685-692 [10.1016/s0029-7844(01)01193-0] [abs].
  • Cundiff, GW; Weidner, AC; Visco, AG, Effectiveness of laparoscopic cadaveric dissection in enhancing resident comprehension of pelvic anatomy., Journal of the American College of Surgeons, vol 192 no. 4 (2001), pp. 492-497 [10.1016/s1072-7515(01)00815-8] [abs].
  • Visco, AG; Weidner, AC; Barber, MD; Myers, ER; Cundiff, GW; Bump, RC; Addison, WA, Vaginal mesh erosion after abdominal sacral colpopexy., American Journal of Obstetrics and Gynecology, vol 184 no. 3 (2001), pp. 297-302 [10.1067/mob.2001.109654] [abs].
  • Weidner, AC; Myers, ER; Visco, AG; Cundiff, GW; Bump, RC, Which women with stress incontinence require urodynamic evaluation?, American Journal of Obstetrics and Gynecology, vol 184 no. 2 (2001), pp. 20-27 [10.1067/mob.2001.108171] [abs].
  • Amundsen, CL; Visco, AG; Ruiz, H; Webster, GD, Outcome in 104 pubovaginal slings using freeze-dried allograft fascia lata from a single tissue bank., Urology, vol 56 no. 6 Suppl 1 (2000), pp. 2-8 [10.1016/s0090-4295(00)00673-7] [abs].
  • Weidner, AC; Barber, MD; Visco, AG; Bump, RC; Sanders, DB, Pelvic muscle electromyography of levator ani and external anal sphincter in nulliparous women and women with pelvic floor dysfunction., American Journal of Obstetrics and Gynecology, vol 183 no. 6 (2000), pp. 1390-1399 [10.1067/mob.2000.111073] [abs].
  • Barber, MD; Visco, AG; Weidner, AC; Amundsen, CL; Bump, RC, Bilateral uterosacral ligament vaginal vault suspension with site-specific endopelvic fascia defect repair for treatment of pelvic organ prolapse., American Journal of Obstetrics and Gynecology, vol 183 no. 6 (2000), pp. 1402-1410 [10.1067/mob.2000.111298] [abs].
  • Barber, MD; Lambers, A; Visco, AG; Bump, RC, Effect of patient position on clinical evaluation of pelvic organ prolapse., Obstetrics and Gynecology, vol 96 no. 1 (2000), pp. 18-22 [10.1016/s0029-7844(00)00859-0] [abs].
  • Cundiff, GW; Weidner, AC; Visco, AG; Bump, RC; Addison, WA, A survey of pessary use by members of the American urogynecologic society., Obstetrics and Gynecology, vol 95 no. 6 Pt 1 (2000), pp. 931-935 [10.1016/s0029-7844(00)00788-2] [abs].
  • Visco, AG; Cholhan, HJ; O'Toole, L; Guzick, DS, Effects of menstrual cycle and urinary tract instrumentation on uroflowmetry., Neurourology and Urodynamics, vol 19 no. 2 (2000), pp. 147-152 [10.1002/(sici)1520-6777(2000)19:2<147::aid-nau5>3.0.co;2-c] [abs].
  • Visco, AG; Weidner, AC; Cundiff, GW; Bump, RC, Observed patient compliance with a structured outpatient bladder retraining program., American Journal of Obstetrics and Gynecology, vol 181 no. 6 (1999), pp. 1392-1394 [10.1016/s0002-9378(99)70381-9] [abs].
  • Visco, AG; Yamauchi, M, Collagen cross-linking in patients with urinary incontinence., American Journal of Obstetrics and Gynecology, vol 181 no. 2 (1999), pp. 509-510 [10.1016/s0002-9378(99)70589-2] [abs].
  • Cundiff, GW; Weidner, AC; Visco, AG; Addison, WA; Bump, RC, An anatomic and functional assessment of the discrete defect rectocele repair., American Journal of Obstetrics and Gynecology, vol 179 no. 6 Pt 1 (1998), pp. 1451-1456 [10.1016/s0002-9378(98)70009-2] [abs].
  • Visco, AG; Figuers, C, Nonsurgical management of pelvic floor dysfunction., Obstetrics and Gynecology Clinics of North America, vol 25 no. 4 (1998), pp. 849-vii [10.1016/s0889-8545(05)70046-2] [abs].
  • Visco, AG; Del Priore, G, Postmenopausal bartholin gland enlargement: a hospital-based cancer risk assessment., Obstetrics and Gynecology, vol 87 no. 2 (1996), pp. 286-290 [10.1016/0029-7844(95)00404-1] [abs].