PROGRAM DIRECTOR: Sanjay B. Kulkarni, MD

CONTACT PERSON: Dr. Pankaj Joshi
Email: kesi95@gmail.com
Phone: +91-20-25380555 or +91-20-25382554
Magic Jack U.S. Number: (248) 747-4160
Fax: +91-20-25387676

MAILING ADDRESS: Kulkarni Center for Reconstructive Urology
3 Rajpath Society
Paud Road
Pune, 411038, India

WEBSITE: strictureurethra.com

FELLOWSHIP TRAINING ON RECONSTRUCTIVE URETHRAL SURGERY

Short Description: Ours is a tertiary referral center for urethroplasties mostly complex and redos. We get patients from all over India and around the world. We perform around 200 uretroplasty cases a year.
Many new and innovative techniques for the reconstruction of the urethra have been developed and published from our center.
Our initiative,Indian School of Urethral Surgery is popular with urologists and residents where they learn tricks of the trade watching 8-10 urethroplasties performed live over a weekend (Sat-Sun) once a month.
In addition we perform live reconstructive urethral surgery workshops regularly in various cities of India and around the world.

The fellow will have opportunities to evaluate and investigate the patients of urethral stricture, learn various urethroplasties and their algorithm.
The fellow will initially assist and then perform ventral and dorsal onlay oral mucosa graft urethroplasties independently.
The fellow will have deep understanding of the anatomy and surgical steps of simple and complex posterior urethroplasties. He/she should be able to perform simple cases independently.

We also regularly repair pan urethral stricture, recto-urethral fistulae associated with posterior urethral injuries and failed hypospadiac surgery.

Other reconstructive urological procedures include Peyronie's disease,Penile prosthesis, various types of urinary diversions,repair of vesico vaginal and uretero vaginal fistulae.

Length of Fellowship:
The length of the training program is 1 year: 1July to 30June. The duration of the training period can be modified/extended according to individual requirements of the applicant.

Academic development:
Evaluate the monthly reconstructive literature
Submit at least one abstract to international meeting
Submit at least one paper to peer-reviewed journal

PROGRAM DIRECTOR:  Kenneth W. Angermeier, MD

CONTACT PERSON:    Kenneth W. Angermeier, MD
Email:  angermk@ccf.org
Phone:  (216) 444-4015
Fax:  (216) 445-2267

MAILING ADDRESS:  Cleveland Clinic 
Center for Genitourinary Reconstructive
9500 Euclid Avenue
Mail Code:  Q10-1
Cleveland, Ohio 44195

WEBSITE:  http://my.clevelandclinic.org/urology/training_education.aspx

Short description:  The Glickman Urological and Kidney Institute is a highly specialized urology and nephrology department consisting of nearly 50 urology staff and 26 urology residents.  Subspecialty areas within the department include: GU reconstruction, Female Urology and Urodynamics, Minimally-Invasive Surgery, Oncology, Infertility, Kidney and Pancreas Transplantation, Pediatrics and Endourology.

The position is a one-year clinical fellowship administered through the Center for Genitourinary Reconstruction.  Three faculty members comprise this center:  Dr. Kenneth W. Angermeier, Dr. Drogo K. Montague and Dr. Hadley M. Wood.  In addition, we have one full-time nurse and are in the process of hiring an additional physician-extender to support our clinical practice.  From a clinical standpoint, we perform a consistently high volume of GU prosthetic cases, urethral reconstructions, and procedures for Peyronie’s disease.  Experience will also be gained by the fellow in a number of less common plastic operations of the genitalia and perineum including repair of rectourethral fistulae, scrotal reconstruction for lymphedema, and surgery for penile and urethral cancer.  Major open cases performed within our center include bladder augmentation, catheterizable stomas, cystectomy with urinary diversion, and ureteral reimplant/reconstruction among others.  Expectations of the fellow will be to develop a thorough understanding of the clinical evaluation and management of a broad spectrum of disorders of the male genitourinary tract requiring reconstructive surgery, as well as a keen interest in contributing to the specialty through clinical research.

The position entails approximately 1-2 days a week in clinic with staff, ½ day of your own clinic, and the remainder of the time (2-3 days per week) in the operating room.  The Fellow will also be expected to participate in all weekly urology departmental conferences (Wednesdays 7-8:30 am) as well as selecting articles for and attending monthly journal club. They will also assist with planning and executing subspecialty-specific symposia.  Requirements include: successful completion of a board-approved residency and an active Ohio medical license.

PROGRAM DIRECTOR:  Richard A. Santucci, MD, FACS

CONTACT PERSON:  Dr. Richard A. Santucci
Email:  rsantucc@dmc.org
Phone:  (313) 745-1712
Fax:  (313) 745-8222

MAILING ADDRESS:  Department of Urology
4160 John R.
Suite 1017
Detroit, Michigan 48120

WEBSITE:  http://www.drhuhc.org/urology3.tuml

Short description:  We perform more than 120 reconstructive cases a year, mostly complex urethroplasty.  The Fellow has staff privileges at one of the nation’s premier Level I trauma centers, and has constant opportunity to operate “solo” at the attending level.

Work in a supportive environment designed to foster your academic career and clinical skills.  Adequate time will be arranged for clinical research and developing your C.V., to help prepare you for academic or private job market.

We have a nice mix of male urethral reconstruction, spinal cord reconstruction, trauma, and other reconstruction cases (such as iatrogenic ureteral injury).  We’ve got a robust referral population and see a huge variety of cases.

PROGRAM DIRECTOR:  Andrew C. Peterson, MD, FACS
                                         Email:  drew.peterson@duke.edu

CONTACT PERSON:  Ms. Jonna H. Clark
Email:  jonna.clark@dm.duke.edu
Phone:  (919) 684-2516
Fax:  (919) 668-0321

MAILING ADDRESS:  Duke University Medical Center
Division of Urology, DUMC 3146
Room 1112, Green Zone, Davison Building
Durham, North Caroloina 27710

WEBSITE:  http://.www.dukeurology.com
Short description: This one year fellowship has been in existence since 1982 and encompasses the fields of reconstruction urology, female urology and urodynamics. The fellow will enjoy a diverse and in-depth clinical exposure to each of these aspects under the preceptorship of Dr. George Webster and Dr. Andrew Peterson.  Additionally the female urology component of the fellowship is multidisciplinary involving a two month rotation through the Urogynecology Division at Duke University under the direction of Dr. Cindy Amundsen, who directs a separate Urogynecology Fellowship. The fellow will require a full license to practice in North Carolina in order to be able to function independently in some clinics and operating room arenas. The clinical goals are that the fellow be competent to manage women with all types of urinary incontinence and vaginal organ prolapse and in addition such conditions as vesicovaginal fistula and urethral diverticulum. At least half of the practice involves male reconstructive urology, primarily the surgical management of urethral stricture, male incontinence, ureteral and bladder reconstruction and continent urinary diversion. The urodynamic aspect of the fellowship includes supervision of the video urodynamics laboratory and its attendant population with incontinence and voiding dysfunction of multiple causes. The fellow will be responsible for resident lectures and tutorials within the field of endeavor of the fellowship. The customary work week involves two full day clinics with attending preceptor, three full day operating room sessions and four half-day independent clinic sessions per month. The fellow will be urologist on call for the hospital for a one week period approximately five times during the year. Fellows are encouraged to make contact with recent fellowship graduates of this program to fully appreciate the experience offered.

PROGRAM DIRECTOR:  Kurt A. McCammon, MD, FACS

CONTACT PERSON:  Ms. Lynn Vass
Email:  vasslm@evms.edu
Phone:  (757) 457-5175
Fax:  (757) 626-0768

MAILING ADDRESS:  Eastern Virginia Medical School
6333 Center Drive
Building 16
Norfolk, Virginia 23502

WEBSITE:  http://www.evms.edu/urology/fellowships/index.html

Short description:  Adult and Pediatric Genitourinary Reconstructive Surgery Fellowship (info on the website)

PROGRAM DIRECTOR:  Charles L. Secrest, MD

CONTACT PERSON:  Dr. Charles L. Secrest
Email:  secrestGUrecon@gmail.com
Phone:  (601) 573-7704
Fax:  (601) 353-3654

MAILING ADDRESS:  The Center for Reconstructive Urology
Mississippi Baptist Medical Center
1421 North State Street, Suite 403
Jackson, Mississippi 39202  

WEBSITE:  http://www.mbmc.org and http://www.msurology.com

Short Description:  This is a very busy one year clinical fellowship in reconstructive urology.  The case load is evenly distributed between male and female patients, primarily adults with some older pediatric cases.   The surgeries involve urethral reconstruction, hypospadias, Peyronies disease, ED and male incontinence surgery; prosthesis surgery including complex redo cases; neurourology including bladder reconstruction and diversion, videourodynamics, and neuromodulation; female surgery for incontinence, slings, bulking agents, pelvic floor reconstruction, fistula, and urethral reconstruction.   Baptist hospital is a tertiary referral center and we care for patients from the entire mid-South and beyond.  Fellows are expected to present papers at the AUA every year.   

PROGRAM DIRECTOR:  Christopher M. Gonzalez, MD
                                         Email:  cgonzalez@nmff.org

CONTACT PERSON:  Ms. Kelly Ross
Email:  k-ross@northwestern.edu
Phone:  (312) 503-3238
Fax:  (312) 908-7275

MAILING ADDRESS:  Dr. Christopher M. Gonzalez
Department of Urology
Northwestern University Feinberg School of Medicine
303 E. Chicago Avenue
Chicago, Illinois 60611

WEBSITE:  N/A

Short Description:  The Northwestern McGaw Center for Graduate Education fellowship in Reconstruction and Prosthetics is a one year, mentored graduated experience focusing on reconstructive urologic surgery including pre-operative evaluation, intra-operative familiarity with surgical reconstructive techniques, and post-operative management.  The fellow will gain knowledge in the core reconstructive urologic procedures, including:

Management of complex urethral stricture disease utilizing anastomotic and
substation urethroplasty.

     Management of male stress urinary incontinence and proficiency in artificial
urinary sphincter implantation.

     Management of rectal-urethral fistula and urethra-cutaneous fistula disease.

     Management of upper urinary tract stricture reconstruction.

The fellow will be involved in related clinical research activities during the training period.  He or she will be expected to participate in research to expand the understanding and treatment of patients requiring reconstruction of the genitourinary system.  He or she will work closely with the faculty in the Department of urology to design and implement his or her research projects, with the expectation that the projects will culminate in presentations at national meetings and publication in peer-reviewed journals.

The fellow in GU Reconstruction will training at two sites:  Northwestern Memorial Hospital, and the Jess Brown Veteran’s Administration Healthcare System.  The fellow will spend one and one half days per week at the VA Hospital, and three and one half days per week at Northwestern Memorial Hospital.  One half day per week will be allocated for clinical research in each of these locations.

PROGRAM DIRECTOR:  Joel Gelman, MD
Email:  jgelman@uci.edu

CONTACT PERSON:  Ms. Denise Calhoun
Email:  dcalhoun@uci.edu
Phone:  (714) 456-2951
Fax:  (714) 456-7263

MAILING ADDRESS:  Dr. Joel Gelman
University of California at Irvine
333 City Boulevard West, Suite 1240
Orange, California 92868

WEBSITE:  N/A

Short Description:  This one-year clinical fellowship focuses exclusively on adult and pediatric urethral and genital urethral reconstructive surgery.

Dr. Joel Gelman is the Fellowship Director.  In addition, the Teaching Faculty includes Dr. Antoine Khoury (Pediatric Urology), Dr. Gamal Ghoniem (Male Incontinence) and Dr. Mark Kobayashi (Reconstructive Plastic Surgery).

We perform a high volume of reconstructive surgery at the University of California – Irvine Medical Center, the Long Beach Veterans Administration Hospital, and the Children’s Hospital of Orange County.  The Fellowship emphasizes urethral reconstruction for stricture disease (posterior disruptions, bulbar strictures, fossa strictures, radiation strictures, complex strictures after hypospadias surgery, strictures after urethral stent placement, pan-urethral strictures, etc.) and hypospadias repair.  The fellow will participate in performing urethral imaging as we perform all of our retrograde urethrograms and cystourethrograms (over 180 percedures each year).  In addition, we also harvest all grafts that are used (buccal mucosa, split thickness skin grafts).  Penile reconstructive surgeries include Peyronie’s repair with grafts and/or wedge excision placation and penile implant surgeries including complex revision surgery when there is corporal scarring.  Male incontinence surgery includes artificial sphincter placement and sling procedures.  Many of our patients present with complex complications from porstate cancer treatment with surgery or radiation, including urethral strictures, recurrent bladder neck contractures, and rectal-urethral fistulas.  We are treating an increasing number of men with these complications.  In addition, we perform scrotal reconstruction for massive lymphedema or hidradenitis, and treat the complications of penile enlargement surgery.  Although the focus of the fellowship is male genitourinary surgery and patient care, clinical research is strongly encouraged and there are opportunities for basic science research participation

PROGRAM DIRECTOR:  Jack W. McAninch, MD
                                         Email:  jmcaninch@urology.ucsf.edu

CONTACT PERSON:  Ms. Luisa Realubin
Email:  lrealubin@urology.ucsf.edu
Phone:  (415) 206-8806
Fax:  (415) 206-5153

ASSOCIATE DIRECTOR:  Benjamin N. Breyer, MD
Email:  bbreyer@urology.ucsf.org

MAILING ADDRESS:  San Francisco General Hospital
Dr. Jack W. McAninch
Department of Urology
1001 Potrero Avenue, Suite 3A20
San Francisco, CA 94110

WEBSITE:  http://urology.ucsf.edu/fellowship/ftrauma.html

Introduction
1. History:  This program was begun in 1989 as a one year program.  Twenty two (22)  
individuals have completed the training program; currently eighteen (18) individuals
hold appointments in academic and teaching institutions.  Four (4) are in private
practice settings.

2. Duration:  This is a 12 month fellowship beginning 1 July of each academic year and
completed on 30 June the following year.

3. Prerequisite Training/ Selection Criteria:  Each candidate must have completed an
ACGME Urology Residency Training Program.  Candidates are initially screened by
review of a current curriculum vitae and their letter of application.  Special interest in
future academic and scholarly activities is considered highly favorable.  Selected
individuals are invited for a personal interview by faculty members in the Urology
Department and an appropriate candidate is selected.

4. Goals and Objectives for training:  The educational purpose of this program is to train
individuals for a future academic career in reconstructive and trauma related urology. 
The goals of the program are to provide the trainee with extensive surgical
experience in reconstructive urology, including adult urethral and genital
reconstruction, urinary diversion and fistula repairs, genital cancer and penile
preservation procedures, adult pelvic and urethral reconstruction, diagnosis and
management of male urinary incontinence.  Traumatic urological injury diagnosis and
management is focused at San Francisco General Hospital (SFGH) and provides the
opportunity for the trainee to work as a member of a Trauma Team providing care for
acute trauma to the urinary and genital system.  The trauma experience provides the
trainee additional reconstructive experience in the acutely injured patient.

The research experience is based on outcomes research utilizing an extensive trauma and reconstructive database developed over the past 30 years.  Fellows are supervised and guided through development of research projects, which include protocol preparation and development, statistical analysis, data collection techniques, data interpretation, manuscript preparation, etc.  It is expected that each trainee will complete and publish multiple manuscripts during the fellowship.

Learning how to be a surgeon educator and future role model is one of the major goals of this program.

Resources
1. Teaching Staff/ Faculty:  Dr. Jack W. McAninch, Professor of Urology and Chief of Urology at San Francisco General Hospital, is the primary supervisor and provides the guidance for the trainee to fully develop the goals and objectives of the program.  The other members of the Department of Urology faculty provide valuable guidance in clinical care and research program development during the academic year.

            2. Facilities.:  The principle training sites are San Francisco General Hospital and UCSF  
Medical Center.

Educational Programs – Basic Curriculum Elements of the training program:

1. Clinical and research components:  The clinical experience is based at SFGH and

UCSF Hospitals with the focus on urological reconstruction and trauma.  As outlined under goals, the trainee is supervised and guided through a large variety of complex reconstructive procedures on adults with urethral, genital, pelvic and intra-abdominal conditions.  Emphasis is placed on learning a wide range of surgical techniques and on intra-operative and surgical skills teaching of residents.

Research experience is supervised and guided to enhance development of prospective protocols for outcomes research, data analysis, and manuscript preparation.

A variety of didactic classes involving research and data analysis is available at UCSF and fellows are encouraged to attend and utilize these valuable resources.

            2. Participant’s supervisory and patient care responsibilities:  Fellows in this program
have continuous supervision by Dr. Jack W. McAninch, the Program Director, with   
assistance from the other 13 faculty members of the Urology Department.  A wide range
of support, at various levels from research to surgical and operative skills, comes from
the Urology faculty.

The fellow is supervised at all levels of clinical care including clinic and outpatient care, operative decision making, operative skills, post-operative care.  It is expected that during the 12 months, the fellow will develop training and demonstrate increasing responsibility in clinical areas.

1. Didactic components:  The fellow meets and/or communicates with the fellowship

director on a daily basis to discuss patient care and research issues.  This constitutes valuable education and guidance through the fellowship.  Attendance of the UCSF teaching conferences, grand rounds, morbidity and mortality conference, and SFGH weekly didactic rounds is expected.

INSTITUTION: University of Colorado School of Medicine

PROGRAM DIRECTOR: Brian J. Flynn, MD
Email: brian.flynn@ucdenver.edu

CONTACT PERSON: Ms. Beth Musser
Email: beth.musser@ucdenver.edu
(303) 724-2715
(303) 724-2818

MAILING ADDRESS: University of Colorado School of Medicine
Division of Urology
12631 East 17th Avenue
Mail Stop C-319
Aurora, Colorado 80045

WEBSITE: http://www.medschool.ucdenver.edu/urology

Short description: Fellowship will focus on reconstructive urologic surgery including pre-operative evaluation, intraoperative management with familiarity in reconstructive techniques, instrumentation, and post-operative management and care.

Areas of emphasis are: The management of Male Stress Urinary Incontinence and proficiency in artificial urinary sphincter and male sling implantation. Penile Reconstruction for Peyronie's Disease and erectile dysfunction. Management of urethral stricture disease including urethroplasty and substitution urethroplasty using grafts and flaps (both local flaps as well as extra-genital flaps). Fellow will be proficient in management of urethral fistulas including rectal-urethral fistula and urethro-cutaneous fistula.

Fellow will demonstrate knowledge in ureteral reconstruction and be adept in the full array of reconstructive procedures including ureteral re-implantation, uretero-ureterostomy, transuretero-ureterostomy, ileal uretero substitution, boari flap, and pyeloplasty (both open and laparoscopic). Bladder reconstruction including bladder augmentation, creation of catherizable urinary stomas, urinary diversion

PROGRAM DIRECTOR:  Karl J. Kreder, Jr., MD, MBA, FACS

CONTACT PERSON:  Dr. Karl J. Kreder, Jr.
Email:  karl-kreder@uiowa.edu
Phone:  (319) 353-8771
Fax:  (319) 356-3900

MAILING ADDRESS:  University of Iowa
Department of Urology
200 Hawkins Drive, 3 RCP
Iowa City, Iowa 52242-1089

WEBSITE:  http://www.uihealthcare.com/depts/med/urology/index.html

History: Female Urology and Pelvic Reconstruction Fellowships have been available for the last 14 years.

Duration: The fellow may choose a 1-year clinical fellowship or a 2-year clinical/research fellowship.

Prerequisite Training/Selection Criteria: Candidates may apply if they have completed an approved residency program in urology. In special circumstances, qualified candidates who have completed their formal training in foreign countries and who have completed the requirements for foreign graduates may also apply. Foreign applicants are responsible for obtaining appropriate visas prior to the start of the fellowship. The fellowship is preferentially offered to those who are considered for a staff position at an academic program nationally or internationally or who intend to pursue an academic career in urology.

Interested applicants should submit a curriculum vitae, brief statement of research interest, and names of references.

Goals and Objectives for Training: This fellowship represents an intensive clinical exposure to female urology and voiding dysfunction as well as other aspects of reconstructive urology. During the fellowship, the intent of the program is for the fellow to obtain skills in advanced reconstructive procedures involving both male and female voiding dysfunction issues. The fellowship not only includes clinical exposure under the direction of the faculty as well as an independent clinic setting, but also clinical research and laboratory bench exposure.

Program Certifications:  None.

Teaching Staff:  Dr. Karl J. Kreder, Director, Reconstructive Urology, Professor and Interim Chair; Dr. Elizabeth B. Takacs, Fellowship Director, Assistant Professor, and
Dr. Bradley A. Erickson, Assistant Professor.

The fellow will also work closely with the entire Urology faculty.

Facilities: The fellow will work at the University of Iowa Hospitals & Clinics and the Veterans Affairs Medical Center in Iowa City.

Educational Program, Basic Curriculum: This fellowship encompasses a global approach to the diagnosis and management of female organ prolapse, urinary incontinence, male reconstructive urology and unique aspects of voiding dysfunction, including refractory urge incontinence and neurogenic disease.

This fellowship is approximately 85% clinical. Research opportunities in clinical research are abundant and include potential participation as a Co-PI on National Institutes of Health (NIH) or industry-sponsored trials. If the fellow chooses a second year, the second year is 100% research. Any clinical association will be observation of interesting cases.

Didactic components include 2 weekly conferences and monthly journal club, 2 visiting professors annually and the Iowa Urologic Society conference as well as one national meeting. The fellow is expected to present at these conferences.

Fellows will have full responsibility in running an outpatient clinical service and will participate actively in surgery. They will evaluate new patients, select appropriate treatment and provide continuity of care during their fellowship. Fellows will help to supervise residents, PAs and medical students in the clinic as well as the operating room.

At the completion of the fellowship the fellow will have competence in all areas of reconstructive female urology and urodynamics.

Fellows are assessed 4 times during the year(s). Feedback is given after each assessment.

PROGRAM DIRECTOR:  Allen F. Morey, MD, FACS

CONTACT PERSON:  Dr. Allen F. Morey
Email:  allen.morey@utsouthwestern.edu
Phone:  (214) 648-5698
Fax:  (214) 648-6310

MAILING ADDRESS:  University of Texas Southwestern Medical Center
Department of Urology
Moss Building, 8th Floor, Suite 112
5323 Harry Hines Bldg
Dallas, TX 75390-9164

WEBSITE:  http://www.utsouthwestern.org

Short description:  Trauma, Reconstruction, and Prosthetics.  Emphasis on GU Trauma (Parkland), Male Reconstruction (including Urethroplasty, Incontinence, Peyronie’s, and Prosthetics), and upper tract reconstruction for ureteral strictures.  Ample open surgery and clinical research opportunities are available.  One week reconstructive urology outreach experience in Honduras included.

PROGRAM DIRECTOR:  Hunter Wessells, MD

CONTACT PERSON:  Mr. Leo Callipusan
Email:  leowill@uw.edu
Phone:  (206) 744-6384
Fax:  (206) 744-4709

MAILING ADDRESS:  University of Washington/Harborview Medical Center
Department of Urology
Harborview Medical Center
325 9th Avenue
Box 359868
Seattle, Washington 98104

WEBSITE:  http://depts.washington.edu/uroweb/fellowships/positions_qtrs.html

Background
The Department of urology of the University of Washington School of Medicine and Harborview Medical Center offer a 1-year clinical fellowship in male genitourinary reconstructive surgery and trauma.

To apply for this fellowship position, in addition to submitting your application online at
https://www.auanet.org/secured/malereconstruction/applicant.cfm, you must also send a copy of your Application, Current CV, Personal Statement, and 3 letters of recommendation (including one from your Program Director) to:

Dr. Hunter Wessell
ATTN:  Mr. Leo Callipusan
Harborivew Medical Center
325 9th Avenue
Box 359868
Seattle, WA 98104

History
The program has matriculated one fellow per year since its inception in 2005. Four of its five graduates have taken positions in academic institutions including Baylor, Kansas, Ohio State and the Lahey Clinic. Fellows have come from US and Canadian programs.

Overview
The program has a significant focus on male anterior and posterior urethra reconstruction with additional emphasis on management of acute genitourinary injuries, penile reconstructive procedures, and male prosthetic surgery.  Operative experience is provided in the additional areas of rectourethral fistulae and and bladder augmentation/reconstruction/neurourology.

The clinical fellowship includes year-long participation in complex elective genital and urinary reconstructive surgery and mentored graduated experience in acute injury management.  The prospective fellow will have hospital staff privileges, a clinic of his/her own including block OR time and the ability to book cases and contribute to the care of patients at Harborview Medical Center (average 1-day per week).  A structured curriculum, weekly conferences, and close interaction with urology residents are provided.

Extensive research opportunities are available at the Harborview Injury Prevention Research Center as well as other research programs. Areas of active research include biomechanics of renal injury, genitourinary complications of pelvic fracture, long-term outcomes of genital skin grafting, as well as other ongoing studies related to renal injury management, urethral realignment, and reconstruction of urethral stricture disease. Approximately 15% effort is allocated for research.

Faculty
The Fellow works closely with the Fellowship Director (Dr. Hunter Wessells); a second Fellowship Trained Reconstructive Urologist, Dr. Bryan Voelzke; and a Neurourologist, Dr. Claire Yang.
Fellowship Training in Male Genitourinary Reconstruction and Trauma:

The goal of advanced training in trauma and reconstructive urology is to provide further knowledge and skills beyond the expertise achieved during a urology residency program. The additional expertise should include critical analysis of complex clinical problems, development of advanced technical skills, and scholarship. The fellow should further enhance his/her skills in the planning of multidisciplinary approaches to patient care and mature his/her knowledge in clinical research methodologies.

After completing a one-year minimum fellowship in trauma and reconstructive urology, the graduate should demonstrate the following unique characteristics:

1. Ability to perform complex urethral and genital surgery with a clear understanding of the benefits and the technical limitations of surgical procedures;
2. Advanced expertise in the multidisciplinary management of patients with urologic trauma;
3. Knowledge and the ability to apply the critical principles of:
1. Plastic surgery
2. Urologic imaging techniques
4. Extensive knowledge of and technical experience in lower urinary tract diversion/reconstruction and male incontinence surgery (AUS, male urethral sling);
5. Knowledge of the biology of injury and wound healing;
6. Comprehension of and facility with scientific methodology, study design, biostatistics, and data analysis;
7. Ability to manage academic or tertiary referral clinical practice and participate in continuing education.
8. Skills for self-education and collaboration in translational research.

Eligibility Requirements

1. Admission  is contingent upon completion of an ACGME accredited urologic training program http://www.acgme.org or an appropriate foreign program.
2. The applicant must have a letter of support from their urology training program director recommending them for the fellowship and attesting to the candidate's successful completion of the urology training program. Two additional letters are required.
3. The applicant should have completed all 3 steps of USMLE and be eligible for a WA State license prior to starting fellowship.

Duration of Training

• The clinical portion of the experience must be a minimum of 12 months in duration.
• The clinical research available during the fellowship should be clearly defined. Research should be encouraged under the supervision of an appropriate mentor.

Urogenital Trauma Research

• The UW is one of the top research institutions in the US. The Harborview Injury Prevention and Research Center http://depts.washington.edu.hiprc allows fellows to participate in one of the leading institutions researching how and why people suffer injuries.
• Renal Trauma: Injury Staging and Management Variation: Various ongoing study using the Trauma Registry, National Trauma Data Bank, and Crash Injury Research Engineering Network.
• Genital Reconstructive Outcomes.
• Reconstruction databases: pelvic fracture associated urethral injury; anterior urethral reconstruction (one stage and staged).

Clinical Volume Indicators
Harborview Urology Service
Average daily census: 3.05 (LOS 3.10, admits per month 22.33 = yr 2008)
Length of stay: 2.98
Admissions/month: 20

Case Load (year) (endo 396 yr 2008) (open 285 yr 2008)
Endoscopic: 546
Open: 186
Total: 732

One year total of major reconstructive cases (2010-2011)
  

Urethral Reconstruction
 
 Fossa Navicularis   
 Fasciocutaneous Fossa Navicularis Flap 3  
 1st Stage BMG 5  
 2nd Stage 1  
    
 Penile Urethra   
 Fasciocutaneous Penile Flap   
 Dorsal Onlay 3  
 Dorsal Inlay   
 1st Stage BMG 11  
 2nd stage  11  
 Hypospadias repair 1  
    
 Bulbar Urethra   
 1st Stage BMG 3  
 2nd Stage 2  
 Dorsal Onlay 8  
 Ventral Onlay 4  

Fasciocutaneous Flap 2  
 EPA 20  
 Augmented roof strip anastomosis 2  
    
 Posterior Urethra   
 Posterier Urethroplasty 16  
 posterier Urethroplasty with gracilis flap   
 Ventral BMG   
 EPA   
    
 Complex Panurethral Reconstruction   
 1st Stage BMG   
 2nd Stage 1  
 Dorsal Onlay/1st BMG 1  
    
 RUF   
 Posterior Urethroplasty with gracilis flap 3  
 BMG with gracilis flap 1  
 RUF closure with gracilis flap 4  
 RUF repair with other interposition flap 1  
    
 U-C Fistula Repair 3  
    
 Perineal Urethrostomy 6  
    
 Total Urethroplasties 99  
    
 Penile Reconstruciton   
 Peyronie's Disease   
 Plication 12  
 Incision and Grafting 6  
 Excision and Grafting 2  
 Penile reconstruction with STSG 7  
 Penile reconstruction with STSG + panniculectomy 6  
 Penile reconstruction  with FTSG   
 Glans resurfacing with BMG   
 Penile reconstruction with local skin flaps   
 Penile Fracture repair 2  
 Foreign body removal   
 Penile reconstruction with dermal graft 1  
 IPP 9  
 IPP with Corporeal reconstruction 1  
 Maleable prosthesis 2  
 Penile augmentation-release of suspensory ligament with z plasty 1  
 Buried penis repair with panniculectomy 2  
 Proximal penile shunt 2  
    
 Total Penile Surgery 58  

Scrotal Surgery   
 Scrotal Exploration 5  
 STSG to scrotum 7  
 Scrotoplasty 1  
    
 Total Scrotal Surgery 14  
    
 Bladder Reconstruction   
 Bladder Augmentation 1  
 Bladder Augmentation + catheterizable stoma 3  
 Mitrofanoff 1  
 Repair Bladder Augmentation 1  
 Bladder exploration 1  
    
 Total Diversions  
      
 IP bladder Rupture 4  
 EP bladder rupture 1  
 Bladder neck repair 3  
    
 Ureteral Reconstruction   
 Boari Flap 1  
 Psoas Hitch 1  
 Psoas Hitch + Boari Flap  
 End-End   
 Ileal Ureter   
 TUU   
 ureteral reimplant 1  
    
 Male Incontinence   
 AUS 7  
 Advance sling 5  
    
 Urinary Diversion   
 Ileal loop 3  
    
 Renal Surgery   
 pyeloplasty 2

LOCATION OF PAST FELLOWS:

Current Fellow:
Bahaa Malaeb, MD
Trauma & Reconstruction Fellow 2011-2012

Alex Vanni, MD
Trauma & Reconstruction Fellow 2010-2011
Assistant Professor, Tufts University
Staff Urologist, Lahey Clinic

Christopher McClung, MD  
Trauma & Reconstruction Fellow 2009-2010
Assistant Professor
Ohio State University

Thomas G. Smith III, MD
Trauma & Reconstruction Fellow 2008-2009
Assistant Professor
Baylor College of Medicine

Joshua Broghammer, MD
Trauma & Reconstruction Fellow 2007-2008
Assistant Professor, University of Kansas Medical Center

James K. Kuan, MD
Trauma & Reconstruction Fellow 2006-2007
Swedish Urology Group, Seattle, WA

PROGRAM DIRECTOR: Steven B. Brandes, MD
Email: brandess@wudosis.wustl.edu

CONTACT PERSON: Ms. Alice Volz
Email: volza@wustl.edu
Phone: (314) 362-8227
Fax: (314) 367-5016

MAILING ADDRESS: Washington University in Saint Louis
4960 Children's Place
Box 8242
Saint Louis, Missouri 63110

WEBSITE: http://www.urology.wustl.edu/patientcare/reconstructivesurgery.asp

Short description:   This one year clinical fellowship encompasses all aspects of male reconstructive urology and lower urinary tract reconstruction. The Fellow will spend 80% of the time in the operating room and clinic, and the remaining time devoted to outcomes research and manuscript writing.

Two-thirds of the operative time will be spent performing male reconstructive surgeries: anterior and posterior urethroplasty, male incontinence (slings and AUS), urinary fistula repair (gracilis muscle flaps, VVP), ureteral and bladder reconstruction (Psoas Hitch, Boari flap, TUU, ileal ureter) and continent urinary diversions. The other third will be devoted to male prosthetics and neurourology. The Fellow will be under the mentorship of three experienced reconstructive urologists, Dr's Brandes, Bullock and Lai. The structure of the fellowship is adjustable, so as to fit the specific interests of the Fellow. An optional two week reconstructive urology experience at a major reconstructive center overseas is also available. Time will also be set aside for the fellow to attend data mining and outcomes research classes at the Institute for Translational Research.

As the Fellow will function as a junior attending and be expected to operate and see patients independently, he must be eligible for a full license to practice in the state of Missouri.

PROGRAM DIRECTOR:  Anthony R. Mundy, MD
                                         Email:  tony.mundy@uclh.nhs.uk

CONTACT PERSON:  Ms. Kelly Higgs
Email:  Kelly.higgs@uclh.nhs.uk
Phone:  020-344-79099   
Fax:  020-344-79401

MAILING ADDRESS:  Reconstructive Urology Unit
2B Maple House
Ground Floor, Rosenheim Wing
25 Grafton Way
London WC1E 6DB

FELLOWSHIP WEBSITE:  www.Instituteofurology.org

Short description of Fellowship programme:

The fellow will obtain a clear view on the current role of surgery for the management of urethral stenosis affecting both the anterior and posterior urethra in contemporary clinical practice. At the end of the fellowship, the fellow should:

• Be able to fully evaluate the patient with urethral stricture disease

• Be familiar with most of the current surgical techniques for the repair of urethral stricture disease
• Have reviewed the treatments available for urethral stricture disease
• Have learnt in detail the role of the treatments which are available for specific patient scenarios
• Have a clearer understanding of the role of anastomotic and substitution urethroplasty in the management of urethral stricture disease
• Have understood the harvesting of tissues used for urethroplasty: oral mucosa, genital and extragenital skin
• Be able to outline the principles of the surgical management of traumatic urethral strictures.

• Familiarise with protocols and guidelines for the postoperative period and follow-up

The venue is the Institute of Urology, University College Hospital London NHS Foundation (UCLH), UK

The length of the training program is 1 year: October to October.
The duration of the training period can be modified/extended according to individual requirements of the applicant.

Full-time clinical activity with on-call commitment for the Urology department 1:10 (i.e.sharing the on-call rota with 10 urology resident colleagues)
Supervise Junior Registrar, Senior House Officer and Nurse Practitioner
Organise a busy reconstructive unit together with the secretary
Responsible to Professor Mundy and Miss Andrich