For applicants

Clinical services and case families

In the 2025-2026 fellowship year the operative volume was 750 cases: 430 with robotic assistance and approximately 250 gender-affirming, and the two groups overlap. The scope covers anterior and posterior urethroplasty, upper tract and abdominal reconstruction, genital reconstruction, genitourinary trauma, Peyronie’s disease, prosthetics, and robotic intracorporeal urinary diversion.

Mapped to the four GURS case log categories, that year’s operative volume was:

These are the program’s operative cases in each category, which is the pool a fellow draws from. A GURS case log counts only the cases the fellow takes part in, so a fellow’s own logged total is smaller than the figures above.

What the year actually covers, family by family:

Urethral reconstruction

Anterior urethroplasty, and posterior urethroplasty for pelvic-fracture urethral injury and for posterior stenosis from other causes, radiation included. Hypospadias and epispadias repair when the primary work is urethral.

Upper tract, bladder, and diversion

Ureteral reimplantation, Boari flap, ureteroureterostomy, pyeloplasty, ileal ureter, autotransplant, and ureterolysis. Non-continent and continent diversion, diversion revision, and abdominal bladder neck reconstruction or closure.

Much of this is done robotically and intracorporeally, including on the single-port platform. The 2025-2026 fellow’s own published work from the year was single-port robotic: a non-transecting Y-V flap pyeloplasty series and a transvaginal retroperitoneal ureteral reimplantation, both cited in section 12.

Fistula

Rectourethral, urethrocutaneous, and urethrovaginal repair.

Gender-affirming surgery

Primary and revision vaginoplasty, vulvoplasty, and neovagina creation. Primary and revision phalloplasty and metoidioplasty, with urethral lengthening. Vaginoplasty here includes the robotic peritoneal flap approach, and revision cases are part of the standing scope rather than an occasional referral.

Prosthetics and incontinence

Artificial urinary sphincter, male and female slings, penile prosthesis, and other genitourinary prosthetics.

Seeing the work

Operative video across most of these families is public at the surgical video library, which is searchable by procedure, approach, and format.