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.
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.
2017 – 2018 Brandi Miller, DO
2016 – 2017 Laura Martinez, MD
2015 – 2016 Alex Kavanagh, MD
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.
Julie N. Stewart, M.D.
For application information:
Department of Urology
Houston Methodist Hospital
6560 Fannin St., Suite 2100
Houston TX 77030