GURS FELLOWSHIP & MATCH

Institution Name:
Baylor Scott and White All Saints Medical Ctr

Fellowship Program Name:
BSW Genitourinary Reconstruction Fellowship

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

Fellowship Program Director Name:
Charles L. Secrest, MD, Director, BSW Center for Reconstructive Urology, graduated fellowship EVMS 1992, in practice 30 years.

Fellowship Program Contact Person Name:
Charles L. Secrest, MD
secrestGUrecon@gmail.com

Fellowship Program Website Link:
www.bswhealth.com/reconstructiveurology

Length of Fellowship Program:
1 year

Fellowship Program Description:
This is a very busy clinical fellowship in both male and female genitourinary reconstruction. The mainstay of our male cases include excision of Peyronies plaque w autologous dermal grafting, tunica plication, all types of male urethroplasty and bladder neck reconstruction, hypospadias repair, prosthesis surgery both penile and AUS including complex redo cases, plus complex fistula repairs both male and female. We perform more male than female surgeries but the fellow will finish this program well trained in female pelvic medicine and reconstructive surgery including all types of slings, mesh removal and reconstruction, repair of cystocele, rectocele, enterocele and vaginal prolapse. Other female cases include urethroplasty, diverticulectomy, urethral construction with local flaps, and transvaginal urethral closure with diversion. We do mostly open abdominal surgery for bladder and upper tract problems including ureteral reimplant with bladder flap, ileal ureter, ileal loop urinary diversion, and bladder augmentation with catheterizable stoma. We have 2 full days in the OR (Tu, Th) with two flip rooms each day, two full clinic days (M, W), with Friday as half day clinic or research time for the fellow. This program is an apprenticeship in reconstructive urology with a lot of hands on teaching and a very strong clinical experience. I look forward to meeting you and discussing our program in more detail. Please call or send an email to make arrangements for a visit to Fort Worth!

Eligibility Requirements/Criteria (When Applicable):
Board eligible ABU, Fellow must be able to obtain an unrestricted Texas Medical License after completing a urology residency, 3 letters of recommendation, CV, letter of interest.

View the Reconstructive Surgical Case Log Here

Institution Name:
Case Western Reserve University/University Hospitals Cleveland Medical Center

Fellowship Program Name:
Female Pelvic Medicine & Reconstructive Surgery Fellowship

Fellowship Program Location:
Cleveland, OH USA

Fellowship Program Director Name:
Dr. Shubham Gupta
Shubham.Gupta@UHhospitals.org

Fellowship Program Contact Person Name:
Markie Mccanelley
marquetta.mccanelley@uhhospitals.org

Fellowship Program Website Link:
https://www.uhhospitals.org/medical-education/urology-medical-education

Length of Fellowship Program:
One or two years depending on the applicant’s goals. Year 1 would be clinical with outcomes based research focus. Year 2 will include the opportunity for basic sciences research, population health certification, and further sub-specialty electives.

Fellowship Program Description:
University Hospitals is excited to offer a GME approved, GURS certified fellowship with a focus on lower tract reconstruction, upper tract reconstruction, survivorship reconstruction, and gender affirmation surgery. There are 3 reconstructive urologists (Gupta, Scarberry, Mishra), and one reconstructive gynecologist (Pope) who comprise the core faculty. All of the faculty members themselves have trained at different places, thereby enriching the flavor of the fellowship. Fellows can expect to gain proficiency in simple and complex urethral stricture disease, flaps and grafts harvest, open and robotic intra-abdominal reconstruction, vaginoplasty, metoidioplasty, and phalloplasty. As the only comprehensive gender affirmation program in the region, we perform more than 100 primary genitoplasties (vaginoplasty, metoidioplasty, phalloplasty), and approximately 50 revision surgeries.

Research opportunities are plentiful, including access to several national datasets, prospective cohort studies, community based participatory research projects, and translational research with a focus on microbiome and genetic analysis. Research support exists in the form of research coordinators, statisticians, and a recon research group comprising a rotating roster of 5 medical students and residents.

Eligibility Requirements/Criteria
Unrestricted Ohio Medical License, US Citizen, or permanent resident. Visa candidates may be considered in exceptional cases.

The ideal candidate should have an interest in developing a wide breadth of surgical aptitude with a keen interest in fostering skills to become a successful surgeon scientist. We believe this program has the opportunity to cultivate talent amongst genitourinary surgeons who aim to bring research from the bench to the bedside. This will provide high level of literature to the field of reconstructive surgery and will serve as a foundation for major advancements in the discipline. Furthermore, the fellow will have an opportunity to pursue subspecialized focus in advanced men’s health training with 2 faculty members at the institute, with an additional opportunity to focus on a capstone in leadership that will prepare them to design a program in gender affirming surgery. Overall, we firmly believe that this program provides a unique opportunity to train surgeon scientists who will be groomed to be leaders at institutional, national, and international level.

Institution Name:
Cedars Sinai Medical Center

Fellowship Program Name:  
The Gender Affirming Genital Reconstructive Surgery Clinical and Research Fellowship

Fellowship Program Location:
Los Angeles, CA USA

Fellowship Program Director Name:
Dr. Maurice Garcia

Fellowship Program Contact Person Name:
Soomie Chi
soomie.chi@cshs.org

Fellowship Program Website Link:
https://www.cedars-sinai.edu/education/graduate-medical/fellowship/female-pelvic-medicine-reconstructive-surgery.html

Fellowship Program Description / Overview:
The Gender Affirming Genital Reconstructive Surgery Clinical and Research Fellowship at Cedars-Sinai Medical Center offers a non-accredited: 1. One-year clinical and research program with a primary focus on a comprehensive list of all available feminizing or masculinizing genital surgeries (primary focus on one or the other, but with exposure to both); and 2. Two-year program to learn all surgical options for both feminizing and masculinizing surgeries.

Fellowships include a 12-month block of surgery and clinic activity within a high-volume tertiary care urology-led interdisciplinary transgender surgery and health program based within a leading academic medical center (hospital ranked # 2, and Urology program ranked #3 in nation, per U.S. News and World Report, 2022). Fellows have access to an NIH-funded research laboratory (R01CA201709-01; P.I. Garcia). Fellows participate in, and with time lead urology residents through all pre-operative, operative and post-op/long-term follow-up management of adult and adolescent patients. Specific surgeries fellows will learn to perform are shown below:

 Adult and Pediatric clinical services:

• Longitudinal transgender genitourinary wellness care
• Transgender surgery care counselling for peds/adolescents and parents/guardians
• Peds/adolescent hormone-depot implant (in conjunction with the Program’s Peds endocrinologist)
• Pediatric and Adult Intersex GU wellness care

 Genital surgeries offered at CSMC include:

Feminizing:

• Bilateral trans-scrotal orchiectomy (Urology)
• Vaginoplasty without and with creation of a vaginal canal by penile inversion technique, free scrotal skin grafts, or pedicle flaps (Urology)
• Revision surgeries of the vulva and/or urinary tract
• Primary Right-colon-vaginoplasty & salvage Right-colon vaginoplasty with neovaginectomy (*Urology and Colorectal surgery)
• Peritoneal vaginoplasty utilizing laparoscopic robot-assisted approach (*Urology)

Masculinizing:

• Metoidioplasty (Urology)
• Phalloplasty with and without urethral lengthening, using Radial Forearm Flap, Anterior
• Lateral Thigh Flap, Suprapubic and Groin flaps:
  • First stage (Creation of phallus and urethra); (*Urology & Plastic Surgery)

Second stage: vaginectomy, urethral proximal urethroplasty, transposition of micro-penis into the phallus, scrotoplasty, and glansplasty (Urology)

• Implant of GU prosthetics (Urology)
• Salvage urethroplasty (Urology)
• Salvage phalloplasty, including Radial Artery Urethroplasty (Urology & Plastic Surgery)

Cedars Sinai Medical Center Cont.:

Gender non-conforming (non-binary) genital surgeries:

• Genital nullification surgeries
• Scrotectomy
• Vaginal-canal preserving phalloplasty and metoidioplasty

Adult Intersex / DSD (Disorders of Sexual Differentiation) surgeries:

• Primary and Revision pediatric and adult Intersex GU reconstructive surgeries
• Surgical collaboration with the CSMC Pediatric Surgery/Peds Urology teams for pediatric DSD surgeries

The fellowship program includes additional focus areas:

1. Sexual medicine and neurourology
2. Dedicated research time (clinical research with or without basic science research in our NIH-funded lab)
3. A smaller but steady volume of cis-gender Men’s Health urologic surgeries (5-10% of practice; correction of penile curvature, GU prosthetics, GU reconstruction, male incontinence surgeries [AUS and slings], and Sexual Medicine)
4. Program leadership training to prepare interested individuals to organize and lead a clinical transgender surgery program at another institution
5. Clinic and operating room exposure to all core gender affirming surgery & medical specialty domains and faculty (e.g. Primary care clinic, Endocrinology/cross-sex hormone management clinic, Plastic surgery, Gynecologic surgery, ENT/Facial surgery, Dermatology, and Adolescent primary care and hormone management) [See: https://www.cedars-sinai.org/programs/transgender-surgery-and-health/services.html ]
6. “Academic exchange” visits (in-person and virtual) with experts in the field in the USA and abroad

Academic urology support / environment:

• CSMC Urology residency program
• CSMC Urology fellowships, other: FPMRS
• Weekly Urology Grand Rounds and Morbidity and Mortality Conferences
• Biostatistician support
• Transgender Surgery and Health Program dedicated research assistant
• Membership support for AUA, Western Section AUA, USPATH, WPATH, and LACPATH

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.

View the Reconstructive Surgical Case Log Here

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:
Apryle M. Graham
apryle.graham@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.

View the Reconstructive Surgical Case Log Here

Program Director:  Kurt A. McCammon, MD, FACS

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

Prerequisite/Eligibility Requirements:
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 Step1, 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

Short description:
This is a 1 year Fellowship which was founded in 1975 by Drs. 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 fellowship is 90 percent clinical with 10 percent research.

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.

View the Reconstructive Surgical Case Log Here

Institution Name and Location:
Fox Chase Cancer Center 

Fellowship Program Name:
Reconstructive and Prosthetic Urology Fellowship Program

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

Fellowship Program Director Name:
Jay Simhan, MD, FACS
Professor of Urology, Director of Reconstructive Urology, Fellowship Director, Fox Chase Cancer Center

Fellowship Program Contact Person Name and Email:
Kristen McCrane
kristen.mccrane@fccc.edu

Fellowship Program Website Link:
https://www.foxchase.org/reconstructive-and-prosthetic-urology-fellowship

Length of Fellowship Program:
1 year

Fellowship Program Description:
This is a 1-year reconstructive urology fellowship offered in our Department of Urology. Unique perspectives gained through the fellowship program include comprehensive exposure to urogenital reconstruction, robotic urinary tract reconstruction, neuro-urological reconstruction, and the opportunity to develop expertise in the surgical management of erectile dysfunction/male stress incontinence.

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), open and minimally-invasive bladder augmentation/urinary diversions). Optional experiences in female pelvic reconstruction (pelvic organ prolapse, neuromodulation, female stress incontinence, female urethral reconstruction) are also available to the fellow. The fellow will also have the option to have an immersive experience in developing an advanced knowledge of urodynamics/video urodynamics.

The development of academic projects is strongly encouraged throughout the fellowship. In sum, the fellow will be provided with a broad range of projects that are ongoing or planned pertinent to fellowship training and a future career in academics. The fellow will be supported to present abstracts at regional, national, and international urology meetings with an ultimate goal of manuscript preparation/submission. 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: 100 cases/yr
Penile Prosthesis: 100 cases/yr
AUS/Sling: 65 cases/yr
Abdominal reconstruction (including robotic): 70 cases/yr
Genital reconstruction: 80 cases/yr
Female Pelvic Reconstruction: >150 cases/yr

Eligibility Requirements/Criteria
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.

Away Rotations and Trips:
The fellow is supported by the Department to attend the Annual AUA meeting, the Sexual Medicine Society Meeting, the Societe Internationale d’Urologie (SIU) Annual Meeting, and the Mid Atlantic AUA Annual Meeting. Additionally, attendance in at least one international surgical workshop is supported.

For any further questions or details, please email: Jay Simhan, MD, FACS (jsimhan@gmail.com)

Institution Name:
School of Medicine of the Hospital Italiano

Fellowship Program Name:
Urethral and Reconstructive Genital Surgery

Fellowship Program Location (City, State, Country):
Buenos Aires, Argentina

Program Directors:
Carlos Giudice, PhD
carlosr.giudice@hospitalitaliano.org.ar

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
patricia.alvarez@hospitalitaliano.org.ar
Phone: +541149590200

Website:
 www.hospitalitaliano.org.ar

Prerequisite/Eligibility Requirements:
Canditate must fullfill all requirements of Hospital Italiano de Buenos Aires and has good understanding of the Spanish language.

Overview:
The Urology Department of the Hospital Italiano de Buenos Aires is a tertiary care center covering all urological pathologies.

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.

View the Reconstructive Surgical Case Log Here

Institution Name:
Center For Reconstructive Urology, Pune, India

Fellowship Program Name:
Center for Reconstructive Urology

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

Fellowship Program Director Name:
Sanjay B Kulkarni, MS, FRCS
sanjaybkulkarni@gmail.com

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

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

Length of Fellowship Program:
12 months

Fellowship Program Description:
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.

Eligibility Requirements/Criteria (When Applicable):
MD Urology recognized by NMC ( National Medical Commission, India). Should have a valid Medical registration in the home country which should be valid beyond the dates of Fellowship.

View the Reconstructive Surgical Case Log 1 Here

View the Reconstructive Surgical Case Log 2 Here

Institution Name:
Lahey Hospital and Medical Center

Fellowship Program Name:
Genitourinary 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:
http://www.lahey.org/ReconstructiveUrology/

Length of Fellowship Program:
1 year

Fellowship Program Description:
The Center for Reconstructive Urologic Surgery is a regional, national, and international referral center founded by Dr. Leonard Zinman in 1973. The fellowship is a one-year clinical position, designed to provide expertise in adult reconstructive urology including: urethral reconstruction, hypospadias, rectourethral fistula repair, robotic and open ureteral reconstruction, buried penis repair, primary and revision 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 will participate in a high-volume reconstructive practice with over 500 cases a year to choose from and GURS case logs consisting of >300 procedures per year (> 150 urethral reconstructions per year). In addition to a large surgical volume, fellows will 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 reconstructive urologic and prosthetic surgery. The fellow will attain graduated responsibility in the operating room throughout the year. 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.

Faculty:
Alex J. Vanni, MD, FACS
Program Director

Khushabu Kasabwala, MD
Reconstruction and Gender-Affirming Surgery

Andrew McCullough, MD
Men’s Health and Sexual Medicine

Alireza Moinzadeh, MD
Division Chair and Chief of Robotic Urologic Surgery

Clinical Responsibilities:
The fellow needs to obtain a Massachusetts medical license and will function as a clinical instructor with hospital staff privileges. The fellow will run an independent clinic approximately 3 days per month. The fellow operates 3-4 days per week and spend 1 day per week in our reconstruction clinic.

Research:
Fellows will have the opportunity to participate in clinical research through Lahey Hospital and Medical Center, 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.

Teaching:
Fellows will supervise residents in the operating room and are expected to participate in weekly departmental conferences including morbidity and mortality, GU radiology, indications, journal club and Grand Rounds.

Eligibility Requirements/Criteria (When Applicable):
1. Must be eligible for medical licensure in the state of Massachusetts prior to starting fellowship and be a United States citizen.

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

3. Applicant should have completed all 3 steps of USMLE.

4. Applicant must have 3 letters of support for fellowship. One of these letters must be from his/her current program director.

5. Applicant must be a US citizen.

View the Reconstructive Surgical Case Log Here

Institution Name:
Loyola University Medical Center

Fellowship Program Name:
Genitourinary Reconstruction and Male Pelvic Health Fellowship

Fellowship Program Location:
Maywood, IL USA

Fellowship Program Director Name:
Chris Gonzalez, MD, MBA, FACS

Fellowship Program Contact Person Name:
Susan Di Salvo
sdisalvo@lumc.edu

Length of Fellowship Program:
1 year

Fellowship Program Website Link:
https://www.loyolamedicine.org/gme/fellowships/urology/male-pelvic-health-genitourinary-reconstruction

Fellowship Program Description:
Loyola University Medical Center (LUMC) and affiliate hospitals, Gottlieb Memorial Hospital (GMH) and MacNeal Hospital (MNH) are a regional referral centers of reconstructive urology for the Chicago metro. The fellowship is a one-year clinical fellowship designed to provide expertise in adult reconstructive urology with special focus on: urethral stricture disease, hypospadias failure, buried penis repair, male urinary incontinence, erectile dysfunction and Peyronie’s disease. This includes a broad range of surgical procedures including urethroplasty, artificial urinary sphincter placement, male urethral slings, penile prosthesis insertion, buried penis repair with skin grafting, penile plication, penile incision and grafting, modern procedural management of BPH, varicocelectomy and vasovasostomy with an expanding case load of infertility management. There is also large volume of abdominal and robotic reconstructive cases performed which include urinary diversion for devastated lower urinary tract, ureteral reconstruction and bladder neck reconstruction for refractory stenosis. There is also a good exposure to trauma as LUMC is a Level 1 Trauma center and GMH and MNH are both Level 2 Trauma centers.

Faculty:
Christopher Gonzalez, MD, MBA, FACS
Program Director

Ahmer Farooq, DO, FACS
Men’s Health and Sexual Medicine

Ahmad El-Arabi, MD
Genitourinary Reconstruction

Kevin McVary, MD, FACS
Men’s Health and Sexual Medicine

Denise Asafu-Adjei, MD, MPH
Andrology and Infertility

Clinical Responsibilities:
The fellow will function as a clinical instructor with hospital staff privileges and take call once every 2-3 months. The fellow will run an independent clinic approximately one half-day per week. The fellow operates 3 days per week and spend 1.5 days per week in our reconstruction clinic.

Academic Opportunities:
The fellow will have the opportunity to interact routinely with residents and medical students in both an operative and didactic capacity. This includes research mentorship and involvement in ongoing research endeavors with program faculty.

Eligibility Requirements/Criteria:

• Applicants must send a CV, letter of interest, and 3 letters of recommendation supporting their application. One letter must be from the program director establishing good standing within their residency program.
• Completion of ACGME accredited urologic training program.
• Successful application for medical licensure in the State of Illinois.

Institution Name: 
Mayo Clinic School of Graduate Medical Education

Fellowship Program Name:
Trauma and Genitourinary Reconstruction Fellowship

Fellowship Program Location:
Rochester, MN USA

Fellowship Program Director Name:
Dr. Boyd Viers

Fellowship Program Contact Person Name: 
Kelsey Tuen
Tuen.Kelsey@mayo.edu

Fellowship Program Website Link: 
https://college.mayo.edu/academics/residencies-and-fellowships/urology/

Fellowship Program Description:
The one-year Trauma & Genitourinary Reconstruction Fellowship program at Mayo Clinic in Rochester, Minnesota, provides advanced clinical and surgical training to develop a thorough understanding of the evaluation and management of a broad spectrum of disorders, preparing graduates to provide comprehensive, individualized diagnosis and treatment for a variety of reconstructive urologic conditions.

Utilizing a preceptorship model, the clinical year consists of six sequential 8–9-week rotations. Rotations provide a comprehensive experience and advanced training in complex facets of procedures, pathologies, and case management. Experience includes open and advanced robotic reconstruction of male urethral stricture disease, genitourinary fistula, ureteral stricture disease, and male stress urinary incontinence and erectile dysfunction after treatment of prostate cancer. The program provides in-depth exposure and training involving the complexities of multi-disciplinary genitourinary reconstruction and cancer survivorship. The fellow gains experience and competency in the surgical management of patients with neurogenic bladder, spinal cord injury, and gender affirming surgery.

The fellow participates in weekly imaging and pathology case conferences as well as a monthly Genitourinary Trauma & Reconstruction Journal Club. Mayo Clinic’s Trauma & Genitourinary Reconstruction Fellowship program actively supports research through faculty mentorship, robust statistical support, database management, and travel to regional and national meetings to present research data.

Eligibility Requirements/Criteria:
To be eligible for the Trauma & Genitourinary Reconstruction Fellowship program, candidates must have completed a residency program in urology in the United States or Canada that is accredited by the Accreditation Council for Graduate Medical Education (ACGME) or the Royal College of Physicians & Surgeons of Canada (RCPSC) and be eligible for a Minnesota medical license.

Qualified candidates from outside the United States and Canada must meet the following criteria:

• Meet all visa sponsorship requirements
• Be certified by the Educational Commission for Foreign Medical Graduates (ECFMG)
• Be eligible for a Minnesota medical license, which requires a minimum of one year of accredited residency or fellowship training in the United States or Canada

Qualified candidates must also meet all general admissions requirements for the Mayo Clinic School of Graduate Medical Education.

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://icahn.mssm.edu/education/residencies-fellowships/list/reconstructive-urology-fellowship

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

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

View the Reconstructive Surgical Case Log Here

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.

View the Reconstructive Surgical Case Log Here

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

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, University of Alberta

Fellowship Program Contact Person Name:
Tara Graham
urolpg@ualberta.ca

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

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 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.

View the Reconstructive Surgical Case Log Here

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:
The Endowed Eric S. Wisenbaugh GURS Fellowship in Male Reconstructive and Prosthetic Urology at UC,
Irvine is one-year clinical fellowship that focuses on urethral and genital urethral reconstructive surgery and
prosthetic Urology including Men’s Health and Prostate Cancer Survivorship. Funding is available to support a
Fellow seeking a 2-year training experience to include additional exposure to upper tract open and robotic
reconstruction, additional international training opportunities, and NIH funded tissue engineering basic science research.
The Center for Reconstructive Urology at UC, Irvine was established in 1998 as the first center in Southern
California specializing in male GU Reconstruction. During the past 24 years, over 2,800 male Reconstructive Urology cases have been performed at our International Referral Center, which to date has included patients from California, 46 different states, and 32 different countries.
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, strictures after urethral stent placement, pan-urethral strictures etc.) and hypospadias repair with a focus on complex re-do surgery.
The Fellow will participate in performing urethral imaging as we perform all of our retrograde urethrograms and cystourethrograms (over 200 procedures / year). In addition, we also harvest all grafts that are used (buccal mucosa, lingual mucosa, split thickness skin grafts). Penile reconstructive surgeries include Peyronie’s repair
with grafts vs plication, correction of congenital penile curvature, and a high volume of penile implant surgeries including complex revision surgery when there is corporal scarring. 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 and gender conformation surgery. Our Men’s Health Program
includes training in office procedures including penile duplex, Xiaflex administration, and other office-based
procedures. Recent faculty expansion has enabled our Fellowship to add exposure to open and robotic upper
tract and abdominal reconstruction.
The Eric S. Wisenbaugh Fellowship is supported with an endowment fund which provides protected time for
academic pursuits and international outreach and training opportunities. The Fellow is not assigned any
General Urology clinics to support salary and benefits.
Clinical research and academic productivity is required. A research coordinator maintains the Reconstructive
Database, which has been prospectively maintained, and is available full-time to support the clinical research of the Fellow. 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, with an emphasis on posterior urethroplasty.
In addition, the Fellow is supported in travelling to a high-volume center of excellence outside of the United
States to pursue a 1-week Proctorship with a focus on prosthetic Urology and complex penile surgery. Fellows
are supported in attending the AUA meeting, the fall SMSNA meeting, an annual prosthetics course, and in
addition, any other meeting where research will be presented.
The applicant must be a United States Citizen (a requirement of our Affiliated Long Beach Veterans
Administration Hospital) and have a California Medical License prior to starting the Fellowship.
Dr. Joel Gelman, Professor of Urology, is the Fellowship Director. In addition, the teaching Faculty include Dr.
Faysal Yafi (Men’s Health) Dr. Antoine Khoury (Pediatric Urology), Dr. Zhina Sadeghi (Abdominal and Upper Tract Reconstruction), and other Adult and Pediatric Urologists on the UC, Irvine Faculty. The Research laboratory is directed by Dr. Joshua Mauney, the Jerry D. Choate Endowed Chair in Urethral-Genital Tissue Bioengineering.

View the Reconstructive Surgical Case Log Here

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://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.

View the Reconstructive Surgical Case Log Here

Institution Name:
University of California at San Francisco (UCSF)

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
bbreyer@urology.ucsf.edu

Fellowship Program Contact Person Name:
Katherine Jung
Katherine.jung@ucsf.edu

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

Length of Fellowship Program:
1 year

Fellowship Program Description:

The UCSF Male Genitourinary Reconstruction and Trauma Fellowship program is a mentored, graduated experience in trauma diagnosis and management primarily based on Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG). This provides the fellow an opportunity to work as a member of a Trauma Team providing care for acute trauma to the urinary and genital system. 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.

Aside from the clinical and academic research experience, the program also focuses in honing leadership qualities to prepare the fellow for future leadership roles in academic medicine.

Eligibility Requirements/Criteria (When Applicable):

Candidate must have completed an ACGME Urology Residency Training Program
Candidate must be a US citizen due to the funding of the position
Special interest in future academic and scholarly activities is considered highly favorable
Preferably be a candidate for the American Board of Urology
Candidate must be eligible to obtain a California medical license (please refer to the CA Medical Board for eligibility requirements)

View the Reconstructive Surgical Case Log Here

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

Fellowship Program Name:
Fellowship in Genitourinary Reconstructive Surgery

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

Fellowship Program Director Name:
Brian Flynn, MD
brian.flynn@ucdenver.edu

Fellowship Program Contact Person Name:
Shannon Lamoree
shannon.lamoree@cuanschutz.edu

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

Length of Fellowship Program:
2 years (first year research, second year clinical)

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, sling, proACT. Penile Reconstruction for Peyronie’s Disease and erectile dysfunction. Management of urethral stricture disease including urethroplasty using grafts and flaps. Fellow will be proficient in management of GU fistulas.

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 and diversion (both open and robotic). Bladder reconstruction including bladder augmentation, creation of catheterizable urinary stomas, urinary diversion.

Eligibility Requirements/Criteria (When Applicable):
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”.
Applicant should have completed 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.

View the Reconstructive Surgical Case Log Here

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 1/8^th 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.

View the Reconstructive Surgical Case Log Here

Institution Name:
University of Minnesota

Fellowship Program Name:
Urology Reconstructive Fellowship Program

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

Fellowship Program Director Name:
Sean Elliott, MD, MS
selliott@umn.edu

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 is led by Drs. Sean Elliott and Joseph Pariser and has been in operation since 2013.

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 often.

The fellow has hospital staff privileges and takes call on the same schedule as the faculty (approximately 1 week in 8). They have a clinic of their own at the University for 0.5 to 1 days a week. They also come with us to 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.

We provide excellent resources and mentoring for success in research. Fellows typically complete about 3 projects during their year here. Recent fellows have launched careers at Cleveland Clinic (2022), Lahey Clinic (2021), Mayo Clinic (2020) and Indiana University (2019).

Eligibility Requirements/Criteria (When Applicable):
Admission is contingent upon completion of an ACGME-accredited urology training program.
The applicant must be a US citizen.
The applicant must have three letters of support, including one from their chairperson.
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.

View the Reconstructive Surgical Case Log Here

Institution Name:
University of North Carolina – Chapel Hill

Fellowship Program Name:
Genitourinary Reconstruction & Gender Affirming Surgery Fellowship

Fellowship Program Location (City, State, Country)
Chapel Hill, North Carolina, USA

Fellowship Program Director Name:
Brad Figler, MD, FACS

Fellowship Program Contact Person Name:
Aleasha Crisp
Aleasha_Crisp@med.unc.edu

Fellowship Program Website Link: https://www.med.unc.edu/urology/education/fellowship-programs/genitourinary-reconstruction/

Length of Fellowship Program:
1 year

Fellowship Program Description:
The UNC Genitourinary Reconstruction and Gender Affirming surgery fellowship provides a comprehensive and unique training experience in reconstructive urology, with a focus on open and robotic repair of ureteral, bladder neck and urethral stenoses/fistulas; genital skin deficiency due to trauma, infection and cancer; and gender affirming bottom surgery. Fellows benefit from a diverse faculty, whose backgrounds include reconstructive urology, uro-oncology, and plastic surgery.

Eligibility Requirements/Criteria:
Unrestricted North Carolina Medical License, US Citizen, or permanent resident. Visa candidates may be considered in exceptional cases.

Institution Name:
Dell Medical School at the University of Texas-Austin

Fellowship Program Name:
Dell Med Urologic Reconstructive Surgery

Fellowship Program Location (City, State, Country):
Austin, TX, USA

Fellowship Program Director Name:
E. Charles Osterberg, III, MD, FACS
Chief of Urology at Dell Seton Medical Center
Assistant Professor of Surgery

Fellowship Program Contact Persons:
Isabel Stevens – isabel.stevens@ascension.org
Charles Osterberg – eosterberg@ascension.org

 Fellowship Program Website Link:
https://dellmed.utexas.edu/education/academics/graduate-medical-education

Length of Fellowship Program:
1 year

Fellowship Program Description:
In 2016, The University of Texas (UT)-Dell Medical School opened its doors as the first medical school at a major university in the last 50 years. Currently the medical school has numerous GME programs, including 25+ postgraduate fellowships and 10+ ACGME-approved residencies. The newest addition to UT-Dell Med is a fellowship in GU Reconstruction and Trauma.

This fellowship is clinically focused on providing its trainees the skills necessary to tackle the most complex GU reconstruction surgeries. The main clinical emphasis of the fellowship is in male GU reconstruction, particularly on urethral stricture disease, Peyronie’s disease, robotic ureteral reconstruction, and prosthetic urology. The secondary focus of this fellowship includes: genital reconstruction with skin grafting, urinary diversion, transitional urology, urinary fistula surgery, and cancer survivorship. In addition, the fellow will be exposed to urologic trauma and will interact with trauma surgeons at a very busy Level-I trauma center. This fellowship does not provide its trainees exposure to gender affirming surgery and limited access to female urology / FPMRS surgery through supporting co-faculty.

The goal of the UT-Dell GURS fellowship is to train future leaders in GU-reconstruction with strong clinical acumen but also a focus on academic placement. Clinically, the Fellow can expect to perform > 60 urethroplasties, > 20 penile prosthesis, > 15 complex ureteral reconstructions, >10 STSG/genital reconstructions, > 10 urinary diversions, > 10 Peyronie’s reconstructions, and > 10 GU trauma cases. The fellow will function at a level of a clinical instructor and independently run a half-day general urology clinic. Any cases generated from this clinic will be performed by the fellow independently, with oversight as requested by the fellow. In addition, the fellow will be expected to take 8 independent call days per month.

Fellows will rotate at 2 main surgical sites –

1. Dell Seton Medical Center – the main teaching hospital of UT-Dell Medical School and Level I trauma center
2. Dell Children’s Medical Center – transitional urologic cases will be performed here

Fellows will participate in 3 main office sites for outpatient services –

1. Health Transformation Building Dell Medical School – the fellow will run his/her own general urology clinic ½ day per week and may participate in other clinics as time allows.
2. Urology Austin – home of an exclusively focused GU reconstruction clinic ½ day per week
3. Children’s Urology Office – home to a Transitional Urology Clinic ½ day per month

Academically, the fellow should have an interest in advancing the field of GU reconstruction. The fellow will have numerous opportunities for scholastic pursuits during their year in Austin. The expectation is that fellows will be both clinically and academically productive. The fellow will have full access to GU reconstruction datasets and will interact with a weekly research working group. The fellow will be expected to attend national / international meetings and workshops along with industry sponsored teaching opportunities. It is our hope to train future leaders in GU Reconstruction.

Fellowship Faculty:

E. Charles Osterberg, MD, FACS – GU Reconstruction, Fellowship Director
J. Stuart Wolf, Jr, MD, FACS – Endourology
Aaron Laviana MD, MBA – Urologic Oncology
Carlos V.R. Brown, MD, FACS – Trauma and Acute Care Surgery
Marc D. Trust, MD – Trauma and Acute Care Surgery
Amanda B. White, MD – Female Pelvic Medicine and Reconstruction
Lauren Caldwell, MD – Female Pelvic Medicine and Reconstruction

Eligibility Requirements/Criteria (When Applicable):
The applicant must have completed:

1. Anticipated completion of an ACGME approved urologic residency
2. Eligible for a medical license within the State of Texas. See requirements here: https://www.tmb.state.tx.us/idl/D0468A6F-21DE-3337-D563-C9D4F20F0506
3. Successfully passed all three steps of USMLE
4. Obtain 3 supporting letters of recommendation with one letter from the current program director at the institution of the applicant

Interested applicants should send their CV, personal statement, photo and 3 letters of recommendation to isabel.stevens@ascension.org

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, Department of Urology, Paul C. Peters, MD Chair in Urology, Distinguished Chair in Reconstructive Urology
allen.morey@utsouthwestern.edu

Fellowship Program Director (effective July 1, 2023):
Steven J. Hudak, MD, FACS
Associate Professor of Urology
Residency Program Director in Urology
Steven.Hudak@utsouthwestern.edu

Fellowship Program Contact Person Name:
Shareef Hamad
Shareef.Hamad@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 Urologic Trauma, Reconstruction, and Prosthetics fellowship program in UT Southwestern’s Department of Urology was founded in 2008. This is a robust one-year clinical program designed for post-residency subspecialty training and is intended to prepare fellows for a career in academic urology.

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 and are performed in unusually high volumes.

UT Southwestern is the only urology training program in the DFW area and the largest urology training program in Texas. The fellow will gain extensive operating experience working with two reconstructive urologic senior faculty at five affiliated teaching hospitals – Clements University Hospital, Dallas County’s Parkland Memorial Hospital, UT Southwestern Frisco Hospital, Fort Worth County’s John Peter Smith Hospital, and the Dallas Veterans Affairs Medical Center.

On call and general urology activities are kept to a minimum. This experience is comprehensive in all aspects of urologic reconstruction and prosthetics. Ample clinical research opportunities are available, resulting in numerous publications. A full-time research assistant facilitates all research activities. Time commitment during the fellowship is 80 percent clinical and 20 percent research.

Eligibility Requirements/Criteria (When Applicable):
Applicants must have completed an ACGME-accredited Urology residency, as well as be eligible to receive a Texas Medical License.

View the Reconstructive Surgical Case Log Here

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

View the Reconstructive Surgical Case Log Here

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
wessells@uw.edu

Fellowship Program Contact Person Name:
Amy Say
urofellow@uw.edu

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

Length of Fellowship Program:
1 year

Fellowship Program Description:
The University of Washington trains academic leaders in reconstructive urology. The fellowship, in its 18th year, continuously evolves in response to needs of patients and learners, and advances in surgery and technology. Building on a foundational understanding of injury mechanisms, ranging from acute trauma to the delayed effects of ionizing radiation and surgery, the program retains a significant focus on anterior and posterior urethra reconstruction. Additional emphasis areas include management of acute genitourinary injuries, genital reconstruction, and robotic upper and lower urinary tract surgery. The Fellow works closely with UW Medicine faculty members Hunter Wessells, Judith Hagedorn and Alexander Skokan, and Army urologist Jonathan Wingate. A structured educational program includes weekly conferences and daily interaction with urology residents, advance practice providers, and medical students. Surgical collaborations on complex reconstructive cases involve faculty in Trauma, Orthopedic, Colorectal and Plastic Surgery as well as surgeons developing a gender affirming surgery program. Experience with implants for ED and male urinary incontinence, rectourethral fistulae, Peyronie’s disease and urinary diversion completes the training. A portion of the Fellowship is devoted to scholarship. Fellows are encouraged to take advantage of the Urology Research Outcomes Collaborative and Harborview Injury Prevention and Research Center.

Graduates have advanced in academic departments, cancer centers, and community practice. Significant contributions to the field of GU trauma and reconstruction include their participation in AUA Guidelines, the TURNS Network, AUA Core Curriculum, as well as through NIH funded grants and leadership of centers of excellence in gender affirming surgery and new fellowship programs.

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 of recommendations 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.

View the Reconstructive Surgical Case Log Here

Institution Name:
Wake Forest University Baptist

Fellowship Program Name:
Male Genitourinary Reconstructive Surgery Fellowship Program

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

Fellowship Program Director Name:
Ryan Terlecki, MD, FACS
rterlecki@wakehealth.edu

Fellowship Program Contact Person Name:
Brooke E. 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 School of Medicine 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.

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.

View the Reconstructive Surgical Case Log Here

Institution Name:
Washington University School of Medicine in St. Louis

Fellowship Program Name:  
Trauma and Reconstruction Fellowship

Fellowship Program Location:
Fellowship Program Director Name: Dr. Gregory Murphy

Meetings and Education:
Fellowship Program Location: St. Louis, MO, USA

Fellowship Program Director:
Gregory Murphy, MD
murphyg@wustl.edu

Fellowship Program Coordinator:
Kellie Hunter
kelliehunter@wustl.edu

Fellowship Program Website Link:
https://urology.wustl.edu/education/fellowships/urologic-trauma-and-reconstruction-fellowship/

Fellowship Program Description / Overview:
The fellowship is a one-year clinical position, beginning August 1st, designed to provide expertise in reconstructive urology at Washington University. Common conditions include: urethral stricture disease, male incontinence, erectile dysfunction, Peyronie’s disease, ureteral strictures, hypospadias, rectourethral fistula, buried penis, GU trauma, transitional urology, transgender surgery, neurogenic bladder, infertility and female urology.

Faculty:
Dr. Gregory Murphy completed a fellowship in trauma and male reconstruction at University of California, San Francisco and specializes adult male reconstructive surgery.

Other faculty include:
Dr. Gino Vricella who specializes in transitional urology and gender affirming surgery.
Dr. Dane Johnson who specializes in ED, Peyronie’s, infertility and mircrosurgery.
Dr. Henry Lai who specializes in female urology and voiding dysfunction.
In addition to a large surgical volume, fellows will participate in reconstruction clinic, gaining experience in preoperative decision making.

Goals and Objectives for Training:
This fellowship provides robust exposure to complex male reconstructive urologic surgery with flexibility for training in infertility, congenitalism, transgender care, and female urology depending on interest. The fellow will attain graduated responsibility in the operating room throughout the year. Additionally, clinical research, surgical education and mentoring are emphasized.

Clinical Responsibilities:
The fellow will function as a clinical instructor with hospital staff privileges and be part of the attending call pool.

Research:
The fellow will have the opportunity to participate in clinical research. Washington University Urology has significant staff support for research and multiple reconstruction databases.
Eligibility Requirements/Criteria
1. Must be eligible for medical licensure in the state of Missouri prior to starting fellowship.
2. Admission is contingent upon completion of an ACGME accredited urologic residency or appropriate foreign program.
3. Applicant should have completed all 3 steps of USMLE.
4. Applicant must have 3 letters of support for fellowship. One of these letters must be from his/her current program director.
5. Current CV