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DEPARTMENT OF UROLOGY - EDUCATION

Female Urology Fellowship Overview

Fellowship in Female Urology, Neuro-Urology and Urodynamics

2 year fellowship program Emphasis on:

  • Urodynamics
  • Neuro-Urology
  • Female and Male Urinary Incontinence and Voiding Dysfunction
  • Female Urology and Prolapse

Master’s Science Degree in Clinical Investigation

  • Sponsored by UT Health Science Center at San Antonio
  • Concomitant 2 year program built into fellowship (statistics, clinical research design, data management, scientific writing and grantsmanship)

Faculty

  • Stephen Kraus, MD – Program Director
  • Duane Cespedes, MD
  • Thomas Rozanski, MD
  • Ash Dabbous, MD
  • John Winston, MD

Highlights

  1. Rotations
    1. University: (Kraus & Rozanski)
      1. University Physicians Group Clinic
        1. Clinic
          1. Outpatient Clinic
          2. Parallel with staff , anticipate fellow’s clinic
        2. South Texas Pelvic Floor and Bladder Center
          1. Urodynamics Lab
          2. Biofeedback Lab, E-stim
          3. Anorectal Manometry
          4. Office Procedures (Interstim, Botox, Collagen, TUNA)
      2. University Hospital
        1. Video Urodynamics Lab
        2. Surgery
      3. Private Hospitals
    2. Veterans Administration Hospital: (Kraus & Rozanski)
      1. Spinal Cord Injury Unit
        1. Spinal Cord Injury Urodynamics Lab
        2. Spinal Cord Injury Specialty Urology Clinic
          1. Only Neurogenic Bladder (SCI, MS)
      2. Outpatient Voiding Dysfunction Clinic
        1. Clinic
          1. Specialty clinic thru regular GU clinic
          2. Limited to: incontinence, complex voiding dysfunction, NGB not seen
            thru SCI clinic
        2. Office procedures
      3. Surgery
    3. Wilford Hall Medical Center: (Cespedes)
      1. Outpatient Clinic including Urodynamics
      2. Surgery
    4. Rotations with
      1. Outpatient Clinic
      2. Surgery – emphasis on Urogynecologic surgery
  2. Masters Degree in Clinical Research Program
    1. 2 year program concomitant with fellowship
      1. Committed block time
    2. Masters Science Degree from University of Texas Health Science Center at San Antonio
  3. Research Opportunities
    1. Urinary Incontinence Treatment Network
      1. National Institute of Health (NIDDK) sponsored multicenter network of 9 clinic sites
        focused on incontinence research
    2. SABOR Prostate Disease and Cancer Screening
      1. BPH and LUTS assessment
        1. Progression over 5 years
        2. Ethnic Disparities in:
          1. Baseline symptoms
          2. Progression of symptoms
          3. Possible disparity in access to BPH treatment?
        3. Impact of Diabetes
      2. Prostate Cancer and QOL (can include incontinence, ED, bowel dysfunction)
    3. Geriatrics
      1. Ethnic Disparities in incontinence
        1. Reported disparity in Hispanic Elderly (Spanish only vs English language)
      2. Diabetes
        1. Incident incontinence in DM vs Non-DM
    4. Urodynamics
      1. Large Urodynamics database
    5. Basic Science
      1. Not currently ongoing but lab available and collaborations possible
  4. Requirements
    1. Completion of Approved Urology Residency
    2. At least 3 Letters of reference - (1) Program Director
    3. CV
    4. Ability to apply for Texas Medical License

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