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New from The University of Florida Department of Urology

Fall 2015

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The 2015 David M. Drylie, MD Visiting Professorship Lecture & UroGators Alumni Weekend
November 6 – 7, 2015

 presents

Shlomo Raz, MD

Professor, Department of Urology
Chief Division of Female Urology
Reconstructive Surgery and Urodynamics
David Geffen School of Medicine at UCLA

 

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Schedule of Events

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Friday, November 6, 2015
4:00 pm – 5:00 pm
Visiting Professor Lecture with Dr. Shlomo Raz
Pathophysiology of Stress Incontinence”
UF Health South Tower Auxiliary Conference Rooms 1204/1205

Learning Objectives: At the conclusion of this activity, participants should be able to:
Recognize and understand the anatomy of the urethra.
Discuss and understand the treatment of stress incontinence.
Discuss and understand the complications of stress incontinence surgery.

Target Audience:  Specialty physicians, physician assistants, nurses and residents

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.  Credit: The University of Florida College of Medicine designates this live activity for a
maximum  of 1 AMA PRA Category 1 Credit™.   Physicians should claim only
the credit commensurate  with the extent of their participation in the activity. 

Disclosure Announcement: Dr. Shlomo Raz has disclosed that he has no relevant financial disclosures.  No one else in a position to control content has any financial relationships to disclose.

Section # 6223

The 2015 David M. Drylie, MD Visiting Professorship Lecture is sponsored by the University of Florida Department of Urology UroGators Alumni Society.  For information on how you can support this lectureship, please visit http://urology.ufl.edu/donate/.

 

Friday, November 6, 2015
6:00 pm – 8:00 pm
2015 UF Urology Visiting Professor
UroGators Alumni Society Welcome Reception

Harn Museum of Art (Galleria & Promenade)
3259 Hull Road, Gainesville, FL

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Saturday, November 7, 2015
Time TBD (3 ½ hours prior to kick off)
UroGators Alumni Society Homecoming Tailgate & Football Game
Florida Gators vs Vanderbilt Commodores
Plaza of the Americas
(located directly in front of Library West on the UF Campus)

 

Please RSVP for any/all events at www.urology.ufl.edu or email ronda.patton@urology.ufl.edu by October 23, 2015.

 

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From Dr. Tom Stringer, Interim Chairman

I am pleased to provide this update on the activities of the UF Department of Urology. In January of this year, I assumed the role of Interim Chairman of the Department of Urology at UF. I feel fortunate to be part of a faculty that has placed the program on a trajectory of excellence by continuing to provide innovative and comprehensive patient care across broad subspecialty lines. We take pride in our residents and fellows and make urologic education a top priority. We have also continued to expand our collaborative efforts across the medical center, with industry partners and within the community. Meaningful outcomes research and patient safety focus continues to be a priority. I am pleased to announce several faculty and resident awards that are worthy of special mention. This year, Dr.  Li-Ming Su was accepted to the Alpha Omega Alpha (AOA) Honor Medical Society, in addition, he is an invited guest to the American Association of Genitourinary Surgeons (AAGUS) meeting which will be held in April, 2016.  Drs. Vincent Bird, Paul Crispen and Lou Moy and four of our residents, Drs. Mohit Gupta, JB Mason, Russ Terry and Akira Yamamoto all received UF Health Shands Physician Customer Service Awards for their excellence in patient care. Dr. Crispen was also awarded the UF Health Cancer Center “MVP” Award for his efforts in the multidisciplinary urologic oncology program.  I am honored to be currently serving a 5 year term on the American Urological Association Board of Directors, as the representative of the Southeastern Section of the AUA (SESAUA)

Our clinical forte continues to be in cutting-edge robotic, open, laparoscopic and endourologic surgical expertise provided in an exceptional, personalized and patient-centered manner. Our faculty are recognized as national leaders in robotic, open and laparoscopic oncologic surgery (kidney, bladder, prostate, testes and penile cancers). Our expert team of specialists provides world-class urologic care for female pelvic surgery, genitourinary reconstruction, endourology and stone disease, prosthetic surgery and general urology.  

Regarding our outreach efforts, a collaborative scope of work has resulted in multi/inter-disciplinary team, consisting of urologic oncologists, radiation oncologists, medical oncologists and allied health professionals, focused on genitourinary cancers, called the UF Health Joint Oncology Program (JOP).

We are pleased to announce the arrival of Dr. Michael A. Dennis, who joins us as an Assistant Professor and Co-Medical Director in the Department of Urology.  Effective Aug. 3, Dr. Dennis began providing additional expertise for the surgical and medical management of general urology diseases including urinary stone disease, impotence, BPH, prostate cancer screening and management, urinary tract infection, and incontinence. Dr. Dennis will work with the faculty providing the full range of urologic services in the primary clinic location at the Medical Plaza as well as potential community sites.  He has actively participated in leadership positions within the Florida Urological Society (FUS) and the Southeastern Section of the American Urological Society (SESAUA).  To support the growth of our clinical activities, we are pleased to welcome our new physician extenders Mitsu Andre, PA-C, Suzanne Archer, ARNP and  Sara Mazzuoccolo, ARNP.

Lastly, I want to recognize the tremendous efforts of our entire faculty, staff and residents, who have continued to exceed expectations each subsequent year. The entire team’s perseverance and commitment to compassionate, patient-centric care despite continued economic constraints and tightening resources is commendable. This past year we have enjoyed continued growth with over 16,000 clinic visits resulting in over 2,000 operative procedures.

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Urology Residency

Our Resident Graduation Banquet was held June 12, to celebrate the graduation of Dr. Arash Akhavein and Dr. Weil Lai

Dr. Akahvein is pursuing Minimally Invasive Surgery/Endourology Fellowship at the Cleveland Clinic, Cleveland, Ohio.

Dr. Lai is pursuing Minimally Invasive Surgery/Endourology Fellowship at Tulane University, New Orleans, LA. 

Please see our website at www.urology.ufl.edu to see more pictures of this special night.

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Division of Pediatric Urology

The Division of  Pediatric Urology at UF continues to grow.  Increases in patient volume at both the Gainesville and Jacksonville sites exposes our residents to more complex and interesting cases. 

Resident presentations of their research projects at both the most recent Society of Fetal Urology and Southeastern Section of the AUA meetings are a testament to our residents’ hard work and increased exposure to the field.  With this growth in volume, plans are in place to hire additional faculty in the future. 

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Urology Research

The basic science laboratory of the division, headed by Dr. Benjamin Canales and Dr. Saeed Khan, has had another stellar year. With continued NIH R01, R03, and K08 funding, they submitted an invited manuscript to Nature Reviews Disease Primers on nephrolithiasis encompassing pathogenesis, surgical treatments, and medical management. Dr. Canales was a visiting professor at Nagoya City University in April of this year through the AUA/Japanese Urological Association Academic Scholar Exchange Program. He also attended and spoke at the recent NIDDK P20 Directors Meeting in Madison, WI. Dr. Khan gave plenary talks at the 3rd Meeting of the EAU Section of Urolithiasis (EULIS; Alicante, Spain) and the 13th International Biomineralization Meeting  (Granada, Spain).

Through the NIH T32 mechanism, the stone laboratory received funding for the next two years for Dr. Ryan Chastain-Gross and for an additional T32 fellow (TBD). Paul Dominguez Gutierrez, PhD, successfully finished his T32 fellowship focused on the role of macrophages in stone/crystal clearance, and his first manuscript was accepted with revisions in the Journal of Urology. Dr. Dominguez Gutierrez also had abstracts accepted at the 2015 American Society of Nephrology (ASN) Annual Meeting and the Society for Basic Urologic Research (SBUR) Fall Symposium. He submitted a 2 year Urology Care Foundation Research Scholar grant that we expect will be funded starting July 2016 through June 2018. Good luck Dr. Dominguez Gutierrez!

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Division of Robotic and Minimally Invasive Urologic Surgery

The division continues to thrive with several exciting events. This year marks the first year of our Endourology and Minimally Invasive Urologic Surgery Fellowship approved by the Endourological Society.  

This year our fellow is Brandon Otto, MD, who completed his urology residency at New York Presbyterian Hospital-Cornell. Dr. Otto has had an immediate and positive impact on the department with his clinical and research activities especially in endourology and has worked synergistically with the residents in our program both at UF Health and the VA hospitals. He will be traveling with Dr. Vincent Bird to London in October to represent our department at the World Congress of Endourology meeting, where he will be present a poster and a podium presentation on confocal laser endomicroscopy as an optical biopsy tool for small renal masses.

Another exciting initiative is the Multidisciplinary Urology-Nephrology Stone Clinic, which has arisen from collaborative efforts between Dr. Bird and Dr. Rupam Ruchi, a nephrology faculty member who has a clinical interest in metabolic stone disease. This clinic will also incorporate nutrition and diet as part of a comprehensive assessment of stone risk and formulation of stone prevention planning for our patients.

Lastly, we have continued to run an active animate and robotics simulation training lab for our residents to provide a continuum of training from basic laparoscopic skills to advance robotic techniques.

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Division of Urologic Oncology

While our providers continue to offer patients state of the art treatment of complex and advanced urologic malignancies, we are hoping to improve care by expanding our portfolio of clinical trials. Through increased participation in clinical trials we strive to improve outcomes and decrease treatment related side effects.  Currently available trials at the University of Florida in Gainesville focus on BCG refractory stage I bladder cancer, metastatic kidney cancer, and metastatic bladder cancer.  Future efforts will focus on establishing clinical trials for all stages of disease including prostate cancer.  In order to accomplish this goal we will continue to work with our partners in the Joint Oncology Program between the Proton Therapy Institute in Jacksonville and Orlando Health in Orlando.

In addition to increasing the number of clinical trials offered, our clinical and quality initiatives continue to move forward.  During the past year we have completed two quality projects through the Joint Oncology Program which evaluated the utilization of androgen deprivation therapy in patients undergoing radiation therapy for high risk prostate cancer and the use of synoptic templates when reporting bladder tumor pathology.  Both projects have enabled us to establish the high quality of care delivered at the University of Florida.  Since the development and implementation of our own prostate cancer clinical pathways we are now in the process of developing clinical care pathways for bladder cancer with a special focus on bladder preservation for patients presenting with stage II and III disease. 

Lastly, we would like to congratulate Dr. Li-Ming Su who has been named a 2015 Newsweek Top Cancer Doctor in the United States and we are looking forward to welcoming Dr. Jonathan Licht from Northwestern University as he joins us as the newly appointed Director of the UF Health Cancer Center.

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Clinical Trials
University of Florida
Department of Urology

 

BCG Refractory Stage I Bladder Cancer

Metastatic Kidney Cancer

Metastatic Bladder Cancer

 Future efforts will focus on establishing clinical trials for all stages of  disease, 
including prostate cancer. 

 

For more  information, please contact 352-273-6815.

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Urology Quality & Patient Safety

Quality safe care continues to be our top focus in the UF Department of Urology.  With the leadership of Dr. Lou Moy, Physician Director of Quality, Michelle Van Leer, MSN, Director of Quality and our urology residents we continue to focus on patient centric, collaborative care.

The UF Perioperative Coordinated Care pilot that began in 2014 has proven to be successful.  The department along with the Departments of Medicine and Anesthesiology continue to deliver patient centered, evidence based care during the perioperative period (from decision for surgery to 30 days post-operative).  Our preliminary review of the data collected on the day of surgery defects has allowed us to address process improvement tactics and decrease our turn over time between cases by 13 percent.  Additionally we are monitoring surgical readmissions for trends as well as intra and post-operative blood sugar levels. This data analysis will direct us to process improvement opportunities.

The co management program with the Department of Medicine continues to be a success, with many complex patients being managed in a collaborative, patient centric fashion.

Multidisciplinary care is another focus for our department.  Recently a multidisciplinary clinic was launched with our stone service and nephrology.  This joins our multidisciplinary GU Oncology clinic already in existence. This type of collaborative multispecialty clinic improves patient care and increases patient satisfaction.

The UF Department of Urology strives to reduce harm, reduce variation, enhance the patient experience and transform our culture. 

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To discuss a patient, refer a case or schedule an appointment, please call 352.265.8240

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Dr. Michael Dennis, Featured Faculty

The University of Florida Department of Urology is pleased to announce the arrival of Dr. Michael A. Dennis, who joins us as an Assistant Professor and Co-Medical Director in the Department of Urology. Effective August 3rd, Dr. Dennis began providing additional expertise for the surgical and medical management of general urology diseases including urinary stone disease, impotence, BPH, prostate cancer screening and management, urinary tract infection, and incontinence. Dr. Dennis will work with the faculty providing the full range of urologic services in the primary clinic location at the Medical Plaza as well as potential community sites.

Dr. Dennis completed his residencies in surgery and urology at the University of Florida and was in a private urologic practice in Port St. Lucie until his recent return to Gainesville. He has actively participated in leadership positions within the Florida Urological Society and the Southeastern Section of the American Urological Society.

As the clinical needs of UF/UF Health continue to grow, the Department of Urology is poised to expand to meet the challenge. Call 352-265-8240 to schedule an appointment.

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UF Department of Urology Makes Gator-Sized Splash at Annual AUA

Congratulations to the following UF Urology Faculty & Residents recognized at the 2015 American Urological Association Meeting held in New Orleans, LA, May 15 – 20, 2015

• Dr. Rishi ModhUroToday” AUA First Day Highlight.  Click here for link.

• Dr. Benjamin Canales: AUA Endourology and Stone Disease Highlight Plenary Session.  Click here view the video.

• Dr. Benjamin CanalesBest of Posters Ribbon:  “Calcium is more effective than vitamin B6 at reducing oxalate excretion in a gastric bypass model of hyperoxaluria”

• Dr. Thomas CrawfordBard Medical National Presenter

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University of Florida Urology Endourology/Minimally Invasive Surgery Fellow:  Brandon Otto, MD

The University of Florida Department of Urology welcomes our Endourology/Minimally Invasive Surgery Fellow, Brandon Otto, MD. Dr. Otto completed his medical school training at Weill Cornell Medical College, New York, NY. His residency program was completed at Weill Cornell Medical College/New York Presbyterian Hospital, New York, NY.

The University of Florida (UF) Department of Urology Endourology/Minimally Invasive Surgery Fellowship is structured to provide a focused one year experience in clinical training and research. During the year, trainees will spend time on clinical rotations and will be directly involved in the management of patients with various urologic diseases that include stone disease, urinary tract obstruction, and urologic cancer under, the guidance of Drs. Vincent Bird, Benjamin Canales, and Li-Ming Su.

For more information on the University of Florida (UF) Urology Endourology/Minimally Invasive Surgery Fellowship Program, please click here or email linda.horne@urology.ufl.edu.

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Dr. Li-Ming Su:  Newsweek Health Top Cancer Doctors 2015

Dr. Li-Ming Su, has been selected to be a part of the Newsweek Health Top Cancer Doctors 2015 list. Dr. Su’s specialties include: Kidney Cancer, Laparoscopic Surgery, Prostate Cancer, Robotic Surgery.

According to the NIH/National Cancer Institute, in 2015 an estimated 1,658,370 new cases of cancer will be diagnosed in the United States, and 589,430 people will die from the disease.

Newsweek, in conjunction with Castle Connolly Medical LTD, the well-respected publisher of America’s Top Doctors®, is proud to present the list of the “Top Cancer Doctors 2015 ” for the United States. This list was compiled through peer nominations and extensive research that Castle Connolly Medical LTD. has conducted for more than two decades.

The Castle Connolly physician-led research team makes tens of thousands of phone calls each year, talking with leading specialists, chairs of clinical departments and vice presidents of medical affairs, seeking to gather further information regarding the top specialists for most diseases and procedures. Each year, Castle Connolly receives nearly 100,000 nominations via this process. After a careful review of credentials, the following physicians have been selected to be a part of the Newsweek Health Top Cancer Doctors 2015 list.

 

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Journal of Endourology/Videourology™ – Highlighted Video:  Drs. Modh, Corbyons, Tan, Su & Yeung

Videourology™, the online peer-reviewed complement to Journal of Endourology, offers high-caliber video demonstrations of the latest cutting-edge robotic and laparoscopic surgical techniques and technologies as well as urologic endoscopic treatments designed to enable physicians to view and evaluate new minimally invasive and noninvasive techniques and apply them to their practice.

Congratulations to Dr. Rishi Modh, Dr. Katherine Corbyons, Dr. Sanda Tan, Dr. Li-Ming Su and Dr. Lawrence Yeung for recently having the video Robotic Repair of Rectovesical Fistula: Combined Anterior and Posterior Approach with Omental Flap Interposition featured.

Click here to view the video.

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8th Annual UF Department of Urology/UroGators Alumni Society Reception – New Orleans, LA

The 8th Annual UF Department of Urology/UroGators Alumni Society reception was held in New Orleans on Monday night May 18th. Roughly 120 of our former residents and fellows, along with faculty and friends from institutions around the country, joined us for New Orleans food, drink and live music. The venue had a very “Gatory” feeling thanks for the decorative efforts of Jean Bennett and Ronda Patton.  A special tribute was made to our faculty, residents and alumni in attendance. Additionally, those that have generously gifted to the Department and UroGators Alumni Society were individually recognized. Ted Kruljac, our colleague with the UF Health Office of Development, friend of our department and UroGators Alumni Society, received the honorary UroGators Award.   We appreciate his tireless work to promote our department and our alumni group.

The Department is in a unique position for the growth of its educational, research and clinical missions. These mission tracts are dependent on the enhanced collaborative relationships with the College of Medicine and the departments within the college, as well as our referring doctors and UroGators Alumni in every corner of the country. The next annual event is the David M. Drylie Visiting Professorship combined with the UroGators Alumni football weekend November 5-7, 2015. We are honored to have Dr. Shlomo Raz, from UCLA, as our 3rd annual visiting professor. Please be on the lookout for those notices and plan to be part of the celebration and your heritage.

Thomas F. Stringer, MD, FACS
Interim Chair
Medical Director
Department of Urology
University of Florida
352-273-6815

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Dr. Benjamin Canales Granted Promotion and Tenure

 

The University of Florida Board of Trustees and the College of Medicine has recently announced the promotion of its faculty and tenure appointments. Congratulations to Dr. Benjamin Canales, who was granted tenure and promoted to Associate Professor. Important factors in granting tenure and promotion include international recognition of scholarship, the quality and impact of teaching and contributions to the University of Florida.

Dr. Canales joined the UF Department of Urology in 2007.   His clinical interests and skills are: minimally invasive urologic surgery, laparoscopic nephrectomy, laparoscopic prostatectomy, laparoscopic partial nephrectomy, endourology, and kidney stone disease/pathogenesis.

Please congratulate Dr. Canales for this recognition and achievement.

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To pay your dues, to update your information or to

learn more about the UroGators Alumni Soceity,
contact Jean Bennett at jean.bennett@urology.ufl.edu  or

Ronda Patton at ronda.patton@urology.ufl.edu

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1600 SW Archer Road
PO Box 100247
Gainesville, FL  32610
Phone:  (352) 273-8236
Fax:  (352) 273-7515

Email:  Ronda.Patton@urology.ufl.edu

Website:  www.urology.ufl.edu