Nagoya City University Endourology Fellowship

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Nagoya City, Japan
Contact Name: Kazumi Taguchi, MD, Shuzo Hamamoto, MD
Type/Focus: Robotic Surgery & Minimally Invasive Urologic Oncology
Duration: 2 Years
Region: Asia
Contact Email: This email address is being protected from spambots. You need JavaScript enabled to view it., This email address is being protected from spambots. You need JavaScript enabled to view it.

Job Information

The Nagoya City University Endourology fellowship is a two-year program dedicated to the practice and research in endourology and kidney stone disease. Fellows will work with faculties and residents to establish sufficient clinical and research skills, as well as achieve educational processes with students and other medical professionals. Therefore, fellows will function as one of our faculty to develop a desirable team for patient care and university. The fellow's annual salary and benefits are expected to be equivalent to the junior staff at Nagoya City University. 

Clinical Objectives:

The goal of the Nagoya City University Endourology Fellowship is to establish a global network of leaders in this field, specifically out of Asia. This program gives fellows comprehensive training in minimally invasive surgeries using state-of-the-art technology with the highest quality skills in our high-volume centers. In addition, our university hospital has four other centers in the city, each unique, providing cases based on its geographical and cultural backgrounds. Fellows will rotate some of the sites with several faculties and gain broad-spectrum techniques regarding kidney stone surgery, BPH, ureteral stricture, and upper urinary tract carcinoma. The surgeries should be focused on during this fellowship are ultrasound-guided PCNL, robot-assisted fluoroscopy-guided PCNL, ECIRS with or without high-power double lasers, supine-PCNL, mini-PCNL, ureteroscopy with a single flexible ureteroscope, endoscopic laser ureterectomy, nephron-sparing surgery for upper urinary tract carcinoma, HoLEP, Rezum, UroLift, robotic pyeloplasty, and robotic ureterectomy. Fellows will also participate at the clinic work to learn the management of standard and complicated stones and BPH via a multidisciplinary approach. 0ur clinic also utilizes 24-hour urine examination and urodynamics for comprehensive assessment; therefore, fellows will be expected to get familiar with those modalities.

Research Objectives:

Fellows will experience both clinical and translational research for stones and BPH at Nagoya City University. Across Japan and other parts of Asia, we have developed a prospective, multi-institutional clinical database with genomic data from samples for kidney stone disease. This registry includes various surgical data that enable fellows to investigate the relationship between clinical characteristics, surgical technique, and, hopefully, a fundamental cause of the disease. In addition, we have developed the hyperoxaluric mouse model for investigating the pathogenesis CaOx stone formation via genomic manipulation methods. Particular interests of our research lab are the involvement of macrophages and adipocytes, as well as other important molecules such as osteopontin. There are also several ongoing collaborations between other institutions focusing on the microstructural analysis of crystals, deep learning process, gut microbiota, and omics analyses. Fellows will participate in research meetings and conferences and gain various knowledge for a better understanding of the disease process. There will also be opportunities for connecting medical device innovation as part of collaboration between companies and startups.

Fellowship Staff:

Takahiro Yasui, MD, Ph.D. - Fellowship Director

Kazumi Taguchi, MD, Ph.D. - co-fellowship Director

Shuzo Hamamoto, MD, Ph.D. - chief of surgery

Atsushi Okada, MD, Ph.D. - Associate Professor

Rei Unno, MD, Ph.D. - Assistant Professor

Teruaki Sugino, MD, Ph.D. - Adjunct Assistant Professor

Nephro-urology, Nagoya City University:

The Department of Nephro-urology provides exceptional urologic training. Over 4,400 surgeries are performed annually, including the affiliated hospitals. The program incorporates supervised clinical experience in adult and pediatric urology with laboratory and clinical research opportunities to offer residents a broad base for the future. Eight professors and 15 other faculties supervise 16 residents, including post-graduate students. The department earns about $600,000 in annual grants from private and governmental funds, is ranked the top department in NCU, and is one of the leading urology departments in Japan. Because of their enthusiasm for research, all 23 faculty members have MD and Ph.D. titles. Our lab has eight benches, three biosafety cabinets, one cold room, four freezers, three microscopes, and other equipment for histology, WB, and PCR. In addition, we have easy access to the Laboratory Animal Facility and Core Laboratory Center. 

Clinical volume:

Nagoya City University Endourology Fellowship program has a robust surgical volume with over 100 ECIRS/PCNL, 300 ureteroscopies, 100 SWLs, and 90 HoLEPs annually.

Candidates:

Successful candidates should have completed 3-5 years of urological residency. Applicants also must have Japanese medical licenses or soon be able to obtain them for practice in Japan.