Fellowship in Endourology, Urologic Laparoscopy and Robotic-assisted surgery
Description of Training
The University of Toronto Endourology, Urologic Laparoscopy, and Robotic-assisted surgery fellowship is a comprehensive 2-year program that provides clinical and research training in both endourology and minimally-invasive urologic surgery. As well as training in all aspects of contemporary endourology, fellows will be involved with the medical management of stone disease through the Provincial Kidney Stone Prevention Clinic, and will gain experience with advanced laparoscopic and robotic assisted laparoscopic procedures. These include nephrectomy, donor nephrectomy, nephroureterectomy, adrenalectomy, and robotic assisted radical prostatectomy, partial nephrectomy and pyeloplasty. We serve as a provincial tertiary referral centre for complex stone disease, laparoscopic surgery and robotic-assisted surgery. Our centre is also one of only 3 shock wave lithotripsy units in the province of Ontario.
The Fellowship will consist of 2 years, with one year primarily clinically-oriented, and a second year primarily research-oriented.
Duration of Training
Fellows are required to have completed a recognized 5 or 6 year Urology Residency with the appropriate certification.
Laboratory Facilities and Research Supervision
Clinical databases are available to allow prospective outcome studies on 2,500-2,800 shockwave patients per year, as well as all patients treated endourologically, laparoscopically and robotically. Both basic science bench-space and a fully equipped animal vivarium are available. A Ph.D. is available to supervise specific projects, in areas ranging from biomaterials, infection, and metabolic stone disease. Supervision is also available for those wishing to pursue an M.Sc. in clinical epidemiology, and fellows are expected to participate in ongoing clinical trials, as well as in the development of new trials. Fellows are expected to submit abstracts to annual meetings and prepare manuscripts for publication.
Clinical Responsibilities
The Fellow will participate in a wide range of endourologic, laparoscopic and robotic assisted surgical procedures and round on these patients, with the senior resident, in the post-operative period. He or she will be involved with both the surgical and medical assessment of patients through the clinics at The St. Michael's Hospital Kidney Stone Centre. The Fellow will not be expected to take night or weekend call except for unusual circumstances. Fellows are invited to participate in renal transplantation if they so desire.
Procedures
| Annual Clinical | Volume (approximate) |
| Percutaneous procedures | 100 - 150 |
| Ureteroscopic procedures | 250 - 300 |
| Shock Wave Lithotripsy | 50 (out of 2500 treatments per year) |
| Laparoscopic procedures | 120 - 160 |
| Robotic Assisted surgery | 80-100 |
Previous Graduates of the Fellowship Program
| Fellow | Year Completed Program | |
| Dr. Peter Incze | 1998 | |
| Dr. Michael Weir | 1999 | |
| Dr. Kenneth Pace | 2001 | |
| Dr. Solieman Bilgasem | 2002 | |
| Dr. Peter Cybulski | 2003 | |
| Dr. Joel Dagnone | 2004 | |
| Dr. Brian Blew | 2005 | |
| Dr. Luke Fazio | 2006 | |
| Dr. Alix Perks | 2007 | |
| Dr. Trevor Schuler | 2008 | |
| Dr. Andrew Ray | 2010 | |
| Dr. Joshua Wiesenthal | 2011 | |
| Dr. Michael Ordon | Present | |
| Dr. Kirsten Foell | Present | |