UC San Diego - Kaiser Endourology/Laparoscopy Fellowship

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UC San Diego - Kaiser Endourology/Laparoscopy Fellowship

Training Program SUmmary (program director: roger sur, m.D. RLsur@ucsd.edu)619-543-2659  The joint UC San Diego-Kaiser endourology fellowship will offer fellows an opportunity to complete four major goals. Firstly, they will gain a complete surgical experience and mastery of both routine and complex kidney stone procedures, such as ureteroscopy, shock wave lithotripsy, percutaneous nephrolithotomy, urinary diversion stone disease surgery, laparoscopic stone surgery (incuding DaVinci assisted) and on rare indications, open stone surgery.  Regarding percutaneous surgery, the fellow will gain mastery of gaining percutaneous access without the need for interventional radiology assistance.  Ultrasound assisted percutaneous techniques are also highly encouraged for the fellow’s training.  Benign pathology will also be treated including ureteral stricture and ureteropelvic junction obstruction.  Nephron sparing endoscopic techniques will also be implemented for transitional cell carcinoma.   Secondly, they will perform robotic assisted and pure laparoscopic surgery with our Kaiser surgeons led by fellowship trained urologist, Dr. Marc Chuang, who routinely performs a high volume of minimally invasive surgeries: robotic assisted laparoscopic radical prostatectomy, robotic assisted radical cystectomy, robotic partial and radical nephrectomy, robotic or laparoscopic pyeloplasty as well as open oncologic surgery. The robotic surgery will be performed at a new state-of-the-art hospital with the da Vinci Si robotic system. Thirdly, the fellows will participate in the metabolic clinic at UC San Diego Comprehensive Kidney Stone Center, which is a multi-disciplinary clinic incorporating dieticians, endocrinologists, and nephrology subspecialties.  Dr. Sur is an Endourology Society fellowship trained urologist who has a complete understanding of metabolic derangements that underlie nephrolithiasis and the fellow will train directly under him during the clinic/outpatient phase of the fellowship. Fellows will understand how to identify risk factors in stone disease and offer patients strategies on prevention, where recurrence is 50% at 5-10 years without prevention.  Lastly, the fellowship will provide the fellow vast opportunity for both clinical and basic science research.  There are numerous IRB approved clinical studies evaluating kidney stone disease from all different facets.  The center also benefits from local collaborations with institutions such as Naval Medical Center San Diego.  Basic science is available as we have access to laboratory facilities here at the UCSD School of Medicine.  We currently have an IRB approved study to evaluate the role of Tamm-Horsfall Protein abnormalities and their role in kidney stone formation.  

Edited by: nicky on 05/11/2015 - 19:51 Reason: Updated by FeedsNodeProcessor