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GENITOURINARY RECONSTRUCTIVE SURGERY FELLOWSHIP POSITIONS

Fellowship training in Genitourinary Reconstructive Surgery will be determined according to a match process for Fellowships starting in July 2016.

GURS has 16 Fellowships are participating in the 2016 Genitourinary Reconstructive Surgery Fellowship Match Process. NOTE: The University College London Hospitals NHS Trust Fellowship “is not” participating in this match process.

***The following information is subject to change. Please check back November 1st for updated information***

On November 10, 2014, an AUA link will be provided to submit your application.

The 2016 Genitourinary Reconstructive Surgery Fellowship selection process will occur according to the following Match Schedule:

DATES
MATCH PROCESS
November 10, 2014 (Monday) Start of online application process. NOTE: In addition to submitting your application online, you are responsible for sending your application, CV, and 3 letters of recommendation to each Program Director that you wish to be interviewed by. It is also the applicant’s responsibility to contact Program Directors/Coordinators in order to schedule interviews.
February 6, 2015 (Friday) Deadline for submitting registration and application.
May 20, 2015 (Wednesday) Deadline for Applicant to be interviewed by the Program Directors.
June 1, 2015 (Monday)   Preference list phase begins for both Program Directors and Applicants. NOTE: AUA will email instructions to all Program Directors and Applicants prior to beginning this phase of Match Process.
June 10, 2015 (Wednesday)  Deadline for all Program Directors and Applicants to submit their Preference Lists (online) to AUA.
June 12, 2015 (Friday)
through 
June 26, 2015 (Friday)
Fellowship Match is performed by AUA and an audit of the Fellowship Match process will be performed by the two members of the GURS Fellowship Committee.
June 30, 2015 (Tuesday) Fellowship Match results will be emailed by AUA to Program Directors and Applicants



INSTITUTION:  Center for Reconstructive Urology, Pune, India

PROGRAM DIRECTOR: Sanjay B. Kulkarni, MD

CONTACT PERSON: Dr. Pankaj Joshi, MD
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: www.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


INSTITUTION:  University of Alberta Reconstructive Urology Fellowship

PROGRAM DIRECTOR: Keith Rourke, MD, FRCSC

Contact Person: Keith Rourke, MD, FRCSC
Email: krourke@ualberta.ca
Phone: (780) 441-2576 or (780) 990-7093
Fax: (780) 441-2597

MAILING ADDRESS: Suite 400 (Alberta Urology Institute)
11010 – 101 Street
Edmonton, Alberta T5H-4B9
CANADA

WEBSITE: http://www.urologyalberta.ca/fellows-reconstructive.asp   http://www.med.ualberta.ca/

Prerequisite/Eligibility Requirements:

The fellowship is open to those able to obtain medical licensure in the province of Alberta or graduates outside of Canada who have external funding.

Requirements are:
1.  Applicant should obtain medical licensure or postgraduate registration with the College of Physicians and Surgeons of Alberta (depending on funding source).
2.  Applicant should have completed the LMCC (parts 1 and 2) unless they have external funding.
3.  Registration with the Post-graduate Medical Education (PGME) office at the University of Alberta ($945).
4.  Applicant should have a valid work permit if not a Canadian citizen or permanent resident.
5.  Membership with the Canadian Medical Protective Association (CMPA) as a clinical fellow.
6.  Applicant must send a cover letter, current CV, and three reference letters supporting their application. One of these letters must be from the residency program director.

FUNDING:
The successful candidate will either:
1.  Provide external funding
2.  Generate salary support through clinical billings. This requires full licensure in the province of Alberta and will be administered through the Department of Surgery.

SHORT DESCRIPTION:
The University of Alberta is one of Canada’s top teaching and research and is located in the city of Edmonton, capital of the resource-rich province of Alberta. The Faculty of Medicine has experienced a recent building boom, including the construction of new teaching, clinical and research space. Our students, residents, and fellows have access to some of the most modern and well-equipped facilities in Canada.

This is a one-year clinical fellowship focusing on adult and pediatric urethral, bladder and genital urethral reconstructive surgery. The University of Alberta performs a high volume of reconstructive surgery and acts as the main reconstructive urology center for Western Canada. The fellowship program focuses on urethral reconstruction for stricture, hypospadias, fistula, and trauma as well as complex male genital reconstruction (trauma, Peyronie’s disease, lymphedema), surgery for sexual dysfunction (prosthesis), complications of prostate cancer treatment and the adult neurogenic bladder. There is also a significant component of female pelvic floor reconstruction (stress incontinence, pelvic organ prolapse and voiding dysfunction). The fellow will participate in male and female reconstructive surgeries (>300 procedures/year) as well as perform pre-operative assessment, urodynamics and urethral imaging. This is a robust clinical fellowship with dedicated time and the expectation of clinical research with the opportunity for basic science research participation.

In a typical week the fellow would attend 2-3 operative days per week with 1-2 days of ambulatory/office experience. The fellow will be actively scheduled with Dr. Keith Rourke (Male Reconstruction), Dr. Peter Metcalfe (Transition Urology), Dr. Derek Bochinski (Andrology) and Drs. Gary Gray and Blair St. Martin (Female Reconstruction). The fellow will regularly attend ambulatory clinics (including the Adult Spina Bifida clinic), cystoscopy and urodynamics and operating rooms at the University of Alberta Hospital, Royal Alexandra Hospital and the Misericordia Hospital. The University of Alberta Hospital is also a Level 1 trauma centre and the fellow will be involved with select on-call cases.

It is expected that the fellow will actively pursue clinical research. Minimal expectations are submission of two abstracts to a major urology conference and prepare/submit at least one manuscript per year. The Fellow will also participate in weekly urology rounds, attend journal club and participate in other educational endeavors within the division. It is expected that the fellow will present at the Divisional of Urology Research Day.

INSTITUTION: Cleveland Clinic, Glickman Urological and Kidney Institute, Cleveland, Ohio

PROGRAM DIRECTOR:  Kenneth W. Angermeier, MD

COMMENT:  This fellowship is not open to “non-US citizens” since it requires the fellow to obtain hospital privileges to be able to independently manage an outpatient clinc, take call and schedule/perform minor surgical cases.

CONTACT PERSON:    Kenneth W. Angermeier, MD
Email:  angermk@ccf.org
Phone:  (216) 444-0415
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

Prerequisite/Eligible Requirements:

  1. Admission is contingent upon completion of an ACGME accredited urologic training program.
  2. Applicant should have completed all 3 steps of USMLE.
  3. Applicant must have three letters supporting his/her application for fellowship. One of these letters must be from his/her current program director.
  4. Applicant must be eligible for an Ohio State medical license prior to starting the fellowship.

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: Genitourinary 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 a full-time nurse and a full-time physician assistant within our center. 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 operations of the genitalia and perineum including repair of rectourethral fistulae, penile and scrotal reconstruction for lymphedema and buried penis, and surgery for penile and urethral cancer. Major open abdominal cases performed within our center include bladder augmentation, catheterizable stomas, cystectomy with urinary diversion, and ureteral reimplant/reconstruction among others. We also have a major interest in urologic congenitalism, focusing on the multidisciplinary care of patients with congenital urologic disorders as they progress through adolescence and adulthood. 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.

This position entails approximately 1.5-2 days a week in outpatient clinic/office procedures with staff, one half day of your own clinic, and 2-3 days per week in the operating room. The Fellow will also be expected to participate in all weekly urology departmental conference (Wednesdays 7 – 8:30am) as well as selecting articles for and attending monthly journal club. They will also assist with planning and executing subspecialty-specific symposia.

INSTITUTION: Detroit Medical Center, Detroit, Michigan

PROGRAM DIRECTOR:  Richard A. Santucci, MD, FACS

COMMENT:  Because of our state medical licensing process, we cannot accept applications from non-U.S. citizens.

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

Prerequisite/Eligible Requirements:
1.  Admission is contingent upon completion of an ACGME accredited urologic training program.
2.  Applicant should have completed all 3 steps of USMLE.
3.  Applicant must have three letters supporting his application for fellowship. One of these letters must be from his current program director.
4.  Applicant must be eligible for a Michigan State medical license prior to starting the fellowship.

NOTE: A limited number of interviews are available for this fellowship position and will be awarded on a first-come first-served basis. Contact by email is required to secure a (mandatory) interview spot: rsantucc@dmc.org.

Short Description: We perform more than 120 reconstructive cases a year, mostly complex urethroplasty. We also perform a large number of buried penis, fistula, open ureteral and robotic reconstruction. 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. We provide and academic travel stipend and provide at least 2 weeks for you to operate anywhere you like in the world (we can set you up for good reconstructive opportunities in Haiti, Africa, India or the place of your choice.)

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.

INSTITUTION: Duke University Medical Center, Durham, North Carolina

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

COMMENT:  This fellowship is open to both “U.S. citizens” and “non-U.S. citizens”.

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 Carolina 27710

WEBSITE:  http://.www.dukeurology.com

Prerequisite/Eligible Requirements:
1.  Admission is contingent upon completion of an ACGME accredited urologic training program or an appropriate foreign program.
2.  Applicant should have completed all 3 steps of USMLE.
3.  Applicant must have three letters supporting his/her application for fellowship. One of these letters must be from his/her current program director.
4.  Applicant must be eligible for a North Carolina State medical license prior to starting the fellowship.

Short description: This one year fellowship has been in existence since 1982 and encompasses the fields of reconstruction urology, female urology and urodynamics. This is a combined male and female reconstructive fellowship.

The fellow will enjoy a diverse, in-depth clinical exposure to each of these aspects under the preceptorship of Dr. Andrew Peterson for male reconstruction and Dr. Nikki Le for training in Female Pelvis Medicine and Reconstructive Surgery (FMP-RS).  Additionally, the female urology component of the fellowship is multidisciplinary and also involves a two month rotation with the Urogynecology Division at Duke University under the direction of Dr. Cindy Amundsen, who directs a separate Urogynecology Fellowship. During these two months the reconstructive fellow will work closely with Dr. Amundsen, Dr. Anthony Visco and the rest of the Urogynecology full-time faculty and fellows. Dr. George Webster continues to be significantly involved as an Emeritus Professor of Urologic Surgery and consultant to the fellowship.

The clinical goals are that the fellow be competent to manage women with all types of urinary incontinence and vaginal organ prolapse in addition to 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 including the neurogenic and spinal cord population.

The fellow will require a full license to practice in North Carolina in order to be able to function independently in clinic and the operating room arenas. The fellow will be responsible for resident lectures and tutorials within the area of expertise of the fellowship.

The customary work week involves two full day clinics with the attending preceptor, three full day operating room sessions a week and time allotted for research and projects related to the fellow’s area of interest. The fellow will be urologist on call for the hospital for a one week period approximately three to five times during the year.

Applicants are encouraged to make contact with recent fellowship graduates of this program to fully appreciate the experience offered.

INSTITUTION: Eastern Virginia Medical School, Virginia Beach, Virginia

PROGRAM DIRECTOR:  Kurt A. McCammon, MD, FACS

COMMENT:  This fellowship is open to both U.S. and non-U.S. citizens as well as to foreign
medical graduates with valid ECFMG certification.  Eastern Virginia Medical
School  supports J-1 visas for our Fellows.

CONTACT PERSON:  Ms. Lynn Vass
Email:  vasslm@evms.edu
Phone:  (757) 452-3459
Fax:  (757) 961-4099

MAILING ADDRESS:  Eastern Virginia Medical School
225 Clearfield Avenue 
Virginia Beach, Virginia 23462

Short description: 
This is a 1 – 2 year Fellowship which was founded in 1975 by Dr’s Charles and Pat Devine.  We have had 30 plus fellows who have completed the program since its inception.  The Fellowship is offered through the Department of Urology of Eastern Virginia Medical School and is based at the Sentara Norfolk General Hospital and the Children’s Hospital of the King’s Daughters.  The first year is 80 percent clinical responsibility with 20 research responsibility.  If there is a second year, it is 90 percent clinical responsibility with 10 percent research responsibility.

The Fellowship involves surgery for disorders of the male and female genitourinary tract, and in many cases the external genitalia, stemming from congenital anomalies, trauma, inflammatory disorders, and in the case of the female, incontinence and pelvic descensus.  Individuals completing fellowship training should demonstrate knowledge, skill, and understanding of the basic medical sciences relevant to the genitourinary tract, and in specific the external genitalia.  These skills include female pelvic reconstructive surgery which includes disorders of incontinence and pelvic descensus.  Many of the disorders involving the male genitalia are closely coupled to disorders of erectile function.  Thus fellowship training is designed to educate physicians in the clinical aspects of diagnosis, medical and surgical therapy, and the prevention of and reconstruction for these disease processes.

The Fellowship is designed to provide special expertise in the areas of female pelvic reconstruction for both prolapse and/or incontinence, pediatric genital reconstructive surgery, and adult genital reconstructive surgery.  While the Fellows are fully capable of performing independently all aspects of general urologic practice, all of their activities involved with the special expertise of genitourinary reconstructive surgery are directly supervised.  As the Fellow progresses through the Fellowship, progression of operating room responsibility would occur as follows:  1) during the initial phases of the Fellowship, the Fellow performs as a first-assistant.  During the middle portions of the Fellowship, the Fellow functions primarily as a first-assistant but with increasing ability to perform aspects of the surgical procedure under supervision by the attending staff.  During the latter phases of the Fellowship, the Fellow may in some instances function as the direct supervisor of a senior resident level physician who will function as a first-assistant, with the attending physician providing overall supervision of the procedure.  During the Fellowship, the Fellow is responsible for examining outcomes of select series of patients as determined by the primary Fellowship teaching staff physicians.  Additionally, where appropriate, the Fellow is responsible for the presentation, both in meeting and journal format, of the findings of those outcome reviews.

INSTITUTION: Good Shepherd Medical Center, Longview, Texas

PROGRAM DIRECTOR:  Charles L. Secrest, MD

COMMENT:  This fellowship is open to both "U.S." and "non-U.S. citizens".

CONTACT PERSON:  Dr. Charles L. Secrest
Email:  secrestGUrecon@gmail.com
Phone:  (903) 315-4455
Fax:  (301) 315-2466

MAILING ADDRESS:  Reconstructive Urology
Good Shepherd Medical Center
703 E. Marshall Avenue, Suite 5007
Longview, Texas 75601

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.  Fellows are expected to present papers at the AUA every year.

Prerequisite/Eligible Requirements:
1.  The fellow must be able to obtain a Texas Medical license in order to participate in this fellowship. 

2.  Applicant must have three letters supporting his application for fellowship.  One of these letters must be from his current program director.s program.

INSTITUTION: Northwestern University Feinberg School of Medicine, Chicago, Illinois

NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE
FELLOWSHIP IN GENITOURINARY RECONSTRUCTION AND PROSTHETICS
CHICAGO, ILLINOIS

Comment:  Due to the VA commitment, this fellowship is open to US Citizens or US Permanent Residents.

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

 
MAILING ADDRESS:  Dr. Chris M. Gonzalez
Department of Urology
Northwestern University Feinberg School of Medicine
Tarry 16-703
303 E. Chicago Avenue
Chicago, Illinois 60611

 
Prerequisite/Eligible Requirements:
1.  Admission is contingent upon completion of an ACGME accredited urologic training program.
2.  Applicant must have completed all 3 steps of USMLE.
3.  Applicant must have three letters supporting his/her application for fellowship. One of these letters must be from his/her current program director.
4.  Applicant must be eligible for an Illinois State medical license prior to starting the fellowship.

 
Short Description:
The Northwestern University Feinberg School of Medicine fellowship in Genitourinary 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.  The major focuses of the fellowship include:

- Management of male complex urethral stricture disease utilizing anastomotic, staged, and substitution urethroplasty techniques.
- Management of erectile dysfunction and proficiency in penile prosthesis surgery and Peyronie's reconstruction.

Minor focuses include:
- Management in buried penis repair
- Management in hypospadias related complications and revision surgery
- Management of rectal-urethral fistula and urethrocutaneous fistula disease.
- Management of upper urinary tract stricture reconstruction.
- Management of male urinary incontinence and artificial urinary sphincter surgery

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 be training at two sites:  Northwestern Memorial Hospital and the Jesse 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. Approximately one half day per week will be allocated for clinical research in each of these locations.

INSTITUTION: University of California at Irvine, Orange, California

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

COMMENT:  "We are unable to accept applications from outside of the US and Canada due to current California State licensure restrictions”.

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:  http://www.centerforreconstructiveurology.org

Prerequisite/Eligible Requirements:
1.  Admission is contingent upon completion of an ACGME accredited urologic training program.
2.  Applicant should have completed all 3 steps of USMLE.
3.  Applicant must have three letters supporting his/her application for fellowship.  One of these letters must be from his/her current program director.
4.  Applicant must be eligible for a California State medical license prior to starting the fellowship.

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 procedures 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 prostate 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.

INSTITUTION: University of California at San Francisco, San Francisco, California

PROGRAM DIRECTOR:  Benjamin N. Breyer, MD, MAS
                                             Email:  bbreyer@urology.ucsf.edu

COMMENT:  This Fellowship is open to “U.S. citizens and non-U.S. citizens”.

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

MAILING ADDRESS:  Dr. Benjamin N. Breyer
University of California, San Francisco
Department of Urology
Trauma and Reconstructive Surgery
1001 Potrero Avenue, Suite 3A20
San Francisco, CA 94110

WEBSITE: http://urology.ucsf.edu/education/fellowships/male-genitourinary-reconstruction-trauma

Male Genitourinary Reconstruction and Trauma Fellowship Goals and Objectives: 
The purpose of this program is to train individuals for a future academic career in male 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, Peyronie’s disease, erectile dysfunction and the diagnosis and management of male urinary incontinence.  A mentored, graduated experience in trauma diagnosis and management is focused at San Francisco General Hospital (SFGH). This provides the opportunity to work as a member of a Trauma Team providing care for acute trauma to the urinary and genital system. 

The research experience is based on outcomes research utilizing an extensive trauma and reconstructive database developed over the past 30 years.  Fellows will also use large publicly available data sets to answer key research questions in male genitourinary reconstruction and trauma related urology. Fellows are supervised and guided through the 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 numerous manuscripts during fellowship.
Learning how to be a surgeon educator and future role model is one of the major goals of this program.

History: 
The program was begun in 1989 under the direction of Dr. Jack W. McAninch. In 2011, Dr. Benjamin N. Breyer joined the UCSF faculty and became fellowship director in 2013. Twenty six (26) individuals have completed the training program; currently twenty (20) individuals hold appointments in academic and teaching institutions.  Six (6) are in private practice settings.

Prerequisite Training/Selection Criteria: 
Each candidate must have completed an ACGME Urology Residency Training Program.  The UCSF Male Genitourinary Reconstruction and Trauma Fellowship participates in the GURS fellowship match 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 Department of Urology and an appropriate candidate is selected.

A passing score on USMLE Step II (CS and CK) is required for all trainees* beginning a UCSF GME program June 2010 and later. To meet this requirement, programs must rank only candidates who have passed USMLE Step II (CS and CK). Please see the School of Medicine website for the full policy.

All applicants must be eligible for a California State license prior to starting Fellowship.
*This GME policy applies to all residents and clinical fellows, research fellows are exempt from this policy.

 

James McGeady, MD
Trauma and Reconstruction Fellow (2012-2013)
Private Practice
Tulsa, OK

Nadya Cinman, MD
Trauma and Reconstruction Fellow (2011-2012)
Regional Director Reconstructive Urology
Kaiser Permanente, Northern California Oakland, CA

 

 

 

Benjamin Breyer, MD, MAS
Trauma and Reconstruction Fellow (2010-2011)
Assistant Professor, Department of Urology, University of California
San Francisco, CA

Bradley A. Erickson, MD
Trauma and Reconstruction Fellow, 2009-2010
Assistant Professor, Department of  Urology, University of Iowa
Iowa City, IA

Jeremy B. Myers MD, FACS
Trauma and Reconstruction Fellow (2008-2009)
Assistant Professor, Department of Urology, University of Utah
Salt Lake City, UT

Bryan Voelzke, MD
Trauma and Reconstruction Fellow (2007-2008)
Assistant Professor, Department of Urology, University of Washington, Seattle, WA

 

Jill Buckley, MD
Trauma and Reconstruction Fellow (2006-2007)
Associate Professor, Department of Urology, University of California
San Diego, CA

Sean Elliott, MD
Trauma and Reconstruction Fellow (2005-2006)
Associate Professor and Vice Chair, Director of Reconstructive Urology
Department of Urology, University of Minnesota
Minneapolis, MN

 

Daniel Rosenstein, MD
Trauma and Reconstruction Fellow (2004-2005)
Associate Chief, Department of Urology, Santa Clara Valley Medical Center
Clinical Faculty, Stanford University, Palo Alto, CA

Viraj Master, MD, PhD
Trauma and Reconstruction Fellow (2003-2004)
Associate Professor of Urology, Emory University
Atlanta, GA

Nejd Alsikafi, MD
Trauma and Reconstruction Fellow (2002-2003)
Clinical Associate Professor, Loyola University Medical Center
Chicago, IL

Michael Metro, MD
Trauma and Reconstruction Fellow (2001-2002)
Director of Traumatic and Reconstructive Urology
Albert Einstein Medical Center, Philadelphia, PA

K. Jeff Carney, MD
Trauma and Reconstruction Fellow (2000-2001)
Assistant Professor, Emory University, Chief of Urology, Grady Memorial Hospital, Atlanta, GA

 

 

 

 

 

Richard A. Santucci MD, FACS
Trauma and Reconstruction Fellow (1999-2000)
Specialist-in-Chief, Urology, Detroit Medical Center
Chief of Urology, Detroit Receiving Hospital
Director, The Center for Urologic Reconstruction™
Clinical Professor, Michigan State College of Medicine
Detroit, MI

Michael Safir, MD
Trauma and Reconstruction Fellow (1998-1999)
Private Practice, Southern California Center for Advanced UrologyWest Hills, CA

 

Steven Brandes, MD
Trauma and Reconstruction Fellow (1997-1998)
Professor of Urologic Surgery, Urology Residency Director,
Washington University School of Medicine
Saint Louis, MO

Allen Morey, MD
Trauma and Reconstruction Fellow (1995-1997)
Chair and Professor, Department of Urology, UT Southwestern
Dallas, TX

Young Tae Lee, MD
Post Doctoral Research Fellow, Trauma and Reconstruction (1995)
Associate Professor
University of Seoul, Korea

 

 

Hunter Wessells, MD, FACS
Professor and Nelson Chair of Urology, Adjunct Professor of Surgery (Plastic Surgery)
University of Washington
Seattle, WA

Peter Nash, MD
Post Doctoral Research Fellow, Trauma and Reconstruction
(1992-1994)
St. George Private Medical Center, Kogarah, Australia

Mark Rosen, MD
American Foundation for Urologic Disease Research Fellowship (1992-1994)
Private Practice, Palo Alto Medical Foundation
Santa Cruz, CA

Kennon Miller, MD
Trauma and Reconstruction Fellow (1992-1993)
Clinical Professor, Brown University, Providence, RI

Noel Armenakas, MD
Trauma and Reconstruction Fellow (1991-1992)
Associate Clinical Professor of Urology, Weill Cornell Medical School
Attending Surgeon,
Lenox Hill Hospital and New York Presbyterian Hospital
New York, NY

Alexandre Castanheira, MD
Trauma and Reconstruction Fellow (1991)
Rio de Janeiro, Brazil

 

 

Reynaldo Gomez, MD, FACS
Trauma and Reconstruction Fellow (1990-1991)
Chief of Urology
Hospital del Trabajador
Adjunct Professor of Urology
Department of Urology
Andres Bello University
Santiago, Chile

Christopher Dixon, MD
Trauma and Reconstruction Fellow (1989-1990)
Private Practice, Lennox Hill Hospital, New York, NY

INSTITUTION: University of Colorado School of Medicine, Aurora, Colorado

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

Prerequisite/Eligible Requirements:
1.  Applicant must be eligible for a Colorado State medical license prior to start of the fellowship.  This fellowship is open to both “U.S. citizens” and “non-U.S. citizens”.
2.  Applicant should have completed all 3 steps of USMLE.
3.  Applicant must have three letters supporting his application for fellowship.  One of these letters must be from his current program director.

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 Description

  • Length of program: one year
  • Number of trainees per year: one per year
  • Pre-requisites: The applicant must have completed an accredited Urology Residency in the United States and be board eligible in Urology.
  • Program Director: Brian J. Flynn, M.D.
  • Other faculty: Ty Higuchi, M.D., Ph.D.


Educational Program
At the end of this fellowship in Reconstructive Urology, the fellow will have obtained knowledge in the core reconstructive urologic procedures as well as significant exposure to advanced robotic reconstructive cases. The fellow will be knowledgeable especially in the following areas:


Male Reconstructive Surgery

  1. The evaluation and management of male stress urinary incontinence and proficiency in artificial urinary sphincter implantation and male sling,
  2. Evaluation and management of Peyronie's disease and concealed penis,
  3. Evaluation and management of erectile dysfunction including implantation of penile prosthetics,
  4. Management of urethral stricture disease including anterior and posterior urethroplasty. Emphasis on non-transected techniques using buccal mucosa. Fellow will be proficient in management of urethral fistulas including rectal-urethral fistula and urethro-cutaneous fistula, and
  5. Management of penile and urethral cancer including inguinal lymphadenectomy


Neurogenic Bladder and Transitional Urology

  1. Evaluation and management of neurogenic bladder (Parkinson’s disease, multiple sclerosis, spinal cord injury, etc.) and proficiency in botox injection, bladder augmentation, creation of continent stomas, and urinary diversion, and
  2. Evaluation and management of patients with congenital bladder anomalies (spina bifida, posterior urethral valves, extrophy-epispadias) as they transition to adult urology


Ureteral Reconstruction

  1. Fellow will demonstrate knowledge in ureteral reconstruction and be adept in the full array of ureteral reconstructive procedures including ureteral re-implantation, uretero-ureterostomy, ileal uretero substitution, boari flap, and pyeloplasty (both Open and Robotic)


Female Pelvic Reconstructive Surgery

  1. Female Urinary Incontinence including stress urinary incontinence and urgency incontinence (Interstim, Botox),
  2. Robotic reconstructive surgery for pelvic organ prolapse and mesh complications, and
  3. Reconstructive surgery for urethral diverticulum, vesicovaginal and urethrovaginal fistula


Specific skills to be acquired
Fellows will develop knowledge of reconstructive surgery including pre-operative evaluation, intraoperative management with familiarity in reconstructive techniques, instrumentation, retractors, and post-operative management and care.


RESEARCH
The fellow will be involved in all clinical research activities. The fellow will be able to select three ongoing projects to be directly involved in. He/she will be directly mentored by the Program Director. The expectations are that these projects will be completed at years end in the form of a manuscript that is prepared for publication in a peer-reviewed journal. Additionally, the research will be presented at a local as well as a national urologic meeting. Furthermore, the fellow is encouraged to develop one or two projects independently and be mentored by the Program Director on these projects with similar goals in terms of publication and presentation. The fellow will be provided with a broad array of ongoing projects that are pertinent to the fellowship training in reconstructive urology and from these will be expected to select his topics.

INSTITUTION: University of Iowa, Iowa City, Iowa

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
or
Ms. Sandy Moenk
Urology Administration
Email:  sandy-moenk@uiowa.edu
Phone:  (319) 356-0748
Fax:  (319) 356-3900

MAILING ADDRESS:  University of Iowa Health Care
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, Fellowship Director, Reconstructive Urology, Professor and Chair; Dr. Elizabeth B. Takacs, Associate 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.

INSTITUTION: University of Minnesota, Minneapolis, Minnesota

PROGRAM DIRECTOR:  Sean P. Elliott, M.D., M.S.
CONTACT PERSON:  Christana Reding
Email:  hillx137@umn.edu
Phone:  (612) 625-8364 Fax:  (612) 626-0428

MAILING ADDRESS:  University of Minnesota
Department of Urology
420 Delaware St SE, MMC 394
Minneapolis, MN 55455
WEBSITE:  www.urology.umn.edu

Background:  The University of Minnesota, Department of Urology offers a 1-year GURS clinical fellowship in genitourinary reconstructive surgery.

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. Sean Elliott
University of Minnesota
Department of Urology
420 Delaware St SE, MMC 394
Minneapolis, MN 55455

History:
The program was initiated in 2013.

Overview:
The program emphasizes male anterior and posterior urethral reconstruction, male urinary incontinence surgery, ureteral stricture repair, genital reconstruction including skin grafting and has a major emphasis in complex neurogenic bladder management. Robotic and laparoscopic techniques are used increasingly often.

The fellow has hospital staff privileges and takes call on the same schedule as the faculty (approximately 1 week in 8). He or she has a general urology clinic of his/her own at the University and at our affiliated Gillette Lifetime Clinic where we care for adults with spina bifida and cerebral palsy.  The fellow participates in the operating room with Dr. Elliott 3 days per week. 

 

The fellow gains graduated responsibility throughout the year in both the Gillette clinic and the operating room.

A structured curriculum, weekly conferences, and close interaction with urology residents are provided.  One day per week is protected as research time.  A research “lab” meeting is held for 1-2 hours each week on the research day where research group members review progress on our outcomes research projects.  Our group is funded by nationally competitive grants and includes PhD health services researchers, biostatisticians and MPH research associates.  The fellow is expected, with the help of residents and our team, to complete approximately 4 research projects in the course of the year.  Support is provided for travel to the annual meeting of the American Urological Association to present one’s research findings.

After completing a one-year minimum fellowship, the graduate should be proficient in the following:

  1. Clinical management of men and women with neurogenic bladder secondary to spinal cord injury, spina bifida, cerebral palsy, multiple sclerosis, etc.
  2. Surgical creation of continent and non-continent diversion and management of complications of such diversion (e.g. Mitrofanoff stenosis or leakage), including laparoscopic and robotic techniques where appropriate.
  3. Urethroplasty and rectourinary fistula repair.
  4. Male incontinence surgery including slings and artificial sphincters, particularly complex and re-do cases.
  5. Ureteral stricture management including robotic and open reimplantation, Boari flap and ileal ureter.
  6. Counseling patients about the risks, benefits and alternatives to reconstruction
  7. Contributing to the scientific literature through original research, particularly through an advanced understanding of epidemiological methods, biostatistics and database design and management.

Eligibility Requirements:
1. Admission is contingent upon completion of an ACGME-accredited urology training program.
2. The applicant must be a US citizen.
3. The applicant must have three letters of supporting, including one from their chairperson.
4. The applicant must have passed all 3 steps of USMLE before the match date and be eligible for a Minnesota State medical license prior to starting fellowship.

Duration of Training:

The clinical portion of the experience is 12 months in duration.  For those with a particular research interest, accommodations can be made for a 2-year fellowship that would include a Master’s degree in clinical research.

INSTITUTION: University of Texas Southwest Medical Center at Dallas and Parkland Memorial Hospital, Dallas, Texas

PROGRAM DIRECTOR:  Allen F. Morey, MD, FACS

COMMENT:  This fellowship is not open to “non-US citizens”.

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 Boulevard
Dallas, TX 75390-9164

WEBSITE:  http://www.utsouthwestern.org

University of Texas Southwestern Medical Center
Urologic Trauma, Reconstruction, and Prosthetics Fellowship

This is a one-year program focusing on male prosthetic and reconstructive procedures as well as all aspects of urogenital trauma management.  The program offers a combined clinical and research experience, approximately 80% clinical and 20% research.  The UT Southwestern Department of Urology consists of twenty two faculty across all subspecialties.  Dr. Allen Morey, the Trauma, Reconstruction, and Prosthetics Fellowship Director, provides instruction, supervision, and guidance in both surgical technique and research activities.  Additional faculty mentors will include Warren Snodgrass, MD (hypospadias) and Vitaly Margulis, MD (urinary diversion).  In addition, a reconstructive urology surgical mission to Honduras is conducted annually.

Prerequisite Requirements:  Applicants must have completed or be in the final year of an ACGME residency in Urology.  The ideal applicant has demonstrated an interest in pursuing an academic medical career in reconstructive urology through participation in relevant research projects.

Surgical Training:  Primary teaching hospitals include UT Southwestern University Hospital, the Dallas Veterans Affairs Medical Center, and Parkland Memorial Hospital.  The fellow will gain proficiency in the operative management of all aspects of male urogenital reconstruction, including:  urethral reconstruction, Peyronie’s deformities and penile prosthetics, male anti-incontinence surgery, ureteral reconstruction, complex genital deformity such as buried penis and lymphedema, as well as both male and female urogenital trauma management.  Many cases involve a multidisciplinary care team with urologic oncologists and colorectal, plastic, and burn surgeons. The prosthetic cases focus on erectile dysfunction and incontinence associated with prostate cancer survivorship.  (See case load below)

Research:  The fellow plays a key role in our research efforts.  In addition to developing his or her own projects, the fellow works with Dr. Morey to provide guidance and support to our collaborating residents and students.  The fellow has access to a number of large-series databases under development since 2007.  Dr. Morey has a full-time clinical research assistant who is available to assist the fellow with all aspects of research and publication.  The fellow will author/co-author a number of abstracts and manuscripts during their time in the program and will submit abstracts for presentation at national meetings, including AUA, AUA South Central Section, and SMSNA.

Teaching:  Our fellow holds the position of Assistant Instructor within the UT Southwestern Department of Urology.  Teaching responsibilities include supervising residents in the OR and occasionally preparing Grand Rounds lectures.

Fellows attend weekly departmental conferences, including Grand Rounds, Morbidity & Mortality, and Residents’ Conference.

Past Fellows

  • Daniel Dugi, MD – Assistant Professor, Oregon Health & Science University, Portland, Oregon
  • Ryan Terlecki, MD – Assistant Professor, Wake Forest School of Medicine, Winston-Salem, North Carolina
  • Steven Hudak, MD – Staff Urologist, Brooke Army Medical Center, San Antonio, Texas
  • Lee Zhao – Assistant Professor, New York University School of Medicine, New York, New York

Case Load (2012-2013)
Total: 553 (Open: 492, Endoscopic: 43,Laparoscopic: 18)

Urethral reconstruction
Total Urethroplasty:  145

Anterior EPA: 59
Posterior Urethroplasty for Trauma: 6
Posterior Urethroplasty for Radiation Stricture: 9
Perineal Urethrostomy: 6
Urethroplasty with onlay of oral mucosa graft: 25
Penile fasciocutaneous skin flap urethroplasty: 11
1st stage Urethroplasty: 4
2nd stage Urethroplasty: 1
Urethroplasty for AUS erosion: 5
Non-transecting urethroplasty: 2
Hypospadias repair: 9
Urethrocutaneous fistula repair: 3
Urethral diverticulectomy: 2
Meatoplasty: 5

 

Penile Reconstruction:
Total: 107

Plication for Peyronie’s deformity: 17
Inflatable Penile Prosthesis: 55
Malleable Penile Prosthesis: 9
Buried Penis Repair: 7
Shunt for Priapism: 8
Repair of Penile Fracture: 4
Partial Penectomy with neoglans reconstruction: 4
Foreign body removal: 3

General Urology
Open Nephrectomy: 4
Laparoscopic Nephrectomy: 8
Open Partial Nephrectomy: 6
Laparoscopic Partial Nephrectomy: 2
Radical Prostatectomy: 9
Cystectomy: 3
Partial Cystectomy: 1
Ureteroscopy and laser lithotripsy: 3
TURBT: 3
TURP:  3

Male Incontinence:
Total: 65

AUS placement or revision: 44
Transcorporal AUS: 8
Male Sling: 13

Urinary Diversion:
Total: 7

Ileal conduit: 6
Repair of neobladder: 1
Trauma
IP Bladder Repair: 2
EP Bladder Repair: 1
Trauma Nephrectomy: 1
Trauma Partial Nephrectomy: 1

Genital Reconstruction
Total:  39

Complex scrotal reconstruction for lymphedema or hidradenitis: 17
Fournier’s debridement: 11
Split thickness skin graft: 11

Ureteral reconstruction
Total: 24

Boari Flap:  5
Open Ureteral Reimplant: 4
Laparoscopic Ureteral Reimplant:  4
Open Pyeloplasty:  2
Lap Pyeloplasty: 1
Ileal Ureter: 4
UU: 1
Ureterocalycostomy: 2
Ureterointestinal anastomotic revision: 1

Rectourethral Fistula
Total: 9

York-Mason Repair: 2
Abdomino-Perineal Repair with Omental Interposition: 6
Perineal Repair: 1

Bladder neck contracture
Total: 6

TUIBNC: 5
Open BNC Reconstruction: 1

INSTITUTION: University of Washington/Harborview Medical Center, Seatle, Washington

PROGRAM DIRECTOR:  Hunter Wessells, MD

COMMENT:  “Applicant must be a candidate who can have an unrestricted Washington State medical license by the time they start the fellowship”.

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:

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

Eligibility Requirements

  • Admission  is contingent upon completion of an ACGME accredited urologic training program http://www.acgme.org or an appropriate foreign program.
  • 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.
  • 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

INSTITUTION: Wake Forest University Baptist Health Winston-Salem, North Carolina

PROGRAM DIRECTOR:  Ryan Terlecki, MD

CONTACT PERSON: 
Ms. Pam Gippert
Email:  pgippert@wakehealth.edu
Phone:  (336) 716-5690
Fax:  (336) 716-5711

MAILING ADDRESS: 
Wake Forest University
Department of Urology
Medical Center Blvd
Winston-Salem, NC 27157

WEBSITE:  http://www.wakehealth.edu/Urology/

BACKGROUND
Wake Forest Baptist Health Department of Urology offers a 1-year clinical fellowship in male genitourinary reconstructive surgery, prosthetic urology, and infertility.

To apply for this fellowship position, in addition to submitting your application online at
https://www.auanet.org/secured/reconstruction/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. Ryan Terlecki
ATTN:  Ms. Pam Gippert
Wake Forest University
Department of Urology
Medical Center Blvd
Winston-Salem, NC 27157

HISTORY
2014 will be the inaugural year for this fellowship.

OVERVIEW
Wake Forest University Department of Urology is pleased to offer a fellowship in Urologic Reconstruction, Prosthetics, and Infertility.  This is a one-year program under the direction of Ryan Terlecki, M.D. As part of the curriculum, the fellow will also be mentored by Stuart Howards, M.D., and Daniel Rukstalis, M.D.  Dr. Howards is a national expert in infertility, having performed over 1500 vasovasostomies and is well-versed in teaching microsurgery. Dr. Rukstalis directs the AUA course ‘Hands-On Urologic Ultrasound’ and is an exceptional educator in the area of novel therapeutics.
Our Department is ranked as one of the nation’s best by US News and World Report. As such, we experience a high patient volume.  Dr. Terlecki’s practice will expose the fellow to a large number of cases involving reconstruction for urethral strictures, fistulas, Peyronie’s disease, male stress incontinence, erectile dysfunction, buried penis, ureteral strictures, and neurogenic bladder.  In addition, we are on the forefront of investigating the use of tissue engineering in reconstructive surgery and the fellow would have the opportunity to participate in research with the Wake Forest Institute of Regenerative Medicine.
The fellow will serve as a Clinical Instructor and, in addition to working alongside Dr. Terlecki, will have the opportunity to independently manage patients in the clinic and operative settings.  Additionally, there will be numerous opportunities to participate in local and national meetings, as well as in the education of students, residents, and other providers.  This program is designed not only to afford proficiency in the most up-to-date surgical techniques, but also to expose the trainee to the future of reconstructive medicine and equip them to serve as an educator and leader in this field.  

Upon completion of the program, the fellow should be proficient in the following:

  1. Fundamental principles of male urologic reconstruction and tissue healing.
  2. Decision-making and surgical technique for reconstruction of:
    1. Urethral strictures
    2. Ureteral strictures
    3. Peyronie’s disease
    4. Fistulas involving the urinary tract
  3. Prosthetic surgery for male incontinence and erectile dysfunction.
  4. Office management of andrology and infertility.
  5. Techniques for sperm harvesting and vasovasostomy.
  6. Use of ultrasound in office-based assessments and interventions.
  7. Balanced scrutiny of the medical literature and the ability to plan and conduct meaningful research.
  8. Understanding the science behind tissue engineering and the application to urologic reconstruction

Eligibility Requirements

  1. Admission is contingent upon completion of an ACGME accredited urologic training program.
  2. The applicant must be a US citizen.
  3. The applicant must have three letters of support, including one from their residency program director.
  4. The applicant must have passed all 3 steps of the USMLE prior to the match date and be eligible for a North Carolina license prior to starting fellowship.

Duration of Training

The clinical experience will be 12 months in duration. Independent clinical and/or basic science research will be conducted under the supervision of an assigned mentor.
INSTITUTION: Washington University School of Medicine, St. Louis, Missouri

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

COMMENT:  This fellowship is not open to “non-US citizens”.

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

MAILING ADDRESS:  Washington University School of Medicine
Department of Urology
4960 Children’s Place
Box 8242
Saint Louis, Missouri 63110

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

Prerequisite/Eligible Requirements:
1.  Admission is contingent upon completion of an ACGME accredited urologic training program.
2.  Applicant should have completed all 3 steps of USMLE.
3.  Applicant must have three letters supporting his application for fellowship.  One of these letters must be from his current program director.
4.  Applicant must be eligible for a Missouri State medical license prior to starting the fellowship.

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 data mining.

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, VVF), ureteral and bladder reconstruction (Psoas Hitch, Boari flap, TUU, ileal ureter), continent urinary diversions, and genital skin grafting. The other third will be devoted to male prosthetics and neurourology (mitrofanoff, MACE, bladder augment). 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 on to two weeks major reconstructive urology experience 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.

INSTITUTION: Institute of Urology University College London Hospital NHS Trust

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:


FELLOWSHIP TRAINING ON RECONSTRUCTIVE URETHRAL SURGERY

Purpose of the Fellowship:

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

Location of Fellowship:

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


Length of Fellowship:

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.

Responsibilities:

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

Training Program:



Monday

Tuesday

Wednesday

Thursday

Friday

8:00 – 8:30
SPR post-op ward round

8:00 – 8:30
SPR post-op ward round

7:30-8:30
Urology Clinical governance meeting

7:30-8:00
SPR post-op ward round

7:30-8:30
MDT general reconstruction

8:30-12:30
Out-patient clinic

8:30-11:30
Out-patient clinic

8:30-9:00
Consultant ward round

8:00-8:30
Pre-op patient check (Pod K)

8:30 – 9:00
SPR post-op ward round

 

11:30-12:30
Male Reconstruction meeting

9:30-12:30
Flexible cystoscopy -supervision of junior SPR

8:30 – 19:00
theatre

9:00 – 19:00
theatre

13:00-17:00
Admin/ preparation of MDT& theatre lists

13:00-17:00
Admin/ preparation of MDT& theatre lists

13:00-17:00
Admin/ preparation of MDT& theatre lists

19:00-19:30
Out-come database & post-op ward round

19:00-19:30
Out-come database & post-op ward round

Clinical development:

In the operating theatre, the following activities are planned:

  • Present and discuss the clinical cases of the day / indication of surgical techniques
  • Assist Prof Mundy and Miss Andrich
  • Learn surgical techniques
  • Evaluation of complications and postoperative care

In Out-patient clinic, the following topics are covered:

  1. follow-though patient care from in-patient to early post-operative care and manage complications
  2. longer term follow-up of general reconstruction patient and artificial sphincter patients

Academic development:

  • Evaluate the monthly reconstructive literature and present in 3 monthly journal club and submit best paper of the month to F1000
  • Submit at least one abstract to international meeting and submit at least one paper to peer-reviewed journal
Submit at least one ethics application/study protocol