Western University – Endourology Fellowship

Title Western University – Endourology Fellowship
Categories Fellowships
Location London Ontario, Canada
Job Information

Dr. Stephen Pautler, Western University

Dr. Stephen Pautler, 
Program Director
Western University



  1. To provide a balanced training in basic and advanced endourological and laparoscopic treatment of urological problems.
  2. To provide the fellow with the foundation for an academic career including teaching skills, grant writing skills, manuscript preparation, research methodology and critical appraisal of research.
  3. To integrate the fellow into the Urology training program at Western University.

Description of Training:

The Endourology and Laparoscopic Fellowship at Western University is a two year program which involves an integrated clinical and research experience. Fellows are an integral part of the training program at Western and they participate in activities ranging from clinical duties, teaching, basic and clinical research. Western is a provincial referral centre for stone disease, including the shock wave lithotripter program and a comprehensive stone clinic, both of which allow the fellow to gain experience in the management of complex stone disease. There is a strong emphasis on minimally invasive surgery, particularly oncology.

Fellows gain experience with laparoscopic nephrectomy, robotic approaches to partial nephrectomy, prostatectomy, adrenalectomy, nephroureterectomy and pyeloplasty. Western was the first clinical urology program in Canada to use the DaVinci robot.

Duration of Training:

The fellowship program is a two year program. Fellows are required to have completed a recognized Urology Residency with the appropriate certification.

Evaluation Process:

The fellow will undergo a formal interim review at six months and at the completion of training. Objectives and goals will be reviewed and any deficiencies will be addressed.

Percutaneous procedures 150
Ureteroscopy procedures 350
SWL procedures 1000
Lower tract procedures 200
Robot assisted laparoscopic pyeloplasty 10
Robot assisted radical prostatectomy 50-70
Laparoscopic radical nephrectomy 10
Robot assisted partial nephrectomy 25
Laparoscopic adrenalectomy 5

Laboratory Facilities and Research Supervision:

Currently we have two Ph.D.’s working in the fields of biomaterial infection and metabolic stone disease. A newly formed Centre for Probiotics has been established at the Lawson Health Research Institute (one of our affiliated institutes) and there is bench space provided for fellows. We have core lab facilities that include DNA microarrays, SELDI and MALDI proteomics, mass spectrometry, tissue culture, etc. A full animal vivarium is located on site. Additionally, London is home to the National Research Council of Canada’s Integrated Manufacturing and Technologies Institute, the Robarts Research Institute, and CSTAR (Canadian Surgical Technologies and Advanced Robotics). CSTAR initiative is a surgical research and education initiative that includes a state-of-the-art animal surgical facility and telecommunications centre. We currently have several collaborative projects with scientists at these institutions.

Research Interests:

Dr. John D. Denstedt:
Dr. Denstedt has a wide variety of interests, including stent engineering, biomaterials, endourological management of stone disease and surgical simulation.

Dr. Hassan Razvi:
Dr. Razvi’s research interests include the minimally-invasive management of benign prostatic disease, endourological and medical management of stone disease.

Dr. Stephen E. Pautler:
Dr. Pautler is involved in the development of laparoscopic surgical techniques, minimally invasive urologic oncology, robotic and image registration research and kidney/prostate cancer research.

Clinical Duties:

The fellow participates in Endourology and laparoscopy cases during their two years. Fellows also attend grand rounds. The fellows attend the multidisciplinary metabolic stone clinic held on a monthly basis. Weekly attendance in the general urology clinic is expected where the fellow works alongside of the staff surgeon seeing a diverse range of urologic pathologies. Fellows rotate with all three of the consultants.

Master’s in Surgery (MSc) Program:

The Department of Surgery at Western University has a post-graduate surgical education training program that includes Urology research. The MSc in Surgery at Western has been designed to afford trainees an intensive research experience, which will lead graduates to successful careers as clinician researchers at Academic Health Sciences Centers. Endourology fellows interested in obtaining a Master’s degree during their two-year fellowship, are encouraged to enroll in this program and apply one of their research projects towards the thesis requirement. Additionally, one half-day per week is dedicated to didactic teaching for one year as a requirement of the Master’s program. This is typically done in a fellow’s second year of the fellowship.


This is a fully funded position at competitive rates paid in Canadian dollars. Fellows are encouraged to apply for other sources of funding. Fellows are responsible for their own tuition for the Master’s in Surgery Program if they decide to pursue this degree.

Western University and London, Ontario

London is a city in Southwestern Ontario, Canada, situated along the Quebec City–Windsor Corridor. The city has a population of 366,151 according to the 2011 Canadian census. London is at the forks of the Thames River, approximately halfway between Toronto, Ontario and Detroit, Michigan. London is a regional centre of health care and education, being home to Western University, Fanshawe College, and several major academic hospitals. The city hosts a number of musical and artistic exhibits and festivals, which contribute to its tourism industry, but its economic activity is centred on education, medical research, insurance, and information technology. London’s university and hospitals are among its top ten employers. London lies at the junction of Highway 401 and 402, connecting it to Toronto, Windsor, and Sarnia. It also has an international airport, train and bus station. Visit the website at: www.london.ca

Western University was founded in 1878 and is considered Canada’s most beautiful university. Western’s main campus includes 82 main campus buildings and spans 400 acres of Gothic-style buildings mixed with modern, LEED-certified structures provide an idyllic environment for our community of scholars. Visit www.uwo.ca for more information.

Previous Graduates of the Fellowship Program:

Hassan Razvi PProfessor and Chair Western University, London, Ontario
Samuel Chun Consultant Urologist Dartmouth, Nova Scotia
Rajiv Singal Chief of Urology Toronto East General Hospital, Toronto, Ontario
Thomas Whelan Consultant Urologist Fredericton, New Brunswick
Timothy Wollin Professor University of Alberta, Edmonton, Alberta
Wei Zheng Private Practice Stockton, California
Mario Sofer Consultant Urologist University of Tel Aviv, Tel Aviv, Israel
James Watterson Assistant Professor University of Ottawa, Ottawa, Ontario
Darren Beiko Assistant Professor Queen’s University, Kingston, Ontario
Mohammad Alomar Professor King Saud University, Medical City, Riyadh, Saudi Arabia
Andrew Tan Consultant Urologist University of Western Australia, Perth, Australia
Bodo Knudsen Associate Professor Ohio State University, Columbus, Ohio
Ben Chew Associate Professor University of British Columbia, Vancouver, British Columbia
Moti (Mordechai) Duvdevani Associate Professor Hadassah Ein-Karem University Hospital, Jerusalem, Israel
Raymond Ko Consultant Urologist Sydney, Australia
Frédéric Soucy Professor Laval University, Quebec City, Quebec
Geoff Wignall Consultant Urologist Grey Bruce Health Services, Owen Sound, Ontario
Reem Al-Bareeq Consultant Urologist Salmaniya Medical Complex, Bahrain
Carlos Méndez-Probst Assistant Professor Mexico National Autonomous University, Mexico City, Mexico
Petar Erdeljan Consultant Urologist The Scarborough Hospital, Scarborough, Ontario
Alfonso Fernandez Consultant Urologist Hospital General de Zone No. 2, Instituto Mexicano del Seguro Social, Hermosillo, Sonora, Mexico
Adel Alammari Consultant Urologist Riyadh, Saudi Arabia
Andrew Fuller Consultant Urologist Royal Adelaide Hospital, Adelaide, Australia
Nader Fahmy Consultant Urologist McGill University, Montreal, Quebec
Philippe Violette Consultant Urologist Woodstock, Ontario
Husain Alenezi Assistant Professor University of Kuwait, Kuwait City
Daniel OlveraPosada Adjunct and Clinical Professor Monterrey, Mexico

Fellow Accomplishments:

2nd Prize, Essay Contest Award: 14th World Congress on Endourology and SWL. Razvi H, Singal RK, Lee TY, Denstedt JD, Chun SS, Mosalei H, Bennett JD, Romano W: Evaluation of doppler ultrasound and dynamic contrast-enhanced computed tomography in acute and chronic renal obstruction. 1996.

2nd Prize, Essay Contest Award: 15th World Congress on Endourology and SWL. Wollin TA, Tieszer C, Riddell JV, Denstedt JD, Reid G: Bacterial biofilm formation, encrustation deposition and antibiotic adsorption to ureteral stents indwelling in humans. 1997.

Clinical Prize Essay, 57th Canadian Urological Association. Watterson JD, Beiko DT, Kuan JK, Denstedt JD: A randomized prospective blinded study evaluating the acquisition of ureteroscopy skills using a computer-based virtual reality simulator: Validation of the Uromentor simulator. 2002.

1st Prize, Endourology Society Basic Science Essay Contest: 20th World Congress on Endourology and SWL. Watterson JD, Cadieux PA, Beiko DT, Cook AJ, Burton JP, Harbottle R, Lee C, Rowe E, Sidhu H, Reid G, Denstedt JD, Sidhu H: Oxalate degrading enzymes from Oxalobacter Formigenes: A novel device coating to reduce urinary tract biomaterial related encrustation. 2002.

1st Prize, Essay Contest, Texas Urologic Society annual meeting, Sedona AZ, Knudsen BE, Glickman RD, Stallman KJ, Maswaldi S, Beiko DT, Denstedt JD, Teichman JT: Comparison of Lumenus, Dornier, Innova and Optical Integrity Holmium:YAG laser optical fibers. 2003

2nd Prize, Endourology Society Essay Contest: 21st World Congress on Endourology and SWL. Beiko DT, Watterson JD, Knudsen BE, Nott L, Pautler SE, Brock G, Razvi H, Denstedt JD: A Double-blinded prospective randomized controlled trial assessing the safety and efficacy of intravesical agents for ureteral stent symptoms following extracorporeal shock wave lithotripsy. 2003

AUA/Yamanouchi Best Abstract Prize in the category of Stone Disease. Chew BH, Cadieux PA, Knudsen BE, Reid G, Denstedt JD, McCormack JK: Oxalate degradion by recombinant lactic acid bacteria: the basis for a new probiotic treatment of hyperoxaluira. 2005

Third Prize, Endourology Society Clinical Essay Contest: 24th World Congress on Endourology and SWL. Duvdevani M, Razvi H, Sofer M, Beiko DT, Nott L, Chew BH, Denstedt JD: Contemporary percutaneous nephrolithotripsy – 1585 surgeries in 1338 consecutive patients. 2006

Second Prize, New Investigator’s Award, Society for Infection and Inflammation in Urology. Cadieux PA, Chew BH, Nott L, Seney S, Denstedt JD: The use of triclosan-eluting ureteral stents in long-term stented patients. 2007

Third Prize, New Investigator’s Award, Society for Infection and Inflammation in Urology. Wignall GR, Chew BH, Denstedt JD, Cadieux PA: The effects of triclosan on uropathogens sensitivity to clinically relevant antibiotics. 2007

Best Endourology Paper, 25th World Congress on Endourology & SWL. Wignall GR, Denstedt JD, Cunningham IA: Structural and compositional stone analysis using coherent-scatter computed tomography: Early results using a novel technique. 2007

Third Prize, Essay Contest, Northeastern Section of the American Urological Association. Ray AA, Duvdevani M, Razvi H, Denstedt JD: Percutaneous surgery for treatment-resistant biliary calculi. 2007

First Prize, Essay Contest – Science Category, 25th World Congress on Endourology and SWL. Ko R, Cadieux PA, Dalsin JL, Lee BP, Elwood CN, Razvi H: Novel uropathogen-resistant coatings inspired by marine mussels. 2007

5-Star Distinction, Canadian Urological Association. Wignall GR, Denstedt JD, Cunningham IA: Coherent scatter computed tomography for the analysis of urinary calculi. 2008

First Place Investigator’s Award Competition: Society for Infection and Inflammation (SIIU). Ko R, Pechey A, Elwood CN, Wignall G, Dalsin JL, Lee BP, Seney S, Summers K, Cadieux PA, Razvi H: Novel anti-fouling coating reduces device-associated infection and inflammation in Vivo. 2008

The Alban Gee Memorial Prize for Best Poster Presentation, 61st Annual Scientific Meeting of The Urological Society of Australia. Ko R, Cadieux PA, Dalsin JL, Lee BP, Elwood CN, Razvi H: Novel biofilm-resistant coatings for urology inspired by Mother Nature. 2008

Third Prize, Basic Science Essay Contest: 28th World Congress of Endourology and SWL: Méndez-Probst CE, Fernandez A, Erdeljan P, et al: The impact of fluid environment manipulation on SWL artificial calculi fragmentation rates. 2010

Best Poster: Stone Session, Méndez-Probst CE, Nott L, Denstedt JD, Razvi H: Percutaneous nephrolithomy of calyceal diverticular calculi. Type: Distinction, Collaborator, International, World Congress of Endourology & SWL, Chicago, Illinois, United States 2010

Third Prize, Basic Science Essay Contest: 29th World Congress on Endourology and SWL. Erdeljan P, et al: Effects of subinhibitory concentration of ciprofloxacin on Staphylococcus saprophyticus adherence and virulence in urinary tract infections. 2011

5 Star Distinction, Fernandez A, Chen E, Moore J, Peters T, Erdeljan P, Fuller A, Pautler S, McDougall E. Preliminary assessment of a renal tumor materials model, Type: Distinction, Co-Author, National, Canadian Urological Association, Canada 2011

Highlight Poster, Northeastern Section of the American Urological Association: Fuller A, Goneau L, MacDonald KW, Erdeljan P, Bathini V, Razvi H, Cadieux P: Sub-inhibitory antibiotic concentrations enhance surface attachment, survival and host immune evasion in the uropathogen Staphylococcus saprophyticus. 2011

Highlight Poster, Fuller A, Razvi H, Denstedt JD, Nott L, Hendrikx A, Luke M, Pal SK, de la Rosette J: Clinical Research Office of the Endourological Society percutaneous nephrolithotomy global study: Outcomes in the super obese – a case control analysis. 2011, Type: Research award, International, 29th World Congress of Endourology & SWL Annual Meeting. Kyoto, Japan 2011

Third Prize Essay Contest (Nader Fahmy, Supervised Fellow), World Congress of Endourology and SWL, 2013 Fahmy N, Sener A, Sabbisetti V, Nott L, Lang RM, Welk BK, Méndez-Probst CE, MacPhee RA, VanEerdewijk S, Cadieux PA, Bonventre J, Razvi H: Urinary Expression of Novel Tissue Markers of Kidney Injury Following Ureteroscopy, Shock Wave Lithotripsy and in Normal Healthy Controls. J Endourol 27(12): 1455-462, 2013.

Best Poster, Dr. Robert Zhong Department of Surgery Research Day, Western University, London, Canada. Violette PD, Dion M, Tailly T, Denstedt JD, Razvi H. Percutaneous nephrolithotomy in patients with urinary tract abnormalities. 2014

Olympus Best Paper Award, 34th World Congress in Endourology. Tailly T, 2016

1st Prize, Endourology Society Essay Contest – Clinical Category: 34th World Congress on Endourology & SWL.  Olvera-Posada D, Dayarathna T, Dion M, Alenezi H, Sener A, Denstedt JD, Pautler SE, Razvi H: “KIM-1 is a Potential Urinary Biomarker of  Obstruction: Results from a Prospective Cohort Study in Urological Patients. 2016

OlveraPosada D. Director of AUA International Course 2017, Boston, MA “Nightmares in Endourology” OlveraPosada D. Course organizer: Skill courses in endourology, laparoscopy and robotics. Monterrey, Mexico, 2017

Interested residents are encouraged to fill out and send the application form to:

Kimberly Nitz, Urology Program Administrator
St. Joseph’s Health Care London
268 Grosvenor Street, London, Ontario, Canada N6A 4V2

Phone: (519) 646-6100 x64405
Fax: (519) 646-6037

Email: kimberly.nitz@sjhc.london.on.ca

Back to Endourology Fellowship Programs

Contact Name Kimberly Nitz, Urology Program Administrator
Contact Email kimberly.nitz@sjhc.london.on.ca
Website http://www.schulich.uwo.ca/surgery/urology
Region North America
Job Address
Kimberly Nitz, Urology Program Administrator
St. Joseph’s Health Care London
268 Grosvenor Street, London, Ontario, Canada N6A 4V2
Country Canada
Phone (519) 646-6100 x64405
Fax (519) 646-6037