Meet Our Team

Co-Director, Men's Health Center

Mark Paulos, MD, is co-director of The Miriam Hospital’s Men’s Health Center. He began his career as associate faculty at Presbyterian-Shadyside Hospital at University of Pittsburgh Medical Center. During his 12-year tenure, he was a leader in preventive health screening and championed access to mental health services. Dr. Paulos joined the Men’s Health Center in 2013 and has a dual appointment in the departments of internal medicine and urology. His practice focuses on the link between sexual health disorders and metabolic and cardiovascular health.

He has co-authored articles on the link between metabolic syndrome, erectile dysfunction and cardiovascular health, and he has written on the metabolic link between testosterone and bone health in men. He is a member of the American Society for Men’s Health and the Sexual Medicine Society of North America. 

Chief of Urology, Rhode Island Hospital and The Miriam Hospital

Mark Sigman, MD has over 20 years of experience in the diagnosis and treatment of urologic and reproductive problems. He is an internationally recognized expert on male infertility and sexual dysfunction. He is chief of urology at Brown University, Rhode Island Hospital and at the Miriam Hospital. He has authored more than 100 publications in the areas of male reproductive medicine and surgery and also has lectured extensively throughout the country on this topic. He is past president of many different societies, including the New England section of the American Urological Association, the Society for the Study of Male Reproduction, and the Society of Reproductive Surgeons.

Christy Ciesla, DPT, PT, PRPC
Coordinator, Women’s and Men’s Health Rehabilitation Services

Christy Ciesla, DPT, PT, PRPC coordinates women’s and men’s health rehabilitation services for Lifespan. Dr. Ciesla graduated from Syracuse University in 1999 with a degree in physical therapy and later received her doctorate from Utica College in New York.

Dr. Ciesla is certified as a prenatal and postpartum practitioner and is a board-certified pelvic rehabilitation practitioner, skilled in the diagnosis and treatment of pelvic dysfunction. She is a member of the American Physical Therapy Association and the International Pelvic Pain Society, and has served as both chair and vice chair of the Rhode Island Women’s and Men’s Health Physical Therapy Special Interest Group. 

She is a credentialed clinical instructor and mentors other physical therapists and medical students in her area of expertise. As adjunct faculty at the University of Rhode Island and Healthy Women, Healthy Men, a pelvic rehabilitation institute, she lectures to medical providers about pelvic rehabilitation and has co-authored a continuing education course for trans/gender-diverse patients, both before and after gender-affirming surgeries.

Abigail Mansfield Marcaccio, PhD, is a licensed psychologist at the Men’s Health Center at The Miriam Hospital and at the Family Therapy Program, where she also directs the Family Therapy Training Program. She treats difficulties in sexual functioning in couples and individuals and helps couples and families cope with adjustment to illness. She also helps couples, families, and individuals with life transitions, couple issues and family functioning of any type. Dr. Mansfield Marcaccio works with men, women, transgender and gender-fluid patients, couples and families. She sees adult patients of any age and welcomes families with children of any age, as long as the patient of record is an adult.

Dr. Mansfield Marcaccio supervises psychiatry and psychology residents in family therapy at The Warren Alpert Medical School of Brown University.  

Dr. Mansfield Marcaccio’s research interests include mood disorders and family functioning, ultra-brief assessment measures for use in routine clinical practice, and more recently, sexual functioning. Her work has been published in many peer-reviewed journals, books and book chapters. She is a member of the American Psychological Association, the Society for Family Psychology, and the International Society for Psychotherapy Research.


Martin M. Miner, MD has practiced preventive and primary care medicine for more than 28 years and is currently an internist at the Miriam Hospital. He is a fellow of the American Urological Association and the author of more than 75 publications in the areas of erectile dysfunction and cardiovascular disease, benign prostatic hyperplasia and lower urinary tract symptoms in reference to male sexuality, and hormonal replacement therapy in men. Miner is president-elect of the American Society of Men’s Health, associate editor of the Journal of Men’s Health and serves on multiple journal boards and reviews for several publications. He is currently active in several research studies on men’s health, and is the recipient of the Dean’s Teaching Excellence Award in 2003 and 2007. Miner was also honored with the 2012 Men's Health Award from the Massachusetts Medical Society.