University of California San Diego-Kaiser Permanente

Title University of California San Diego-Kaiser Permanente
Categories Fellowships
Location San Diego, CA
Job Information

Training Program Focus/Summary

 The joint UC San Diego-Kaiser Permanente endourology/laparoscopic- robotic 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 (average 190 cases—80 PCNL, 80 URS, misc).  Regarding percutaneous surgery, the fellow will gain mastery of gaining percutaneous access without the need for interventional radiology assistance.  Ultrasound assisted percutaneous techniques is now routine technique. Additionally, we have a focus on both prone and supine and MIP PCNL surgery.  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.  Fellows will operate with both Dr. Roger Sur and Dr. Seth Bechis at UC San Diego.

Secondly, they will perform robotic assisted and pure laparoscopic surgery (average 140 cases/year) with all fellowship trained Kaiser Permanente surgeons led by the Fellowship Co-director, 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 UC San Diego School of Medicine.



Contact Name Roger L. Sur, M.D.
Contact Email
Region North America
Country United States