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Urologic Trauma, Reconstruction & Prosthetics

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Thank you for your interest in our training program.

This is a 1-year reconstructive urology fellowship offered in the Department of Urology at the Einstein Healthcare Network. The fellowship is located over three sites: Einstein Medical Center Mongtomery (primary site), Einstein Medical Center Philadelphia, and the Fox Chase Cancer Center.

The program offers a combined clinical and research training experience comprised of approximately 80% dedicated clinical time and 20% research. 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 training experiences as the faculty has established a large number of referral-based cases across the metropolitan Philadelphia region. Areas of specific emphasis include:

  • male urethroplasty (e.g. primary anastomosis, radiation induced strictures, substitution urethroplasty, etc.);
  • male 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);
  • female pelvic reconstruction (pelvic organ prolapse, neuromodulation, female stress incontinence, female urethral reconstruction, open and minimally-invasive bladder augmentation/urinary diversions).

Fellows will also have the option to have an immersive experience in developing an advanced knowledge of urodynamics/videourodynamics.  Average case volumes are as follows:

  • Urethral reconstruction: 85 cases per year
  • Penile Prosthesis: 125 cases per year
  • AUS/Sling: 35 cases per year
  • Abdominal reconstruction (including robotic): 50 cases per year
  • Genital reconstruction: 80 cases per year
  • Female Pelvic Reconstruction: 150 cases per year

A majority of surgical reconstructive procedures are performed within the Einstein Healthcare Network.

Drs. Simhan and Cohn offer a unique training environment with numerous opportunities for fellows to learn comprehensive urologic reconstruction in open, laparoscopic and robotic platforms.
A modest proportion of urologic cancer reconstruction cases can be done at the Fox Chase Cancer Center under the direction of Dr. Kutikov and the urologic oncology team.

Fellows will have attending staff privileges at all sites and accept the same generous call schedule as the faculty (approximately 1 in 18 weeks or approximately 3 weekends of call/year). Urology residents take first call at all sites.

Fellows participate in the operating room at least 3-4 days per week. The fellowship offers hands-on training in the operating room with faculty mentorship and increasing autonomy towards the management of commonly-seen conditions through the course of the year.

Einstein Urology residents will be integrally involved with fellows throughout the course of the year; as such, fellows are expected to cultivate a collaborative working relationship with the Urology residents.

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. Fellows are expected to attend all departmental conferences.

Please do not hesitate to contact us if you are interested in learning further regarding our program.

Jay Simhan, MD, FACS
Fellowship Director

Jay Simhan, MD, FACS
Program Director

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