Reconstructive Surgery

Short Description

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

Dr. Joel Gelman, Clinical Professor of Urology, is the Fellowship Director. In addition, the Teaching Faculty include Dr. Antoine Khoury (Pediatric Urology), Dr. Mark Kobayashi (Reconstructive Plastic Surgery), and other Adult and Pediatric Urologists on the UC, Irvine 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 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 and-or wedge excision plication, and 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 surgery. Clinical research is required. During the past 18 years, over 1600 male reconstructive urology cases have been performed at the Center for Reconstructive Urology at UC, Irvine, and all cases are entered into a database containing over 70 fields of data to facilitate clinical research productivity. The Fellowship includes a 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. This is an Endowed Fellowship, eliminating the need for any significant General Urology clinical work as a service component as a source of funding.

The applicant must have a California Medical License prior to starting the Fellowship.

For further information and application, please contact:
Denise Calhoun
Phone: (714) 456-2951
Fax: (714) 456-7263
dcalhoun@hs.uci.edu
More Information: http://www.societygurs.org/fellowship.html