Urology Fellowship
Program

Female Pelvic Medicine and Reconstructive Surgery FELLOWSHIP- Urology

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 24-month fellowship opportunities for urologists. This competitive fellowship offers multi-disciplinary training in voiding dysfunction and urinary tract and pelvic reconstruction. Candidates receive extensive training in prosthetics, soft tissue reconstruction, bowel reconstruction, with 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.

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

  • Comprehensive video-urodynamic studies

  • Botulinum toxin intradetrusor injections

  • Percutaneous tibial nerve stimulation

  • Sacral neuromodulation

  • Augmentation cystoplasty

  • Urinary diversion

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

  • 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

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. Fellows will be able to participate and present at national meeting such as SUFU, AUA, AUGS or ICS. 

Previous Fellows

2018 – 2019   Sanchita Bose, MD

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

Eligibility for application and acceptance to this 2 year Female Pelvic Medicine and Reconstructive Surgery Fellowship for Urology 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 for our 2020 year, please submit the following information to Meggan Miller:

  • Curriculum Vitae (CV)
  • Personal Statement
  • Three Letters of Recommendation


Interviews
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, AUGS or ICS.

We will notify our accepted candidate by the beginning of March 2020. We will enter the match formally in 2020 for our 2021 position.

Contact us

 

Program Director:

Ricardo R. Gonzalez, M.D.

Associate Program Director:

Julie N. Stewart, M.D.


For application information:
Meggan Miller
mmiller4@houstonmethodist.org 
713.441.5861 (direct)
713.790.5866 (fax)

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


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