Department of Urology

Trauma and Reconstruction Fellowship

Program Overview:

Judith C. Hagedorn, MD, MHS
Hunter B.  Wessells, MD, FACS – Program Director
Claire C. Yang, MD

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. Judith Hagedorn, MD, joined in 2016.


Hunter Wessells, MD, FACS – Professor of Urology, Program Director
Judith Hagedorn, MD, MHS – Assistant Professor of Urology


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. Hagedorn, we are in the process of creating a transitional urology clinic to better formalize the transfer of care from pediatric to adult urology.

Program Graduates, 2005-2017

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.

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:

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

Research Opportunities

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

Research is encouraged under the supervision of an appropriate mentor. 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. 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 UWMC/HMC Reconstruction database is maintained by Drs. Wessells and Hagedorn and can be used for research questions.

Clinical Volume Indicators

Case Log

Application Requirements

Candidates must have completed an ACGME-approved residency in urology or the equivalent. The applicant must have passed all 3 steps of USMLE exam and be eligible for a WA State Medical License.

Application materials

  • GURS Application Form
  • Curriculum Vitae
  • At least 3 letters of recommendation (1) 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.
  • Personal Statement

Please email application materials to

Application deadline: February 1, 2022
Interview dates: Rolling interviews
Match date: July 2022

For More Information Contact; (206) 685-1982
University of Washington Department of Urology
1959 NE Pacific Street
Box 356510
Seattle, WA 98195