GURS FELLOWSHIP & MATCH

Fellowship training in Genitourinary Reconstructive Surgery will be determined according to a match process for Verified Fellowships.  The match is administered by the AUA and information for both applicants and Program Directors can be found here: https://www.auanet.org/education/auauniversity/for-residents/urology-and-specialty-matches/specialty-match-timelines.

The below fellowship programs are participating in the 2020 Genitourinary Reconstructive Surgery Fellowship Match Process (start date of Fellowship year)

Fellowship Information

2018 - 2019 Fellows

Congratulations to the 2018-2019 Fellows who completed a GURS verified fellowship!

 

Ayman Mousa, MD and Amar Rawal, MD
Kulkarni Center for Reconstructive Urology
Pune, India

Nathan Y. Hoy, MD
Cleveland Clinic

Urszula Kowalik, MD
Duke University

Shyam Sukumar, MD
Columbia University Medical Center

Michael E. Chua, MD
Eastern Virginia Medical School

David Qi, MD
University – East Texas

Thomas W. Fuller, MD
University of California – San Diego

James R. Furr, MD
University of California – Irvine

Andrew J. Cohen, MD
University of California – San Francisco

Jaime A. Cavallo, MD
Lahey Hospital and Medical Center

Humberto G. Villarreal, MD
University of Colorado, Denver

Matthew D. Grimes, MD
University of Iowa

Joshua Roth, MD
University of Minnesota

Jonathan Wingate, MD
University of Washington/Harborview Medical Center

Michael Davenport, MD and Yooni Yi, MD
University of Texas Southwestern Medical Center

Jyoti Chouhan, MD
Wake Forest Baptist Health

Chris Doiron, MD
University of Alberta Reconstructive Urology

Philip Cheng, MD
University of Utah

Criteria for Initial Verification
  1. All supporting documentation should be submitted to info@SocietyGURS.org by September 30 to be included in the match for the following spring.
  2. A narrative describing the program must be submitted for use on the GURS fellowship match website. Examples are available upon request.
  3. The fellowship shall provide proof of a sponsoring University or academic institution.
  4. The Program Director (PD) should be at least 5 years out from training and should demonstrate his/her ability to mentor by submitting a CV that demonstrates academic accomplishments and leadership roles or mentorship training.
  5. There should be at least one publication or national/international meeting abstract per year over the last 2 years by the PD (AUA, AUA Section, SIU, EAU).
  6. The institution, not the PD, will hold the fellowship verification. If a PD moves institutions then he/she will have to apply for a new program. Exceptions may be made. The concern is that volume will drop with a move. The institution will have to demonstrate it has a new PD that meets the above criteria if it wishes to continue the program.
  7. Case volume will be demonstrated by submission of the most recent year of surgical activity for the PD and other participating faculty. There is no volume requirement for clinic visits. Minimum surgical case volume sufficient for training will be judged based on meeting the threshold in at least two categories, one of which must be urethroplasty. Case logs should match the GURS format of categories and should not include individual cases, only sum totals per category. A spreadsheet template with all categories will be sent out to program directors each year. Please note that in that template we request data on some categories (e.g. trauma, robotic cases) that do not count toward verification but will be shared with the fellowship applicants to help them gauge the quality of the operative experience:
  • Urethral Reconstruction (60 cases)
    Anterior urethroplasty
    Posterior urethroplasty
  • Men’s Sexual Health (12 cases)  
    Penile Prosthesis insertion, revision, removal
    Peyronie’s
  • Male Incontinence (12 cases)
    AUS insertion, revision, removal
    Male sling insertion, revision, removal
  • Genital Reconstruction: (16 cases) 
    Transgender surgery
    Penile or scrotal reconstruction and STSG
  • Urinary Diversion and Ureteral Reconstruction (12 cases) 
    Continent Diversion
    Non-continent diversion
    Ureteral reconstruction including ileal ureter, reimplant, Boari
  • Female Reconstruction (32 cases)
    Trauma (does not count toward case threshold)
Criteria for Re-Verification
  1. Re-verification will occur annually, between July 1 and September 30.
  2. Any updates to website narrative will be submitted by September 30.
  3. Case logs for the previous year’s graduating fellow (i.e. in July submit the case log of the fellow who finished June 30). Do not include cases performed by the faculty without the fellow. Case logs should match the GURS format of categories and should not include individual cases, only sum totals per category. A spreadsheet template with all categories will be sent out to program directors each year. Please note that in that template we request data on some categories (e.g. trauma, robotic cases) that do not count toward verification but will be shared with the fellowship applicants to help them gauge the quality of the operative experience.  Thresholds are the same as for initial verification. 
  4. Confirmation that the previous year’s fellow has applied to join GURS.
  5. Demonstration of academic productivity of fellow: There should be at least one publication or national/international meeting abstract by the fellow over the prior year (AUA, AUA Section, SIU, EAU). Book chapters and review articles do not count; this must be original research. Because fellows may not have their manuscripts accepted until after they complete the fellowship it is acceptable to submit presentations or abstracts in which the previous year’s fellow participated (i.e. in the Fall submit published manuscripts or presented abstracts where the publication/presentation date is between July 1 and June 30 of the previous one or two academic years. Do not include earlier fellows or publication/presentation dates outside the prior year). To avoid confusion about dates of presentation and authors involved, please include a copy of the manuscript proof or notice of abstract acceptance or meeting program. 
  6. There will be a probationary period of 1 year for programs that do not meet criteria. Allowances will be made for fellow or PD pregnancy or illness or military requirements.

    * The institution, not the PD, will hold the fellowship verification. If a PD moves institutions then he/she will have to apply for a new program. Exceptions may be made. The concern is that volume will drop with a move. The institution will have to demonstrate it has a new PD that meets the above criteria if it wishes to continue the program.

Participating Institutions

Center for Reconstructive Urology, Pune, India

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
Fax: +91-20-25387676

Mailing Address:
Center for Reconstructive Urology
3 Rajpath Society, Paud Road
Pune, 411038, India

Website: www.strictureurethra.com
www.strictureurethra.in

FELLOWSHIP TRAINING ON RECONSTRUCTIVE UROLOGY

Short Description: Ours is a tertiary referral center for Urethroplasties. This include simple cases as well as complex and redo Urethroplasties. We get patients referred from all over India and around the world. We perform around 400 urethroplasties in our center per year. The uniqueness of our center is in the fact that we have 6 days OPD and all 6 days we have 2 operation theaters running for surgeries. The working hours are from 8 am to 5 pm.

Many new and innovative techniques for the reconstruction of the urethra have been developed and published from our center. Our center has been pioneer in inventing the Kulkarni technique for Panurethral repair and Laparoscopic Omentoplasty for PFUDD and Recto Urethral fistula.

Established in 2006 the Kulkarni 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. Many International and Indian Urologists have visited our center for observing surgery. The course is free.

In addition we perform live reconstructive urethral surgery workshops regularly in various cities of India and around the world. We also perform live transmissions through Internet beamed across the country and globe.

The fellowship program in our Institute is recognized by Maharashtra University of Health Science which is the University governing Medical education in our state.

The fellow will have opportunities to evaluate and investigate the patients of urethral stricture, learn various techniques of 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 hypospadias surgery.

Other reconstructive urological procedures in our center include Peyronie’s disease, Penile prosthesis, urinary diversions, repair of vesico-vaginal and uretero vaginal fistulae, artificial sphincters and Laparoscopic pyeloplasties. Our staff also perform many endoscopic urological surgeries.

Length of Fellowship:
The length of the training program is 1 year: 1 July to 30 June.

Academics:

All cases are discussed preoperatively and the best solution is offered to the patient.The fellow at our Institute has all access to previous data base which can be used for analyzing the vast data. The fellow is free to publish as many papers and present in National and International meetings including USI, AUA, SIU and EAU.

Living in Pune:

Pune is called Oxford of east for its educational institutes. Now Pune is famous for IT and Auto industry and medical tourism.

Our past fellows have come from Israel, Kuwait, Canada, USA, Australia, Egypt and India. They have travelled with family and their children who had the education in India.

Jet Airways/Etihad, Spicejet, connects it to Middle east. Lufthansa flies directly to Frankfurt.Mumbai International Airport is 3 hours drive from our center.

We treat each of our fellow as our family. Do let us know if you have any specific queries. Most of our previous fellows hold academic positions.

Welcome to Pune, India.

City of Hope, Duarte, California

Institution Name:
City of Hope

Fellowship Program Name:
Cancer Survivorship and Reconstructive Urology

Fellowship Program Location (City, State, Country):
Duarte, California, USA

Fellowship Program Director Name:
Jonathan Warner, MD

Fellowship Program Contact Person Name:
Christina PerezFellowship
christinaperez@coh.org

Fellowship Program Website Link:

https://www.cityofhope.org/education/graduate-medical-education/clinical-residency-and-fellowships/genitourinary-clinical-fellowship

Length of Fellowship Program:
1 year

Fellowship Program Description:
City of Hope is one of the United States top standalone cancer hospitals.  The main campus is in Duarte, California and has a catchment area of over 15 million people.

This is a one-year clinical fellowship focusing on a mentorship model with one-on-one attention from each staff.  We focus on urethral reconstruction, erectile dysfunction, male incontinence, lower urinary tract symptoms, enlarged prostates (with special attention to prostate enucleation training, UroLIFT and Rezum), Peyronie’s disease, ureteral reconstruction, urinary fistulas, and buried penis repair.  In addition, at City of Hope, all cystectomy and pelvic exenteration surgery is performed in a two-team system, with a reconstructive urologist performing all the diversions. More than 60% of the diversions we perform are continent diversions.  These cases would be shared with the oncology fellows.

In a typical week, the fellow would attend 3-4 operative days per week with 1 day of clinic and 1/2 day of research per week.

It is expected that the fellow will participate in clinical research and presents at national meetings.  Fellows will be encouraged to travel.

Unique features to this fellowship include a high volume of diversion cases, exposure to prostate enucleation procedures for enlarged prostates, robotic reconstruction for most abdominal cases, and the expectation to travel.  As a primary cancer center, there is little to no trauma.  In addition, this is a one-on-one experience with each staff member without resident presence- only the diversions would be shared with the oncology fellows.

Eligibility Requirements/Criteria (When Applicable):
1. Applicant should be able to obtain full medical license from the state of
California at the time of initiation of the fellowship.
2. Current CV
3. Applicant should have completed all steps of the USMLE
4. Applicant must have 3 supporting letters of recommendation (one letter must be from Chair or program director)
5. Admission is contingent upon completion of an ACGME accredited urologic training program.

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

Male Genitourinary Reconstruction & Prosthetic Surgery Fellowship

Program Director: Kenneth W. Angermeier, MD

Website: https://my.clevelandclinic.org/departments/urology-kidney/medical-professionals/urology-fellowships/male-genitourinary-reconstruction

This one-year clinical fellowship is part of the educational mission of the institute administered through the Center for Genitourinary Reconstruction. The fellow will develop a thorough understanding of the evaluation and management of a broad spectrum of disorders primarily involving the male lower urinary tract and genitalia requiring reconstructive surgery, and a keen interest in contributing to the specialty through clinical research.

Clinical experience is gained through a high-volume practice of genitourinary prosthetic surgery for erectile dysfunction and incontinence, urethroplasty and procedures for Peyronie’s disease. The fellow will also become familiar with surgical treatment of a number of less common conditions of the genitalia and perineum, including rectourethral fistula, genital lymphedema, lichen sclerosis, and penile and urethral cancer. Major abdominal cases performed include bladder neck reconstruction for refractory stricture, bladder augmentation and catheterizable stoma for neuropathic or congenital bladder anomalies, cystectomy with urinary diversion for devastating injury of the bladder or urethra, and ureteral reimplantation or reconstruction. We also have a special interest in transitional urology, providing comprehensive care for patients who have persistent problems in adolescence or adulthood related to congenital urological disorders.

The fellowship position entails approximately one or two days per week in clinic with center staff, one-half day of the fellow’s own clinic, and three days per week in the operating room. The fellow also is expected to participate in all weekly urology departmental conferences and to select articles for and attend monthly journal club. He/she will also help plan and execute subspecialty-specific symposia.

How to apply: We participate in the AUA match for fellowships in genitourinary reconstructive surgery. Information is available on the Society of Genitourinary Reconstructive Surgeons website at societygurs.org. Applicants should send a copy of their AUA Match application, CV and two to three letters of recommendation to the contact below by the deadline indicated on the GURS website.

Contact information

Kenneth W. Angermeier, MD
Fellowship Program Director, Male Genitourinary Reconstruction and Prosthetic Surgery
Cleveland Clinic Glickman Urological & Kidney Institute
9500 Euclid Ave., Q10-1
Cleveland, OH 44195
216.444.0415
angermk@ccf.org

For any further questions or details, please email UrologyFellowship@ccf.org.

Columbia University Medical Center, New York, New York

Institution Name:
Columbia University

Fellowship Program Name:
Columbia University Urologic Reconstructive Surgery

Fellowship Program Location (City, State, Country):
New York, New York, USA

Fellowship Program Director Name:
Steven Brandes, MD, FACS

Fellowship Program Contact Person Name:
Anette PhiF
ap2176@cumc.columbia.edu

Fellowship Program Website Link:
http://columbiaurology.org/adult-urology/reconstructive-urology

Length of Fellowship Program:
1 year

Fellowship Program Description:
All aspects of reconstructive urology are covered in the fellowship:  urethral reconstruction, male incontinence and artificial sphincters, male sexual health and prosthetics, genital reconstruction, urinary diversions and ureteral reconstruction, urethral fistula surgery, muscle flaps, skin grafting, Transition urology, and GU cancer survivorship.  Female urology and transgender surgery are not part of the fellowship.

The intent is to train the next generation of academic Reconstructive Urologists.  We have a robust departmental clinical research division, composed of database managers, data entry people and a statistician, all at the disposal of the fellow. The fellow will be a junior faculty member and will be expected to operate and conduct surgery and clinics independently, in a graded fashion.

Fellowship Faculty:

Dr. Steven Brandes, is fellowship director with over 20 years of surgical experience.

Dr. Stahl is a men’s health, ED, Peyronie’s disease and prosthetics expert.

Dr. Chung is an expert in neuro-urology and voiding dysfunction.  

Dr. Billy Cordon is fellowship trained in Reconstructive Urology at UT-Southwestern

Bernadette Melido RN, wound-ostomy nurse dedicated to Urology. 

Jessica Pan Masters in Public Health and statistics and is our database manager, clinical research coordinator.

Away Rotations and Trips: 

1. The fellow will attend (on Departmental funds), the Master class in GU Reconstructive Urology in London, at the Institute of Urology. 
2. Away rotation during the winter at Mt. Sinai-Miami, to work with Dr. Billy Cordon.  Travel, room, and board covered by the department.

Prior Fellows: 

Larry Yeung, 2010- 2011, Assistant Professor University of Florida, Gainesville; Luke Wiegand, 2011-2012,   Assistant Professor, U of South Florida, Tampa

Andy Chang, 2012-2013, Clinical Faculty, Chesapeake Urology/ U Maryland

Jai Eswara, 2013-2014, Assistant Professor, Tufts University School of Medicine

Julio Geminiani, 2014-2015, Assistant Professor, Federal University of Sao Paulo, Brazil

Stephen Marshall, 2014-2015, Vermont Urology, Dartmouth clinical faculty

Erik Grossgold, 2015-2016, Active Duty Military, Naval Station Norfolk

Robert Goldfarb, 2016-2017, Clinical faculty, Chesapeake Urology/ U Maryland

Cooper Benson, 2017-2018, Assistant Professor Tulane University, New Orleans

Shyam Sukumar, 2018-2019 Assistant Professor Baylor University, Houston

Shawn Mendonca, 2019-2020, Lehigh Valley Medical Center, Allentown, PA

Eligibility Requirements/Criteria (When Applicable):
The applicant must be able to obtain a medical license in the state of New York.  Applicants will not be considered unless they have successfully completed all 3 steps of the US medical licensing examination (USMLE).

Duke University Medical Center, Durham, North Carolina

Institution Name:
Duke University

Fellowship Program Name:
Reconstructive Urology and Genitourinary Cancer Survivorship

Fellowship Program Location (City, State, Country):
Durham, North Carolina, USA

Fellowship Program Director Name:
Andrew C. Peterson, MD, MPH, FACS

Fellowship Program Contact Person Name:
Jonna Clark
jonna.clark@duke.edu

Fellowship Program Website Link:
https://surgery.duke.edu/education-and-training/fellowship-programs/reconstructive-urology-and-genitourinary-cancer-survivorship

Length of Fellowship Program:
1 year

Fellowship Program Description:
This fellowship provides a heavy emphasis on clinical experience exposing the fellow to routine and complex cancer survivorship reconstructive urologic conditions.  This exposure includes education in the multidisciplinary approach to cancer survivorship reconstructive urologic care. This includes exposure to radiation oncology, colorectal surgery, surgical oncology, medical oncology, andrology, male reconstructive urology, urodynamics and some pediatric urologic care.  Fellows will participate in the multidisciplinary clinics with exposure to the disciplines of both male and female reconstruction to include fistula working group, osteomyelitis working group and genitourinary cancer survivorship clinic. Surgical training will include both advanced exposure to both minimally invasive and open surgical procedures as well as prosthetics and incontinence procedures. The end goal is production of a clinical specialist with emphasis on genitourinary cancer survivorship for placement in academic training facilities with association with a cancer center.  The graduate will have the training required to formulate, design, implement, and manage a multidisciplinary cancer survivorship program.

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

Eastern Virginia Medical School, Virginia Beach, Virginia

Institution Name:
Eastern Virginia Medical School

Fellowship Program Name:
Eastern Virginia Medical School

Fellowship Program Location (City, State, Country):
Virginia Beach, Virginia, USA

Fellowship Program Director Name:
Kurt A. McCammon, MD, FACS, FPM-RS

Fellowship Program Contact Person Name:
Lynn Vass
vasslm@evms.edu

Fellowship Program Website Link:
https://www.evms.edu/education/schools_institutes_centers_departments/urology/fellowship/adult_and_pediatric_genitourinary_reconstructive_surgery/

Length of Fellowship Program:
1 year

Fellowship Program Description:
The Fellowship started in 1975 by Drs. Charles & Pat Devine and 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 Kings Daughters.

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 also sequela of post prostate cancer treatment including fistula, incontinence, erectile dysfunction and other issues and in the case of the females, stricture, 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.
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.

Eligibility Requirements/Criteria (When Applicable):
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.

Applicant must have completed urology residency training

Applicant should have completed Step 1, Step 2 CK and Step 2 CS of USMLE

Interested applicants should submit their application, CV, personal statement, photo, and 3 letters of recommendation – one letter from residency program director to vasslm@evms.edu

Einstein Healthcare Network and Fox Chase Cancer Center, Philadelphia, Pennsylvania

Institution Name:
Einstein Healthcare Network and Fox Chase Cancer Center

Fellowship Program Name:
Trauma, Male/Female Reconstruction and Prosthetics Fellowship

Fellowship Program Location (City, State, Country):
Philadelphia, Pennsylvania, USA

Fellowship Program Director Name:
Jay Simhan, MD, FACS
Vice Chair and Residency Program Director, Department of Urology

Fellowship Program Contact Person Name:
Kristen McCrane, MS
McCraneK@einstein.edu

Fellowship Program Website Link:
http://www.einstein.edu/GURSFellowship

Length of Fellowship Program:
1 year

Fellowship Program Description:
This is a 1-year reconstructive urology fellowship offered in our Department of Urology and is located over three sites: Einstein Medical Center Montgomery, Einstein Medical Center Philadelphia, and the Fox Chase Cancer Center. Unique perspectives gained through the fellowship program include comprehensive exposure to urogenital reconstruction, neuro-urological reconstruction, robotic urinary tract reconstruction and the opportunity to develop expertise in the surgical management of erectile dysfunction.

This fellowship offers a broad range of experiences with areas of specific emphasis including urethroplasty (e.g. primary anastomosis, radiation induced strictures, substitution urethroplasty, etc.), urologic prosthesis surgery (penile implantation, revision penile implantation, artificial urinary sphincter, revision male stress incontinence surgery), male genital reconstruction/Peyronie’s disease (plication, plaque incision with grafting, STSG, scrotal reconstruction), ureteral reconstruction (robotic/open Boari, Psoas hitch, ureteral reimplant, pyeloplasty and reoperative pyeloplasty), genitourinary trauma (conservative and operative approaches to renal, bladder and genital trauma), and female pelvic reconstruction (pelvic organ prolapse, neuromodulation, female stress incontinence, female urethral reconstruction, open and minimally-invasive bladder augmentation/urinary diversions).

The fellow will have the option to have an immersive experience in developing an advanced knowledge of urodynamics/video urodynamics. The fellow will have attending privileges at all sites and accepts the same generous call schedule as the faculty (approximately 1 in every 19 weeks). Urology residents take first call at
all sites. The fellow participates in the operating room at least 3-4 days per week. Teaching responsibilities include occasional preparation of Grand Rounds lectures, participation in the didactic aspects of the residency program, and supervising residents in the operating room.

Average Case Volume:
Urethral reconstruction: 85 cases/yr
Penile Prosthesis: 125 cases/yr
AUS/Sling: 35 cases/yr
Abdominal reconstruction (including robotic): 50 cases/yr
Genital reconstruction: 80 cases/yr
Female Pelvic Reconstruction: 150 cases/yr

Fellowship Faculty:
Jay Simhan, MD, FACS
Fellowship Director
Einstein Health – Primary Site
Fox Chase Cancer Center Secondary Site
Specialty: Urologic Trauma, Male Reconstruction and Urologic Prosthetics

Joshua Cohn, MD
Fellowship Faculty
Einstein Health – Primary Site
Fox Chase Cancer Center Secondary Site
Specialty: Female Pelvic Medicine and Reconstruction; Neuro-Urology

Michelle DeLeon, MD, FACS
Fellowship Faculty
Einstein Health Primary Site
Specialty: Colorectal Surgery

Sameer Patel, MD, FACS
Fellowship Faculty
Fox Chase Cancer Center Primary Site
Einstein Health – Secondary Site
Specialty: Plastics Reconstruction and Microvascular Surgery

Alexander Kutikov, MD, FACS
Fellowship Faculty
Chief of Urologic Oncology, Fox Chase Cancer Center
Specialty: Urologic Oncology

Eligibility Requirements/Criteria (When Applicable):
1. Applicant should be able to obtain full medical license from the state of Pennsylvania at the time of initiation of the fellowship.
2. Current CV
3. Applicant should have completed all steps of the USMLE
4. Applicant must have 3 supporting letters of recommendation (one letter must be from Chair or program director)
5. Admission is contingent upon completion of an ACGME accredited urologic training program or a similar training program from outside the United States.

Emory University, Atlanta, Georgia

Institution Name:
Emory University

Fellowship Program Name:
GURS FELLOWSHIP IN RECONSTRUCTIVE UROLOGY

Fellowship Program Location (City, State, Country):
Atlanta, Georgia, USA

Fellowship Program Director Name:
KENNETH JEFF CARNEY, M.D. PHARM.D.

Fellowship Program Contact Person Name:
KENNETH JEFF CARNEY, M.D. PHARM.D.
jeff.carney@emory.edu

Fellowship Program Website Link:
https://urology.emory.edu/training/trauma-recon-female-urology-fellowship.html

Length of Fellowship Program:
1 Year

Fellowship Program Description:

The Emory Urology Division of Urologic Reconstructive Surgery is located both at Emory University Hospital and Grady Memorial Hospital. Grady Memorial Hospital is one of our nation’s top and most technologic advanced public hospitals  (the American Hospital Association’s (AHA) has named Grady one of its Most Wired® hospitals for six consecutive years); and Grady is Atlanta’s only American College of Surgeons accredited level one trauma center. Over the past few years, Grady Memorial Hospital has been the recipient of numerous awards,  including being selected as Georgia’s only adult acute care hospital to earn the highest rating for improving patient care and safety through health information technology. http://www.healthcareitnews.com/news/grady-health-system-earns-himss- analytics-stage-7-award. As one of our nation’s largest public inner city hospitals of excellence, Grady provides a wealth of complex urologic trauma and reconstructive cases.

We offer a broad range of male and female, pelvic and genital reconstructive procedures including male urethral reconstruction, recto-urethral and vesico-vaginal fistulas, radiation injury sequelae, blunt and penetrating trauma, men’s sexual health (IPP’s and AUS), genital plastic surgery (buried penis, hidradenitis, lymphedema, Peyronie’s), reconstruction/diversion following spinal cord injury, and complex female pelvic floor reconstruction following mesh complications of erosion/fistula. Additionally we have a large, well established, and prestigious pediatric urology group and working along with our pediatric urology colleagues, our program is on the forefront of Transitional Urologic Care for myelomeningocele kids, allowing an easy transition once they reach age 21.

Opportunities for international travel are also made available to urologic reconstructive fellows. Surgical campaigns to El Salvador, Haiti, Ethiopia, and Kenya occur on a yearly or bi-yearly basis for performing complex pediatric and adult reconstructive procedures in third world countries.

Presently ours is a one year fellowship position, where you will work is a supportive environment designed to enhance your present clinical skills in the areas of genitourinary reconstruction and major open abdominal cases

Expectations of the fellow will be to develop a thorough understanding of the clinical assessment and management of patients with disorders of the male and female genitourinary tract requiring reconstructive surgery, to serve as junior faculty overseeing cases seen in the Grady resident clinic, and to  contribute to the specialty through clinical research including at least one publication or national/international meeting abstract per year.

Eligibility Requirements/Criteria (When Applicable):

Admission is contingent upon completion of an ACGME accredited urologic training program.
Applicant should have completed and passed all 3 steps of USMLE.
Applicant must have three letters supporting his application for fellowship. One of these letters must be from his current program director.
Applicant must be eligible for a Georgia state medical license prior to starting the fellowship.
All Candidates are initially screened by review of a current curriculum vitae and their supporting letters of recommendation. A candidates interest in pursuing future academic and scholarly activities is considered highly favorable.  Qualified individuals are selected and invited for a personal interview by faculty members in the Department of Urology and the most appropriate candidate is selected.
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: jeff.carney@emory.edu

Hospital Italiano School of Medicine, Buenos Aires, Argentina

Reconstructive Urology Fellowship, Buenos Aires, Argentina

Program Directors: Carlos Giudice, PhD

Program Associated Professors: Dr. Gabriel Favre (male reconstruction, urinary divertion); Dr. Guillermo Gueglio (prostetic surgery, peryronies surgery); Dr. Matias Gonzales (urinary divertion, female pelvic floor reconstruction); and Dr. Gustavo Villodo (tissue engineering).

Contact Person: Patricia Alvarez, Academic Secretary
Email: patricia.alvarez@hospitalitaliano.org.ar
Phone: +541149590200

Website: www.hospitalitaliano.org.ar

Prerequisite/Eligibility Requirements:

  1. Curriculum Vitae
  2. Medical degree
  3. Accreditation of complete residency in urology
  4. Fellowship open to Spanish speakers applicants with high level of English

Overview:
The Urology Department of the Hospital Italiano de Buenos Aires is a tertiary care center covering all urological pathologies.  It has a research area for the study of urological tissue regeneration, where we work designing bioengineered scaffolds, focused in electrospun PLA-PGA grafts.  We tested decellularized natural derived matrices in experimental animal models of tunica albuginea and urethral regeneration, as well as urinary sphincter restoration using adipose stem cells. Currently we are also producing nanocellulose to construct 3D scaffolds.

The subdivision of Urethral and Genital Reconstructive Surgery is part of the Urological department and is a reference center for the surgical treatment of urethral stenosis. We usually receive both non-complex and complex urethral stricture cases, with multiple previous procedures like, failed hypospadias surgery, pan urethral strictures, posterior urethral injuries and posterior urethral complications after prostate cancer treatments, like strictures, bladder neck contractures, and incontinence.

Other reconstructive procedures include:  Phalloplasties due to trauma or cancer, corrective surgery for the Peyronie’s disease, penile prosthesis, urinary divertions, repair of the vesico-vaginal fistulae, and female pelvic organ prolapse.

Local and International Urologists visit our center every year and it is possible to attend to an average of 4 reconstructive procedures per week. Furthermore, the fellow program is accredited by the medical school of the Hospital Italiano de Buenos Aires.

The objective of our program is that the fellow gets familiar to patient evaluations and surgical strategies. The fellow normally participates in all cases of urethral surgery.

Initially the fellow only assists the surgery, but later, the fellow also performs basic techniques of urethral reconstruction whiles assisted by one staff. In the same way, the fellow actively participates in corrective surgery for the Peyrone’s disease and penile prosthesis. Also, he /she will participate in anti-incontinency procedures and female genital prolapse. In addition, the fellow will assist the surgeon staff in more complex cases like female pelvic reconstructive surgery, fistulas and posterior urethral injuries.

Length of Fellowship:
1 year (June 1st to May 30th).

Academic Development:
Annual submission of at least one abstract to international meetings, and at least one paper to peer-reviewed journals.

The subdivision of urethral surgery participates in the academic activity of the Urological Department, presentations are responsibility of the fellow.

Kulkarni Reconstructive Urology Center, Pune, Maharahstra, India

Institution Name:
Kulkarni Reconstructive Urology Center

Fellowship Program Name:
Center for Reconstructive Urology

Fellowship Program Location (City, State, Country):
Pune, Maharahstra, India

Fellowship Program Director Name:
Sanjay B Kulkarni, FRCS,SIU-President, Past President-GURS

Fellowship Program Contact Person Name:
Pankaj M  Joshi
kesi95@gmail.com

Fellowship Program Website Link:
https://www.societygurs.org/gurs-fellowships-match/

Length of Fellowship Program:
12 months

Fellowship Program Description:

Ours is a tertiary referral center for Urethroplasties. This include simple cases as well as complex and redo Urethroplasties. We get patients referred from all over India and around the world. We perform around 400 urethroplasties in our center per year. The uniqueness of our center is in the fact that we have 6 days OPD and all 6 days we have 2 operation theaters running for surgeries. The working hours are from 8 am to 5 pm.

Many new and innovative techniques for the reconstruction of the urethra have been developed and published from our center. Our center has been pioneer in inventing the Kulkarni technique for Panurethral repair and Laparoscopic Omentoplasty for PFUDD and Recto Urethral fistula.

Established in 2006 the Kulkarni 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. Many International and Indian Urologists have visited our center for observing surgery. The course is free.

In addition we perform live reconstructive urethral surgery workshops regularly in various cities of India and around the world. We also perform live transmissions through Internet beamed across the country and globe.

The fellowship program in our Institute is recognized by Maharashtra University of Health Science which is the University governing Medical education in our state.

The fellow will have opportunities to evaluate and investigate the patients of urethral stricture, learn various techniques of 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 hypospadias surgery.

Other reconstructive urological procedures in our center include Peyronie’s disease, Penile prosthesis, urinary diversions, repair of vesico-vaginal and uretero vaginal fistulae, artificial sphincters and Laparoscopic pyeloplasties. Our staff also perform many endoscopic urological surgeries.

Length of Fellowship:
The length of the training program is 1 year: 1 July to 30 June.

Academics:

All cases are discussed preoperatively and the best solution is offered to the patient. The fellow at our Institute has all access to previous data base which can be used for analyzing the vast data. The fellow is free to publish as many papers and present in National and International meetings including USI, AUA, SIU and EAU.

Living in Pune:

Pune is called Oxford of east for its educational institutes. Now Pune is famous for IT and Auto industry and medical tourism.

Our past fellows have come from Israel, Kuwait, Canada, USA, Australia, Egypt, and India. They have travelled with family and their children who had the education in India.

SpiceJet and Air India  connects it to Dubai directly .Mumbai International Airport is 3 hours’ drive from our center.

We treat each of our fellow as our family. Do let us know if you have any specific queries. Most of our previous fellows hold academic positions.

Welcome to Pune, India.

Eligibility Requirements/Criteria (When Applicable):
Yes

Lahey Hospital and Medical Center, Burlington, Massachusetts

Institution Name:
Lahey Hospital and Medical Center

Fellowship Program Name:
Reconstructive Urologic Surgery

Fellowship Program Location (City, State, Country):
Burlington, Massachusetts, USA

Fellowship Program Director Name:
Alex J. Vanni, MD, FACS

Fellowship Program Contact Person Name:
Alex J. Vanni
alex.j.vanni@lahey.org

Fellowship Program Website Link:
https://www.lahey.org/lhmc/research-residencies/fellowships/reconstructive-urologic-surgery-fellowship/

Length of Fellowship Program:
1 year

Fellowship Program Description:

The Center for Reconstructive Urologic Surgery is a regional, national, and international referral center dedicated to disorders of the male urethra and external genitalia founded by Dr. Leonard Zinman in 1973. The fellowship is a one year clinical position, designed to provide expertise in adult male reconstructive urology including: urethral reconstruction, hypospadias, rectourethral fistula repair, buried penis repair, complications of gender affirming surgery, Peyronie’s disease, genital lymphedema, surgery for penile and urethral cancer, as well as GU prosthetic cases (AUS, male sling, IPP).

Fellows participate in a high volume reconstructive practice consisting of >300 procedures per year (> 150 urethral reconstructions per year). Fellows also participate in a weekly reconstruction clinic gaining experience in preoperative decision making and urethral imaging.

Goals and Objectives for Training:
This fellowship provides robust exposure to complex male reconstructive urologic and prosthetic surgery. The goal of training is to obtain expertise in the pre-operative, operative, and post-operative management of adult reconstructive urology. Additionally, clinical research, surgical education and mentoring are emphasized with the goal of training individuals for a future academic career in reconstructive urology.

Research:
Fellows will have the opportunity to participate in clinical and translational research, as well as participate in outcomes studies with the Trauma and Urologic Reconstruction Network of Surgeons (TURNS) database.

Fellows will be expected to submit at least 2 abstracts to a regional or national meeting, and to submit at least one manuscript for peer-reviewed publication. Support is provided for travel to the annual meeting of the American Urological Association.

Eligibility Requirements/Criteria (When Applicable):
U.S. citizen

Mount Sinai Hospital, New York, New York

Institution Name:
Mount Sinai Hospital

Fellowship Program Name:
Fellowship in Reconstructive Urology and Gender Affirmation Surgery

Fellowship Program Location (City, State, Country):
New York, New York, USA

Fellowship Program Director Name:
Rajveer Purohit, MD, MPH & Miroslav Djordjevic,MD, PhD

Fellowship Program Contact Person Name:
Rajveer Purohit
rajveer.purohit@mountsinai.org

Fellowship Program Website Link:
https://www.mountsinai.org/care/urology/services/reconstructive-urology

Length of Fellowship Program:
1 year

Brief Description of Fellowship Program:

A fellow will spend her/his time primarily with Dr Rajveer Purohit and Dr. Miroslav Djordjevic but also assist other faculty including Dr. Robert Valenzuela in the operating room typically 3 to 4 days a week at Mount Sinai Hospitals, observing, assisting, and actively performing all parts of reconstructive cases.  Fellows will gain increasing autonomy and responsibility for leading a case and teaching a resident as they progress through the year.

The program provides training at a regional referral center with substantial volume in complex reconstructive urology. Our program offers a tremendous variety of procedures in all aspects of reconstructive urology with a focus on urethral reconstruction, gender affirmation surgery and prosthetics.  The large number of cases and their high degree of complexity will be a significant driver of acquiring new skills and experience for the fellow.

The curriculum covers gender affirmation surgery including primary vaginoplasty, phalloplasty, metoidioplasty, revision surgeries. In addition, a busy practice is maintained in urethral reconstruction, prosthetics and Peyronie’s disease, treatment of male stress urinary incontinence, urinary fistulas and buried penis. Fellows will learn diagnosis and evaluation of these conditions, along with management strategies including behavioral and pharmacological treatment, sophisticated surgical solutions, and minimally invasive options.

Finally, one of advantages of our program will be the availability of additional training experience with Dr Djordjevic in his Belgrade Center for Genitourinary Reconstructive Surgery in Serbia. A Temporary License (one to three months) will be organized to enable participation as a co-surgeons or primary surgeon in all planned procedures and challenging cases.

Eligibility Requirements/Criteria (When Applicable):
Fellows must be eligible to practice medicine in the United States

Oregon Health & Science University, Portland, Oregon

Institution Name:
Oregon Health & Science University

Fellowship Program Name:
OHSU GURS & Gender-affirming Surgery Fellowship

Fellowship Program Location (City, State, Country):
Portland, Oregon USA

Fellowship Program Director Name:
Daniel Dugi, MD, FACS

Fellowship Program Contact Person Name:
Susi Driscoll
driscols@ohsu.edu

Fellowship Program Website Link:
https://www.ohsu.edu/urology/reconstructive-urology

Length of Fellowship Program:
1 year

Fellowship Program Description:

The OHSU Transgender Health Program is one of the most comprehensive and highest-volume programs for gender-affirming care in the U.S.  Faculty within the Department of Urology lead the vaginoplasty and metoidioplasty programs and work in conjunction with Plastic Surgery to provide phalloplasty care.

The OHSU Department of Urology at OHSU is pleased to offer a one-year Reconstructive Urology Fellowship with emphasis on gender-affirming genital surgery and health care for board-eligible or board-certified Urologists.  Candidates must have a strong interest in gender-affirming care.

The primary objective of the OHSU Urologic Reconstructive and Gender-Affirming Surgery Fellowship is to develop the unique clinical and surgical skill set required for expert management of genitourinary reconstructive problems with strong emphasis on gender-affirming genital surgery. Combined with the surgical principles of genitourinary reconstruction, the fellowship will be one of the first programs in the United States to offer dedicated surgical training in this area. The fellow will train with multiple faculty within the department of Urology (3 GURS-fellowship trained and 1 FPRMS-fellowship trained) and Plastic Surgery in reconstructive genital surgery.

Eligibility Requirements/Criteria (When Applicable):
Board-eligible urologist

SUNY Upstate Medical University, Syracuse, New York

Institution Name:
SUNY Upstate Medical University

Fellowship Program Name:
SUNY Upstate Reconstructive Urology Fellowship

Fellowship Program Location (City, State, Country):
Syracuse, New York, USA

Fellowship Program Director Name:
Dmitriy Nikolavsky, MDF
Associate Professor

Fellowship Program Contact Person Name:
Susan Schulze
schulzes@upstate.edu

Fellowship Program Website Link:
https://www.upstate.edu/urology/education/gurs-fellowship/index.php

Length of Fellowship Program:
1 year

Fellowship Program Description:
This is a 1-year Reconstructive Urology Fellowship at the Department of Urology SUNY Upstate Medical University. The fellows are expected to operate at three sites: SUNY Upstate University Hospital Main Campus (primary site), SUNY Upstate Community Hospital and Syracuse VA Hospital.

The program offers a combined clinical, operative and research training experience. Fellow will be trained for proficiency in proficient in genitourinary reconstructive surgery and will develop skills for management, preoperative evaluation, surgical techniques, and postoperative care. The fellowship emphasis will be on urethral reconstruction, incontinence, transgender care (including primary surgeries such as vaginoplasties, metoidioplasties, and revisions of post-gender affirmation complications), genital reconstruction, as well as neurogenic bladder/cancer survivorship, fistula repair, prosthetics, upper tract reconstruction (pyeloplasty, ureteral reconstruction/reimplantation). Fellow will gain knowledge and experience with open and robotic techniques, and tissue transfer including use of free grafts and flaps. Fellow will be expected to be involved in academic research with a choice of projects ranging from clinical outcomes to translational or basic science.

Brief Overview of Reconstructive Cases
*Anterior urethroplasties: Techniques for various etiologies including tissue-sparing approaches (muscle sparing, non-transecting, single incision, single side dissection). Tissue harvest and transfer techniques: free grafts, flaps (including fasciocutaneous, omental, gracilis, rectus etc.).
*Posterior urethroplasties for PFUI
*Transgender care: urethroplasties and repairs of complications associated with phalloplasty/metoidioplasty in transgender patients (strictures, fistulae, vaginal remnants). Repair of vaginoplasty complications. Primary vaginoplasties and metoidioplasties.
*Placement of Artificial Urinary Sphincter or Male Sling for incontinence, reoperative cases, penile prosthetics.
*Trauma and Genital Reconstruction: management and repair for GU trauma, concealed phallus, genital lymphedema, paraffinoma, genital skin loss
*Ureteral and UPJ reconstruction (open and robotic techniques): reimplantations, uretero-ureterostomy, Boari flap, psoas hitch, pyeloplasty
*Continent and incontinent urinary diversion techniques with use of GI segments (i.e. Indiana Pouch, Ileal conduit), bladder augmentations and Mitrofanoff-type catheterizable stomas.
*Female anti-incontinence procedures: TOT, TVT and autologous slings, bulking agents.
*Female urethroplasties, diverticulectomies, repairs of mesh complications, urethrolysis, anterior/posterior colporrhaphies or mesh-augmented repairs.
*Treatment of GU Fistulae (male or female): urethrocutaneous, recto-urethral, vesico-vaginal, symphyseal.

Eligibility Requirements/Criteria (When Applicable):
1. Applicant must be able to obtain full medical license from the state of New York at the time of initiation of the fellowship.
2. Current CV
3. Applicant must have completed all USMLE Steps
4. Applicant must have 3 letters of recommendation (one of the letters must be From the Program Director or the Department Chair)
5. Admission is dependent upon completion of an ACGME accredited urologic
residency program or a similar training program if applicant is from outside the United States.

Temple University Health System, Philadelphia, Pennsylvania

Institution Name:
Temple University Health System

Fellowship Program Name:
Trauma, Reconstruction and Gender Affirmation

Fellowship Program Location (City, State, Country):
Philadelphia, Pennsylvania, USA

Fellowship Program Director Name:
Michael J Metro, MD, FACS

Fellowship Program Contact Person Name:
Michael J Metro, MD, FACS
michael.metro@tuhs.temple.edu

Fellowship Program Website Link:
https://medicine.temple.edu/departments-centers/clinical-departments/department-urology

Length of Fellowship Program:
1 year

Fellowship Program Description:
Clinical fellowship focusing on urethral strictures, male stress incontinence, erectile dysfunction, prosthetics, Peyronie’s disease, trauma, complications from radiation and ablative treatments for prostate cancer, and gender affirmation surgery.  Mix of inpatient and outpatient experiences.  Attending privileges and call. Lots of resident interaction and teaching.

Eligibility Requirements/Criteria (When Applicable):
Completion of a AUA certified Urology Residency program

University of Alberta, Alberta, Canada

Institution Name:
University of Alberta

Fellowship Program Name:
University of Alberta Reconstructive Urology Fellowship

Fellowship Program Location (City, State, Country):
Edmonton, Alberta, Canada

Fellowship Program Director Name:
Keith Rourke, MD, FRCSC, Professor, Division of Urology, Department of Surgery, University of Alberta

Fellowship Program Contact Person Name:
Keith Rourke
krourke@ualberta.ca
Phone: (780) 407-5800
Fax: (780) 441-2597 

Kipnes Urology Centre 7th Floor
Kaye Edmonton Clinic
11400 University Avenue
T6G 1Z1 Edmonton, Alberta, Canada

Fellowship Program Website Link:
https://www.ualberta.ca/surgery/divisions/urology/fellowship-programs

Length of Fellowship Program:
1 year

Fellowship Program Description:

The University of Alberta is one of Canada’s top teaching and research institutions and is located in the city of Edmonton, capital of the resource-rich province of Alberta. 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 (prostheses), 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. Nathan Hoy (Male Reconstruction), Dr. Peter Metcalfe (Transition Urology), Dr. Derek Bochinski (Andrology) and Drs. Gary Gray, Joseph LaBossiere (Female Pelvic Medicine). The fellow will regularly attend ambulatory clinics, cystoscopy urodynamics and operating rooms at the Kipnes Urology Centre, 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.

Eligibility Requirements/Criteria (When Applicable):

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. Fellowship application is performed through the Society of Genitourinary Reconstructive Surgeons match (https://www.societygurs.org/gurs-fellowships-match/)
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 medical licensure as a surgical assist in the province of Alberta and will be administered through the Department of Surgery.

PAST AND CURRENT FELLOWS:

Dr. Dylan Hoare (2020-2021)
Edmonton, Alberta

Dr. Elaine Redmond (2019-2020)
Cork, Ireland

Dr. R. Christopher Doiron (2018-2019)
Assistant Professor, Queen’s University, Kingston, Ontario, Canada

Dr. Alvaro Saavedra Zamora (2017-2018)
Santiago, Chile

Dr. Jonathan Witten (2016-2017)
Clinical Assistant Professor of Urology, First Urology and the University of Louisville School of Medicine, Louisville, Kentucky

Dr. Hazem Orabi (2015-2016)
Associate Professor, Department of Urology, Faculty of Medicine, Assiut University

Dr. Conrad Maciejewski (2014-2015)
Assistant Professor, Department of Surgery, University of Ottawa

University of California at Irvine, Orange, California

Institution Name:
University of California, Irvine

Fellowship Program Name:
The Eric S. Wisenbaugh Fellowship In Male Reconstructive Urology

Fellowship Program Location (City, State, Country):
Orange, California, USA

Fellowship Program Director Name:
Dr. Joel Gelman
Professor of Urology

Fellowship Program Contact Person Name:
Denise Calhoun
dcalhoun@hs.uci.edu

Fellowship Program Website Link:
https://www.centerforreconstructiveurology.org/research-fundraising/reconstructive-urology-fellowship/

Length of Fellowship Program:
1 year

Fellowship Program Description:
Teaching Faculty include Dr. Joel Gelman (Fellowship Director) Dr. Antoine Khoury (Pediatric Urology),  Dr. Faysal Yafi (Men’s Health and Prosthetics), and other Faculty.

We perform a high volume of reconstructive surgery at the UC, Irvine Medical Center, the Long Beach Veterans Administration Hospital, and the Children’s Hospital of Orange County (CHOC). The Fellowship emphasizes urethral reconstruction for stricture disease (posterior disruptions, bulbar strictures, fossa navicularis strictures, radiation strictures, complex strictures after hypospadias surgery, pan-urethral strictures etc.) and hypospadias repair including complex re-do surgery. We perform all of our urethral imaging (over 200 procedures / year). Penile surgeries include Peyronie’s repair with grafts and plication, and penile implant surgeries including complex revision surgery. In addition, we perform scrotal reconstruction to treat massive lymphedema and hidradenitis. Clinical research and academic productivity is required. During the past 22 years, over 2,500 male reconstructive urology cases have been performed at the Center for Reconstructive Urology at UC, Irvine.  A full-time research coordinator prospectively maintains the Reconstructive Database.   The Fellowship includes a funded 2-week trip to Ho Chi Minh City, Vietnam where a high volume of urethral and genital reconstructive surgery will be performed.  The Fellowship is supported with endowed funding which provides protected time so that the Fellow does not have to devote a significant amount of time to unrelated General Urology or other service obligations to support salary and benefits.  This funding is provided only in support of the training of Fellows who will pursue Academic careers devoted to Male Reconstructive Urology.

Eligibility Requirements/Criteria (When Applicable):
US Citizen

University of California at San Diego, San Diego, California

Institution Name:
University of California, San Diego

Fellowship Program Name:
Genito-Urinary Reconstruction

Fellowship Program Location (City, State, Country):
San Diego, California, USA

Fellowship Program Director Name:
Jill C. Buckley, MD, FACS

Fellowship Program Contact Person Name:
Adela Lopez
alopez@health.ucsd.edu

Fellowship Program Website Link:
https://www.societygurs.org

Length of Fellowship Program:
1 year

Fellowship Program Description:

The fellowship is one clinical year focused on complex genito-urinary reconstruction including urethral reconstruction, ureteral reconstruction, urinary diversion, male incontinence surgery, fistula repair (rectourethral, vesicovaginal, vesical, and cutaneous fistula), hypospadias surgery, and complex genital reconstruction. There is a strong emphasis on robotic reconstructive techniques including the upper (ureteral reconstruction, nephrectomy) and lower urinary tract (bladder neck reconstruction, simple cystectomy, simple prostatectomy, ureteral reimplant). We use a wide range of techniques for both open and robotic surgery including anastomotic repairs, grafting, flaps, and combination techniques. We perform a high number of male incontinence surgeries, many of which are complex and redo cases. The program is based at the newly constructed UC San Diego Jacobs Medical Center in La Jolla with additional extensive exposure to our Level 5 Trauma center at UCSD Hillcrest.

The fellow will interact, teach and mentor the UCSD residents and medical students. They will have an independent clinic once a week caring for patients and scheduling operative cases independently. The remainder of the week will be in the operating room and clinic with the fellowship program director. Throughout the year, the fellow will participate in academic conferences and will have the opportunity to meet and interact with the other UC San Diego faculty. It is expected that the fellow will actively pursue clinical research with a half day per week of dedicated time.

Eligibility Requirements/Criteria (When Applicable):

1. 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 to establish good standing.

2. Admission is contingent upon completion of an ACGME accredited urologic training program.

3. Applicant should have successfully completed all 3 steps of USMLE and be eligible for California state medical licensure.

University of California at San Francisco, San Francisco, California

Institution Name:
University of California at San Francisco

Fellowship Program Name:
Male Genitourinary Reconstruction and Trauma Fellowship

Fellowship Program Location (City, State, Country):
San Francisco, California, USA

Fellowship Program Director Name:
Benjamin N. Breyer, MD, MAS

Fellowship Program Contact Person Name:
Kirstie Cruz
Kirstie.Cruz@ucsf.edu

Fellowship Program Website Link:
https://urology.ucsf.edu/education/fellowships/male-genitourinary-reconstruction-trauma

Length of Fellowship Program:
1 year

Fellowship Program Description:

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.

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 Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG). This provides the opportunity to work as a member of a Trauma Team providing care for acute trauma to the genitourinary 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.

Eligibility Requirements/Criteria (When Applicable):

We can only accept U.S. citizens due to the funding of the position.

Each candidate must have completed an ACGME Urology Residency Training Program, preferably a candidate for the American Board of Urology and must be eligible to obtain a California medical license.  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.

Applications for the single vacancy are due on the first of January, 18 months before the fellowship start date of July 1 (e.g. January 1, 2018 for July 1, 2019). Applicants should submit a cover letter, GURS AUA application, curriculum vitae, and three letters of reference via email to Benjamin N. Breyer, MD, MAS, c/o Kirstie Cruz (Kirstie.Cruz@ucsf.edu).

University of Colorado School of Medicine, Aurora, Colorado

Institution Name:
University of Colorado School of Medicine – Anschutz Medical Campus

Fellowship Program Name:
Reconstructive Urology Fellowship Program

Fellowship Program Location (City, State, Country):
Aurora, Colorado, USA

Fellowship Program Director Name:
Brian Flynn, MD

Fellowship Program Contact Person Name:
Noelle Musgrave
noelle.musgrave@cuanschutz.edu

Fellowship Program Website Link:
https://medschool.cuanschutz.edu/surgery/specialties/urology/education/genitourinary-reconstructive-fellowship

Length of Fellowship Program:
2 years

Fellowship Program 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: 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, 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 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:
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:
The Fellow 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.

Program Description:

Length of program: two years
Number of trainees per year: two per year

Effective 2021 an additional Fellow will be added.
Future track is as follows: First year – Clinical, Second year: Research

Eligibility Requirements/Criteria (When Applicable):
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 ânon-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.

University of Iowa, Iowa City, Iowa

Program:  Genitourinary Reconstruction

Contact Person: Bradley A Erickson, MD
Email:  brad-erickson@uiowa.edu
Phone:  319-356-7221
Fax:  319-356-3900

OR

Theresa Lent
Fellowship Coordinator
Email:  theresa-lent@uiowa.edu
Phone:  319-353-8939
Fax:  319-356-3900

MAILING ADDRESS:

University of Iowa Hospitals & Clinics
Department of Urology
200 Hawkins Drive
Iowa City, IA  52242-1089

Website:  https://uihc.org/urology-clinic 

History:  Dr. Karl J. Kreder started the reconstructive urology fellowship at the University of Iowa in 1997. Since its inception, a total of 16 fellows have been trained at Iowa. In 2014, Dr. Bradley A. Erickson was named the fellowship director, and the emphasis of the fellowship program has shifted from female/male pelvic reconstruction, to male pelvic reconstruction, prosthetics, and transgender surgery. In 2018, Dr Amy Pearlman joined the faculty, providing the fellowship with added emphasis on Men’s Health and transgender care.

Recent Genitourinary Reconstruction Fellows

*Boston Scientific Fellowship Grant Recipient

Duration:  12 months.  Applicants interested in a 24-month fellowship that would include 12 months of clinical and/or basic science research should alert Theresa Lent at the time of application submission.  The research year would commence in the second year of the fellowship.

Goals and Objectives for Training:

The overall mission of the fellowship program is to provide 12 months of intense, comprehensive clinical and surgical training in urologic reconstruction and urologic prosthetics that prepares the fellow for a practice that focuses on meeting the unique reconstructive needs of male patients. The fellowship provides extensive hands-on training in the operating room, where it is expected that fellows will be able to independently perform both routine cases and cases of moderate complexity that deal with aspects of male reconstruction (e.g. urethral stricture, erectile dysfunction, stress incontinence) at the completion of the year. The fellow will also become proficient in the clinical work-up and management of men’s health issues by working directly with Drs. Erickson, Pearlman and Kreder, and also by conducting their own, independently run clinic the focuses on reconstructive cases. The fellow will also receive a 1/8th appointment to the Iowa City Veterans Hospital and spend two days a month acting as the primary faculty and working with the PGY-6 and PGY-4 residents. Finally, the fellow will become proficient in designing and conducting clinical research projects that deal with reconstructive urology and men’s health. Importantly, the fellow will have access to the Trauma and Urologic Reconstruction Network of Surgeons (TURNS) database, a database which has to date led to over 55 manuscripts published in peer-reviewed journals. TURNS is made up of 14 fellowship trained surgeons. A research website (www.turnsresearch.org) is maintained by the TURNS group.

Program Certifications:  None

Teaching Staff: 

Facilities:  The fellow will work at the University of Iowa Hospitals & Clinics, the Iowa City Veteran’s Hospital and the Iowa River Landing outpatient facility.

Educational Program, Basic Curriculum: 

Historical Case Volume – University of Iowa

Learning Activities/Didactic Teach Sessions – University of Iowa

Monthly Schedule

Men’s Health Workflow

Prerequisite/Eligibility Criteria:

  1. Admission is contingent upon completion of an ACGME accredited residency training 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.
  2. Applicant must have completed all three steps of USMLE.
  3. Applicants 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 permanent Iowa medical license prior to the start of their fellowship. Learn more about eligibility requirements on the Iowa Board of Medicine website.
  5. Foreign applicants are responsible for obtaining appropriate visas prior to the scheduled 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.

Submission Materials:

  1. Qualified applicants please submit application, CV, personal statement & photo to Dr Brad Erickson & Theresa Lent.
University of Minnesota, Minneapolis, Minnesota

Institution Name:
University of Minnesota

Fellowship Program Name:
Genitourinary Trauma and Reconstruction Fellowship

Fellowship Program Location (City, State, Country):
Minneapolis, Minnesota USA

Fellowship Program Director Name:
Sean Elliott, MD, MS

Fellowship Program Contact Person Name:
Liz Mayock
eamayock@umn.edu

Fellowship Program Website Link:
https://med.umn.edu/urology/education-training/reconstructive-fellowship

Length of Fellowship Program:
1 year

Fellowship Program Description:

The University of Minnesota, Department of Urology offers a 1-year GURS clinical fellowship in genitourinary reconstructive surgery. The Urology Reconstructive Fellowship program led by Dr. Sean Elliott was started in 2013.  Since then, the fellowship added Dr. Joe Pariser as an additional faculty member in 2018.

Our fellowship program emphasizes male urethral reconstruction, male urinary incontinence surgery, ureteral stricture repair, genital reconstruction including skin grafting, gender affirmation surgery 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 clinic of his/her own at the University for 0.5 to 1 days a week and at our affiliated Gillette Lifetime Clinic where we care for adults with congenital urologic issues, such as spina bifida and cerebral palsy.  The fellow participates in the operating room with Dr. Elliott or Dr. Pariser at least 3 days per week.  The fellow gains graduated responsibility throughout the year in both the clinic and the operating room.

DURATION
The clinical portion of the experience is 12 months in duration. For those with a particular research interest, accommodations can be made for a two-year fellowship that would include a master’s degree in clinical research. The fellow gains graduated responsibility throughout the year in both the Gillette clinic and the operating room.

CURRICULUM & RESEARCH
A structured curriculum, weekly conferences, and close interaction with urology residents is 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.  The fellow is expected, with the help of residents and our team, to complete multiple research projects in the course of the year.

FUNDING
Our group is funded by nationally competitive grants and includes PhD health services researchers, biostatisticians and MPH research associates. Dr. Elliott is a founding member of TURNS and NBRG.  Support is provided for travel to the annual meeting of the American Urological Association to present one’s research findings.

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

Clinical management of men and women with neurogenic bladder secondary to spinal cord injury, spina bifida, cerebral palsy, multiple sclerosis, etc.
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.
Urethroplasty and rectourinary fistula repair.
Male incontinence surgery including slings and artificial sphincters, particularly complex and re-do cases.
Ureteral stricture management including reimplantation, buccal ureteroplasty, Boari flap and ileal ureter – using robotic techniques whenever possible.
Buried Penis Repair including panniculectomy and skin grafting.
Gender Affirmation Surgery including phalloplasty, vaginoplasty, and revisions of both (prosthesis, urethroplasty, robotic peritoneal vaginoplasty).
Counseling patients about the risks, benefits and alternatives to reconstructive options.
Contributing to the scientific literature through original research, particularly through an advanced understanding of epidemiological methods, biostatistics and database design and management.

Eligibility Requirements/Criteria (When Applicable):
Applicant should be a US citizen

University of Texas Southwestern, Dallas, Texas

Institution Name:
University of Texas Southwestern

Fellowship Program Name:
Urologic Trauma, Reconstruction, and Prosthetics

Fellowship Program Location (City, State, Country):
Dallas, Texas, USA

Fellowship Program Director Name:
Allen F. Morey, MD, FACS, Professor, Dept. of Urology
Paul C. Peters, MD, Chair in Urology, Distinguished Chair in Reconstructive Urology

Fellowship Program Contact Person Name:
Raquel Urdiales
Raquel.Urdiales@UTSouthwestern.edu

Fellowship Program Website Link:
https://www.utsouthwestern.edu/education/medical-school/departments/urology/education-training/fellowships/urologic-trauma.html

Length of Fellowship Program:
One Year

Fellowship Program Description:
The fellowship program in Urologic Trauma, Reconstruction, and Prosthetics in UT Southwestern’s Department of Urology was founded in 2008. This is a one-year clinical program designed for post-residency subspecialty training and is intended to prepare fellows for a career in academic urology. This program has been verified by the Society of Genitourinary Reconstructive Surgeons since its inception and offers two slots per year.

Clinical training encompasses all aspects of male genitourinary reconstruction, including urethral reconstruction, Peyronie’s disease, male incontinence and erectile dysfunction, ureteral reconstruction, robotics, urinary diversion, and repair of complex genital deformities, including buried penis.

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.
The Level I trauma center at Parkland Memorial Hospital provides myriad complex and unique genitourinary trauma cases. An annual one-week reconstructive urology outreach experience in Honduras is anticipated (if and when allowable after COVID-19 pandemic).

Ample clinical research opportunities are available, typically resulting in numerous publications per year and numerous presentations at local, regional, and national meetings. Time commitment during the fellowship is approximately 80 percent clinical and 20 percent research.

Eligibility Requirements/Criteria (When Applicable):
– The applicant must be a US citizen eligible for a Texas state medical license.
– The applicant 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.

University of Utah, Salt Lake City, Utah

Institution Name:
University of Utah

Fellowship Program Name:
Genitourinary Injury and Reconstructive Urology

Fellowship Program Location (City, State, Country):
Salt Lake City, Utah, USA

Fellowship Program Director Name:
Jeremy Myers, MD

Fellowship Program Contact Person Name:
Elizabeth Royall
Elizabeth.Royall@hsc.utah.edu

Fellowship Program Website Link:
https://medicine.utah.edu/surgery/urology/education/fellowships/reconstructive/

Length of Fellowship Program:
2 Years

Fellowship Program Description:
The fellowship is 2-years. The first year is spent with a research focus, however, the fellow will be clinically active for 2 days of the week. The second year is clinically focused, and the fellow will spend 3 or 4 days in clinical work during week.  There will be an opportunity to achieve a Master of Science Clinical Investigation (MSCI) or similar degree (MBA, Masters of Education) during the 1st and 2nd years depending upon the fellow’s goals.

The fellowship emphasizes operative experience, teaching, and research.  Operative experience encompasses the full-breadth of reconstructive urology and there will be ample opportunity to become well-versed in urethroplasty, posterior urethroplasty, urinary diversion, augmentation cystoplasty, incontinence treatments, buried penis, and gender affirmation surgery (both transmasculine and transfeminine surgery). An important part of the fellowship is an emphasis on learning how to teach in the OR. As fellowship responsibilities progress so does teaching experience in the operating room with residents.  University of Utah has a robust health services, basic science, and clinical outcomes research programs.  There are opportunities for grant writing workshops, statistical analysis, and research mentorship in a number of different areas in reconstructive urologic research.  Currently we have active projects utilizing the Trauma and Urologic Network of Surgeons, the Neurogenic Bladder Research Group, the National Trauma Databank, the Trauma Quality Improvement Project, and the Utah Population Database. Fellows identify the most interesting projects that match their interest and have active mentorship in developing these ideas.

Eligibility Requirements/Criteria (When Applicable):
Graduate of US urology residency program or eligible for US medical licensure

University of Washington, Seattle, Washington

Institution Name:
University of Washington

Fellowship Program Name:
Genitourinary Trauma and Reconstruction Fellowship

Fellowship Program Location (City, State, Country):
Seattle, Washington, USA

Fellowship Program Director Name:
Hunter Wessells, MD, FACS

Fellowship Program Contact Person Name:
Isabelle Abarro
iabarro@uw.edu

Fellowship Program Website Link:
https://www.washington.edu/urology/education/fellowships/trauma/

Length of Fellowship Program:
1 year

Fellowship Program Description:

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 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.

Eligibility Requirements/Criteria (When Applicable):
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.

Wake Forest University Baptist, Winston-Salem, North Carolina

Institution Name:
Wake Forest University Baptist

Fellowship Program Name:
Urologic Reconstruction, Prosthetics, and Infertility

Fellowship Program Location (City, State, Country):
Winston-Salem, North Carolina, USA

Fellowship Program Director Name:
Ryan Terlecki, MD, FACS

Fellowship Program Contact Person Name:
Brooke McChesney
bmcchesn@wakehealth.edu

Fellowship Program Website Link:
https://school.wakehealth.edu/Education-and-Training/Residencies-and-Fellowships/Genitourinary-Reconstructive-Surgery-Fellowship

Length of Fellowship Program:
1 year

Fellowship Program Description:
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 have the opportunity to work with Dr. Gopal Badlani in cases involving urinary diversion, bladder augmentation, ureteral reconstruction, etc. In addition, the fellow will be involved in international outreach.

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 urethral and penile reconstruction.
3. Prosthetic surgery for male incontinence and erectile dysfunction.
4. Office management of andrology and infertility.
5. Techniques for sperm harvesting and vasovasostomy.
6. Balanced scrutiny of the medical literature and the ability to plan and conduct meaningful research.
7. Understanding the science behind tissue engineering and the application to urologic reconstruction

Eligibility Requirements/Criteria (When Applicable):
1. Admission is contingent upon completion of an ACGME accredited urologic training program in the United States.
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.