Urology Fellowship

Continence, Pelvic Reconstructive Surgery, and Neuro-Urology Fellowship

The Department of Urology at Houston Methodist Hospital, in conjunction with faculty from the Departments of Obstetrics and Gynecology, Plastic Surgery, Colorectal Surgery and Neurology, offers one of the most comprehensive and multi-disciplinary 12-month fellowship opportunities for urologists. This competitive fellowship offers multi-disciplinary training in male and female voiding dysfunction and urinary tract and pelvic reconstruction. Candidates receive extensive training in prosthetics, soft tissue reconstruction, bowel reconstruction, and a supplemental experience in colorectal, urogynecology, neuro-urology, plastics and reconstructive surgery. This training opportunity produces well-rounded and highly skilled reconstructive surgeons in the growing field of pelvic reconstructive surgery and neuro-urology, permitting them to pursue a career in academics or private practice.

Program Structure
Fellows will acquire and demonstrate medical knowledge of neurologic and idiopathic disorders of the bladder and pelvic floor leading to incontinence, voiding dysfunction, and pelvic organ prolapse based on the most recent literature and standards of practice. Trainees will understand the presentation of a wide range of pelvic floor disorders and their non-surgical and surgical management options as outlined below.

  • Disorders of the detrusor muscle, urinary sphincter, central nervous system and afferent and efferent neuronal pathways that innervate the bladder, including conditions such as:
    • Neurogenic bladder
    • Overactive bladder and urinary incontinence
    • Male and female voiding dysfunction

  • Patients with congenital genitourinary abnormalities and participate in our monthly transitional urology clinic

  • Comprehensive video-urodynamic studies
  • Botulinum toxin intradetrusor injections
  • Percutaneous tibial nerve stimulation
  • Sacral neuromodulation
  • Augmentation cystoplasty
  • Urinary diversion

  • Presentation and treatment options for female and male stress urinary incontinence, including:
    • Injection of urethral bulking agents
    • Pubovaginal/midurethral sling procedures
    • Male artificial urinary sphincter placement/male sling procedures

  • Presentation and treatment options for disorders of pelvic floor support, musculature and innervation:
    • Pelvic organ prolapse: anterior (cystocele), posterior (rectocele) and uterine/vaginal vault prolapse
    • Defecation disorders and chronic constipation
    • Pelvic pain and dyspareunia
    • Transvaginal compartment prolapse and vault suspension repairs
    • Trans-abdominal vault suspension techniques
    • Minimally invasive (laparoscopic and robotic) prolapse repair

  • Presentation and treatment of disorders of the bladder and urethra:
    • Repair of lower urinary tract injuries from synthetic mesh
    • Repair of urethral diverticulum
    • Repair of vesicovaginal fistula

Academic and Research Structure
The fellow candidate will participate in monthly journal club meetings and weekly didactic conferences specific to the area of pelvic floor reconstructive surgery and neuro-urology. Fellows will have the opportunity to mentor and teach medical students and residents and present at departmental grand rounds. We strongly encourage and support the fellow's participation in basic science and clinical research. All faculty members will provide opportunities for the fellow to choose and be involved in multiple research projects.

Previous Fellows
2013 – 2014   Robert Chan, MD
2012 – 2013   Julie Stewart, MD
2011 – 2012   Rose Khavari, MD
2005 – 2007   Henry Lai, MD
2003 – 2004   Ravi Mootha, MD
2001 – 2003   Richard T. Kershen, MD
2000 – 2002   Michael Gross, MD
1999 – 2000   Daniel Elliott, MD
1998 – 1999   Steven E. Mutchnik, MD
1997 – 1998   Stephen R. Kraus, MD
1996 – 1997   Young H. Kim, MD
1995 – 1996   Kevin G. Nickell, MD
1994 – 1995   John L. Hinson, MD

Eligibility for application and acceptance to this 1-year Continence, Pelvic Reconstructive Surgery and Neurology Fellowship requires graduation from a 5- or 6-year ACGME accredited Urology residency. Candidates must be Board Certified or Board Eligible for certification by the American Board of Urology. Candidates must be a citizen of the United States or Canada. Candidates must hold a full Texas Physicians Permit.

To apply, please submit the following information to James Papirtis:
  • Curriculum Vitae (CV)
  • Personal Statement
  • Three Letters of Recommendation

Deadline: While there is no definite deadline, we strongly encourage that all documents be submitted by the beginning of March as interview spots fill very quickly.

Offers for interviews will be made via email starting in March. Applicants are invited and highly encouraged to visit Houston Methodist Hospital and our program in person. However, if this is not possible, an interview could be arranged at meetings such as SUFU, AUA or ICS.

We will notify our accepted candidate by the end of May.

Contact us
Program Director:
Timothy B. Boone, MD, PhD

For application information:
James Papirtis

Department of Urology
Houston Methodist Hospital
6560 Fannin St., Suite 2100
Houston TX 77030