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Department of Urology

Trauma and Reconstruction

Program Director

Hunter Wessells, MD, FACS

Background

The Department of Urology at the University of Washington School of Medicine and Harborview Medical Center offer a 1-year clinical fellowship in male genitourinary reconstructive surgery and trauma. Since inception of this fellowship in 2005, the participating faculty has grown from one fellowship-trained reconstructive surgeon to three. Hunter Wessells initiated the fellowship in 2005. Bryan Voelzke, MD, joined the faculty in 2008, and Judith Hagedorn, MD, most recently joined in 2016.

Overview

The thematic underpinning of our fellowship is the acute and delayed consequences of injury whether due to a kinetic, radiant, infectious, iatrogenic, inflammatory or ionizing radiation mechanism. The program has a significant focus on male anterior and posterior urethra reconstruction with additional emphasis on management of acute genitourinary injuries, penile reconstructive procedures, and male prosthetic surgery. There is considerable experience with surgical management of radiation-induced injury to the upper and/or lower urinary tract. These complex surgeries often require adjuvant steps or alternative surgical approaches for successful reconstruction. Surgical management of adult buried penis, urinary fistula, and benign penoscrotal disorders (i.e., scrotal lymphedema, necrotizing fasciitis) are also a major focus of the fellowship. With the recent addition of Dr. Judith Hagedorn, we are in the process of creating a transitional urology clinic to better formalize the transfer of care from pediatric to adult urology.

The clinical fellowship includes year-long participation in complex elective genital and urinary reconstructive surgery and mentored graduated experience in acute injury management. The prospective fellow will have hospital staff privileges and a clinic of his/her own. A structured curriculum, weekly conferences, and close interaction with urology residents are provided.

Extensive research opportunities are available at the Harborview Injury Prevention Research Center as well as other research programs. There are many opportunities for the fellow, and we fully support exploring new avenues for research based on the fellow’s desires/goals. Approximately 20% effort is allocated for research.

Faculty

Hunter Wessells, MD, FACS – Professor of Urology, Program Director
Bryan Voelzke, MD, MS, FACS – Associate Professor of Urology, Associate Program Director
Judith Hagedorn, MD, MHS – Assistant Professor of Urology

Program Graduates

James Kuan, MD, 2005-2006 Urologist, Private practice
Joshua Broghammer, MD, 2007-2008 Associate Prof, Univ. of Kansas
Thomas Smith III, MD, 2008-2009 Associate Prof, Baylor College of Medicine
Chris McClung, MD 2009-2010 Urologist, Private practice
Alex Vanni, MD, 2010-2011 Assistant Professor, Tufts Univ./Lahey Clinic
Bahaa Malaeb, MD, 2011-2012 Assistant Professor, Univ. of Michigan
Brad Figler, MD, 2011-2013 Assistant Professor, Univ. of North Carolina
Laura Leddy, MD, 2013-2014 Assistant Member, Memorial Sloan Kettering
Judith Hagedorn, MD 2014-2016 Assistant Professor, Univ. of Washington
Lindsay Hampson, MD 2015-2016 Assistant Professor, UCSF
Paul Chung, MD 2016-2017 Assistant Professor, Thomas Jefferson University
Niels Johnsen, MD 2017-2018 Current Fellow

Fellowship Training in Male Genitourinary Reconstruction and Trauma

The goal of advanced training in trauma and reconstructive urology is to impart further knowledge and skills beyond the expertise achieved during a urology residency program. The additional expertise should include critical analysis of complex clinical problems, development of advanced technical skills, and scholarship. The fellow should further enhance his/her skills in the planning of multidisciplinary approaches to patient care and mature his/her knowledge in clinical research methodologies.

After completing a one-year minimum fellowship in trauma and reconstructive urology, the graduate should demonstrate the following unique characteristics:

1. Ability to perform complex urethral and genital surgery with a clear understanding of the benefits and the technical limitations of surgical procedures;
2. Advanced expertise in the multidisciplinary management of patients with urologic trauma;
3. Knowledge and the ability to apply the critical principles of:
a. Plastic surgery
b. Urology imaging techniques
4. Extensive knowledge of and technical experience in lower urinary tract reconstruction and male incontinence surgery (AUS, male urethral sling);
5. Knowledge of the biology of injury and wound healing;
6. Comprehension of and facility with scientific methodology, study design, biostatistics, and data analysis;
7. Ability to manage academic or tertiary referral clinical practice and participate in continuing education.
8. Skills for self-education and collaboration in translational research.

Research Opportunities

The clinical research available during the fellowship should be clearly defined. Research is encouraged under the supervision of an appropriate mentor.

The University of Washington is one of the top research institutions in the United States.

The Harborview Injury Prevention and Research Center (HIPRC) allows fellows to participate in one of the leading institutions researching how and why people suffer injuries.

Renal Trauma
There are many available databases for research projects – Harborview Medical Center Trauma Registry, National Trauma Data Bank, Crash Injury Research Engineering Network, Washington State Comprehensive Hospital Abstract Reporting System (CHARS), among others.

Reconstruction databases
The Trauma and Urologic Reconstruction Network of Surgeons (TURNS) is a collaborative working group of urologic reconstructive surgeons across the United States. Dr. Bryan Voelzke is a founding member. Fellows are encouraged to use this database to study important clinical questions pertaining to urethral strictures and male stress incontinence.

UWMC/HMC Reconstruction database: Drs. Wessells, Voelzke, and Hagedorn house a prospective database of reconstructive surgeries that can be used for research questions.

Clinical Volume Indicators

Clinical Volume Indicators

Eligibility Requirements

1. Admission is contingent upon completion of an ACGME accredited urologic training program.
2. The applicant must have a letter of support from their urology training program director recommending them for the fellowship and attesting to the candidate’s successful completion of the urology training program. Two additional letters are required.
3. The applicant should have passed all 3 steps of USMLE and be eligible for a full WA State license prior to starting fellowship.

Contact

Jessica Green, Education Program Manager
jessie4@uw.edu, (206) 685-1982
Upload required documents to 2018-2019 Interfolio webpage page: http://apply.interfolio.com/39034

Mailing Address

University of Washington
Department of Urology
1959 NE Pacific Street
Box 356510
Seattle, WA 98195