The Department of Urology at the University of Florida seeks to establish a Female/ Reconstructive Urology and Neurourology Program to support women suffering from urological conditions, including urinary incontinence, overactive bladder, pelvic prolapse, recurrent urinary tract infections, female sexual dysfunction, or patients with neurological diseases or injuries that affect urinary tract function. The Department's commitment to establishing this program includes an attractive and functional work environment, dedicated OR time, state-of-the-art diagnostic and surgical equipment, and a comprehensive team of clinical personnel.

The UF Department of Urology was established in July 2006 through a joint commitment of the University of Florida, College of Medicine and Shands Hospital to establish the premier urology program in the Southeastern United States. Under the leadership of Johannes Vieweg, M.D., Professor and inaugural Chairman, the department has witnessed unprecedented growth over the past eight months enabling us to offer cutting edge surgical care, a productive and innovative research program, and an outstanding educational program that trains the future leaders in the field. The department concentrates on a wide variety of research and clinical care programs. As a tertiary center, our faculty is seeing an ever increasing number of women with complex urologic disorders, most of which are surgical candidates. Recognizing that female urology is a rapidly changing and wide-ranging specialty that requires special expertise, the department seeks to establish a dedicated program in female/reconstructive urology and neurourology.

• Focus on female urinary incontinence, overactive bladder, pelvic prolapse, recurrent urinary tract infections, female sexual dysfunction, and long term care for patients with neurological diseases or injuries that affect urinary tract function.
• Provide comprehensive diagnostic testing and treatment options in a clinic environment featuring state-of-the-art videourodynamics and radiologic imaging equipment.
• Offer outpatient-based therapies, including behavioral therapy, biofeedback, medications, and minimally invasive procedures, such as the injection of urethral bulking agents.
• Emphasize the opportunity for patients to participate in clinical trials for investigation of treatment for incontinence and voiding dysfunction.
• Provide care for a large population of patients and children with spinal cord injury, multiple sclerosis, diabetes mellitus, cerebrovascular disorders and other neurologic conditions. Our objective is the prevention of all urologic complications associated with a neurogenic bladder.

It is the responsibility of the first year Junior Resident to present 5-7 (on average) complex cases with GU malignancies. After he/she presents the history, the Pathology Attending reviews the appropriate slides and the Radiology Fellow or Attending describes the logical diagnostic procedure. A general discussion ensues during which the Radiation Oncologist, Medical Oncologist and the rest of the faculty participate. The conference is geared toward problem solving as well as a teaching exercise, during which time the Residents are asked to suggest or defend the proper management of the cases. The Chief Resident usually describes the operative procedure when indicated. All Residents — on the VA and Shands rotation — are required to attend.

Continuing medical education, consisting of presenting the medical problems and treatment of a particular patient to an audience consisting of doctors, residents, and medical students. These lectures are given by the residents, urology attendings, and visiting scholars on selected topics. Frequently, a resident will give a lecture and the faculty will provide comments and conduct random tests on the residents' preparation for the lecture.

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• FTE Tenure track, Assistant/Associate/Professor of Urology with subspecialty expertise in Female/Reconstructive and Neurourology; Director of the Female/Reconstructive Urology Program
• FTE Tenure track, Assistant Professor of Urology
• FTE Female/Reconstructive Urology Fellow
• FTE House staff officer (PGY-4)
• FTE Physician Assistant
• Urodynamics/Radiology Technician
• Clinic Support Staff

Approximately $435,000 for new clinic equipment to include:

• Video Urodynamics with C-Arm and Fluroscopic Examining Table
• Cystoscopy equipment
• Ultrasound
• Office/Clinic furniture

Each physician in the female urology program will be allocated two full days per week

The Department of Urology has secured a commitment of space, personnel and equipment to begin this program in Q1 CY2008 with the expectation the program will be fully established within two to three years. The major milestones for each year of program development are as follows:

Year 1: Recruit Personnel & Initiate Program

• Acquire equipment and remodel clinic space
• Hire program director and clinical personnel
• Establish clinical service at AGH

Year 2: Complete Program Build

• Hire Assistant Professor of Urology with subspecialty expertise in Female/Reconstructive Urology
• Establishment of Female/Reconstructive Urology Fellowship Program
• Clinical and basic science research

Year 3: Establish Division Status

• Programmatic integration with Women's Health Center at Shands AGH
• Develop a multidisciplinary approach to female incontinence in collaboration with other UF departments and institutes.

The Female/Reconstructive Urology Program will be housed in 1,500 sq. ft. of newly-remodeled clinic/office space at Ayers Medical Plaza, Shands AGH. Shands AGH is a full-service, not-for-profit hospital offering a wide range of medical services and programs including maternal/child services, Level II neonatal intensive care unit, critical care services, 24-hour emergency care, heart care center, cardiac rehabilitation program, oncology care. Surgery will be performed in the on-site Ayers Surgery Center or across the street at Shands AGH. Shands AGH is located just minutes from the University of Florida's Health Science Center.

The University of Florida is located in Gainesville, Florida. Gainesville is located in North Central Florida midway between the Atlantic coast and the Gulf of Mexico. The area is known for its natural beauty with its stately live oaks and many springs, lakes, and rivers. There are a number of parks in Gainesville and the surrounding area where residents and their families can enjoy swimming, boating, fishing, bicycling, camping, and other sports. The climate encourages outdoor activities throughout the year. Gainesville offers the excitement of a large city with the convenience of a small town. Culturally, the city is enriched by the influence of the University. The population of Gainesville is approximately 111,000 with a surrounding population of 220,000. The city offers a diverse cultural environment, excellent public schools, and a low cost of living, which makes Gainesville an attractive and affordable place to live. Gainesville was recently ranked the #1 place to live in the United States in Cities Ranked & Rated, 2nd Edition written by Bert Sperling and Peter Sander.

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Should be directed to:

Johannes Vieweg, MD, FACS
Professor and Chairman
Department of Urology
1600 SW Archer Road, Box 100247, Gainesville, FL 32610
Tel: 352.273.6815
E-Mail: j.vieweg@urology.ufl.edu

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