Meet Aeroflow Urology’s New Medical Advisor
We’re excited to introduce our new Aeroflow Urology Medical Advisor, Aleece Fosnight, MSPAS, PA-C, CSCS, CSE, NCMP.
Aleece is a board-certified physician assistant specializing in sexual medicine, women's health and urology. In 2019, she opened up her own private practice, the Fosnight Center for Sexual Health, and implemented the sexual health grand rounds curriculum at her local hospital and residency program. Aleece is also the founder of the Fosnight Foundation, a non-profit organization dedicated to the education and training of professionals in the sexual health field and providing funding for access to healthcare services in her local community.
Aleece will be helping us provide the best possible educational resources and content focused around incontinence in women and adults. We’re thrilled to have her on the Aeroflow Urology team!
1. What is a typical day like for you?
First thing I do when I get to the office is check emails and to see if any lab results have been finalized overnight. Then I check to see who is on my schedule for the day and prepare any notes or information that pertains to those patients.
Each day is soooo different and that is one of the things that I love about my job. It isn’t seeing the same patient or just doing basic office visits. It can range from pelvic exam, procedures (urodynamics or cystoscopy, etc), education on normal urogenital anatomy, sex counseling, or first-assisting in surgery. I love the variety each day! I typically call patients back at the end of the day when I know I can spend more time talking with them about their questions or test results.
2. What conditions do you treat?
My patient population includes men, women, transgender/non-binary, and pediatrics. Here is a list of a few (not all!) of the various conditions I see and treat:
Recurrent Urinary Tract Infections
Urinary Incontinence (Stress, Urge, Mixed)
Acute and Chronic Prostatitis
Pelvic Floor Dysfunction
Pelvic Organ Prolapse
Genitourinary Syndrome of Menopause
Vulvar Disorders - Lichen Sclerosus, Lichen Planus, Lichen Simplex Chronicus
Persistent Genital Arousal Disorder/Dysesthesia
Premature or Delayed Ejaculation
Transgender Hormone Therapy
3. How has the field changed since you started practicing?
I haven’t seen too much change since I started practicing almost 9 years ago, however the field of urology and sexual medicine is always advancing.
Since I started practicing, women now have four medications (Intrarosa, Osphena, Addyi, Vyleesi) for sexual health concerns. We also have seen more advanced testing for specific urology concerns, such as prostate cancer, recurrent urinary tract infections, and prostatitis that limit moving to more invasive testing right away, saving the patient risks of complications and anxiety.
As a PA, my role is always expanding to improve the healthcare needs of patients and it is exciting to see my profession advance.
4. What made you get into this field of medicine?
This is actually a great story. It all started with a Viagra commercial.
I was talking with my mom on my cell phone trying to decide what topic I wanted to research for my Physician Assistant Program Master’s thesis when a Viagra commercial came on the television. I immediately said to her, “That’s what I should do! If there is a blue pill for men, there has to be a pink pill for women.” Well….at that time….there was ZERO! And I was irate and it set off a fire in my belly to find out why we didn’t have any treatments yet.
When I was researching for my paper, all sexual medicine falls under urology, which was something I completely didn’t expect. I would have thought male sexual medicine fell under urology and female sexual medicine would fall under gynecology. Surprisingly, gynecologists receive very little training on women’s sexual health, and although urology includes sexual health, it focuses more on men’s sexual health. As I researched, my passion for sexual medicine grew.
It all started with a viagra commercial.
I was fortunate enough to have the opportunity to travel abroad to England for a urogynecology rotation during my clinical year to expand my knowledge of sexual medicine and also attended the World Association for Sexual Health conference in Glasgow, Scotland during that same time. This opened my mind and I got excited to raise awareness about sexual and reproductive rights that we discuss very little in the healthcare world, but has a HUGE impact on our life from birth to death.
A urologist I worked with when I was in high school reached out to me before I completed my PA studies to see if I would be interested in working with him and focusing on female urology and female sexual health. I couldn’t pass that opportunity up! And besides, it was back in my hometown. Starting out, I needed general urology knowledge so I saw everything from a urinary tract infection to kidney stones to prostate cancer. Over that first year, I fell in love with urology and talking about issues that are embarrassing, helping to reassure patients that they are not alone and validating their concern.
But I wanted more...and applied to the University of Michigan Sexual Health Certificate Program where I was accepted into their program and received my postgraduate certificate in sexuality counseling and education. This added a whole new level of care I could provide to my patients. Being able to bring a biopsychosocial approach to taking care of urology concerns has been instrumental in improving my patient’s healthcare, from head-to-toe.
5. You place a lot of emphasis on the importance of pelvic floor health. What does that mean to you and why is it so important?
Pelvic floor health means understanding the anatomy and physiology of the pelvis and the core, while also understanding how life events and comorbidities impact the pelvic floor functioning. People are oftentimes very disconnected from their pelvis - I frequently say they think of it as a black box of nothing - and do not realize that it is an essential part of how we as humans operate on a day-by-day basis.
So many women limit their social interactions or avoid public events for fear that they might not be able to find a restroom or leak through their pants. No one should ever modify life because of incontinence or feel that this is a “normal” part of aging. Although these things might be common, there are ways to improve how our pelvic organs function.
The pelvis is often thought of as very “private” and that talking about such things is not appropriate. But we should feel free to discuss how our body works from digestion, movement, urinating, defecating, and even sexual functioning.
6. What is your favorite part about your job?
Helping my patient’s recognize their true self through self recognition and acceptance. It's about celebrating the small successes and moving forward in a positive direction. Providing a safe space for my patients to unload their concerns and worries, while validating them through education and knowledge on what is happening to their body. I love talking about taboo and stigmatized topics, helping to shed some light on the importance of how we function.
It's OK to talk - talking about your wants, desires, concerns can change how you feel about yourself and your life.
7. What is the one thing you want individuals living with incontinence to know?
You are not alone.
8. Anything else you’d like to add?
It's ok to talk - talking about your wants, desires, concerns can change how you feel about yourself and your life. We often avoid things because it might be uncomfortable but it can be so rewarding once we move past those difficult boundaries. And if no one else wants to hear what you have to say, I am here to listen.