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                                          Our UC Irvine Pediatric Urology team
Program in Medical
                                                                                      Orange County Hig...
Department of Urology
                                                                                 Your Urology
UC Irvine Healthcare                                                       Department of Urology Clinical Faculty
Nonprofit Org.
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Your Urology

  1. 1. UNIVERSITY of CALIFORNIA, IRVINE HEALTHCARE Spring 2008 Your Urology The Department of Urology Tony E. Khoury, M.D. Welcomes New Chief of Pediatric Urology Professor of Urology Chief of Pediatric Urology UC Irvine Department of Urology and Children’s Hospital of Orange County Dr. Tony E. Khoury is a world- In its ongoing efforts to provide the Adolescents and Adults with renowned pediatric urologist, highest quality care for the children of Pediatric Urological Issues having most recently served as Orange County, the Department of The care for children with major uro- Professor of Urology and Division Urology at University of California, logical problems such as bladder and Head of Pediatric Urology at the Irvine is proud to announce the cloacal exstrophy, proximal hypospa- University of Toronto, Department successful recruitment of Dr. Tony dias, prune belly syndrome, or pos- of Surgery, Hospital for Sick Khoury. Dr. Khoury served as the terior urethral valves does not end Children, in Toronto, Ontario, Chief of Pediatric Urology at the when they reach puberty. Many of Canada. world-renowned Hospital for Sick the concerns are life long and require Children in Toronto, Canada for the ongoing medical and psychosocial In coming to Southern California, past 13 years. There he helped build care. Occasionally these young Dr. Khoury will assume the position the program into one of of Chief of Pediatric Urology at both UC Irvine Medical Center and the world's largest pedi- Over the next few months several atric urology facilities, multidisciplinary teams will be formed Children's Hospital of Orange based on the number of to provide comprehensive care for the County. patients receiving care, the Dr. Khoury is co-editor of the defin- number of physician visi- many children in Orange County with itive pediatric urology textbook, tors, and the number of genitourinary problems. The Kelalis-King-Belman Textbook fellows trained. of Clinical Pediatric Urology Dr. Khoury's wealth of experience in adults may require reconstructive sur- (January 2007). His surgical skills pediatric urology is sure to propel the gery to adjust or correct problems are exemplary and broad in nature, clinical and educational standards of that evolve following the pubertal covering all aspects of pediatric the Southern California community to growth spurt and associated body urologic surgery from transplanta- an advanced new level. habitus changes. To that end a new tion to the most complicated inter- multidisciplinary service will be estab- The long-term goal of the Department sex reconstructive procedures. lished under Dr. Khoury’s guidance of Urology is to develop a pediatric He will also be working closely with for patients graduating from the pedi- urology center of excellence that is UC Irvine scientists to pursue his atric urology clinic to provide care and recognized as a tertiary referral cen- keen interest in tissue bioengineer- counseling for this growing popula- ter for Southern California under ing research. tion. continued on page 2 Dr. Khoury’s guidance. It is hoped that the center will become renowned For appointments and referrals, nationally and internationally for its please call: expertise in the medical and surgical Tony E. Khoury, M.D. management of complex pediatric Office: 714.456.3838 urology anomalies, reconstructive challenges for incontinence, genital anomalies, renal transplantation, and oncology.
  2. 2. continued from page 1 Our UC Irvine Pediatric Urology team will provide pre- and postnatal diag- Disorders of Sexual Differentiation nosis as well as treatment and man- (DSD) Clinic agement of infants with disorders of Whether it be a severe form of the genitourinary tract. Counseling hypospadias or a virilized female, regarding the diagnosis, prognosis these children and their families con- and the role of interventional tech- tend with difficult management deci- niques in utero for the identification sions. In order to help the families and management of these challenges and children understand the issues will be provided in a comfortable, related to DSD and help them make understanding setting for the entire the most appropriate informed choice, family. a multidisciplinary service including UC Irvine specialists from genetics, Minimally Invasive Surgery endocrinology, psychology, psychiatry, UC Irvine Urology is internationally gynecology, social work and urology renowned for leading innovation in Esequiel Rodriguez Jr., M.D. is sure to provide an expert opinion in the field of minimally invasive surgery. Assistant Clinical Professor of Urology a caring, reassur- UC Irvine Department of Urology ing environment Dr. Esequiel Rodriguez has specif- for the optimum We are committed to providing family-centered ic interests in laparoscopy, robotic management. care in a compassionate and respectful surgery, and pediatric urology. He The ultimate goal environment. Children will benefit from a plan will serve an important role in our is to achieve the of care that will be designed based on their program in educating our residents best medical and while providing outstanding urologic quality-of-life out- individual needs and family situation. care to the pediatric population of comes for the Orange County. In addition, Dr. patients and their Rodriguez has an appointment in families. Using laparoscopic, robotic-assisted the PRIME-LC program at UC Irvine and endoscopic surgical procedures, and will provide much needed edu- Bladder Exstrophy Care a variety of kidney disorders, vesi- cational opportunities in healthcare Bladder and cloacal exstrophy are coureteral reflux and urinary inconti- to the Hispanic community. Dr. formidable congenital anomalies that nence can be corrected with minimal Rodriguez is fluent in Spanish. demand a high level of technical skill discomfort to the child. combined with years of experience in Dr. Rodriguez completed his under- caring for these children. It was at Pediatric Lower Urinary Tract graduate studies at the University of the Hospital for Sick Children in (P-LUT) Dysfunction and California at Berkeley where he Toronto that Dr. Robert Jeffs initially Neurourology graduated with honors in General described his groundbreaking tech- The pediatric voiding dysfunction Scholarship. He received his med- niques for repairing bladder exstro- symptom score developed in Toronto ical degree from Stanford University phy, before eventually moving to is now the international standard School of Medicine. Dr. Rodriguez Johns Hopkins. In his 20-year tenure objective measure for the evaluation completed his urology residency at at the Hospital for Sick Children, Dr. of children with incontinence. In a UC Irvine Medical Center under Dr. Khoury looked after a large exstrophy child-friendly environment, several Ralph Clayman. He completed a population from infancy through adult- noninvasive techniques are used to one-year fellowship in robotic sur- hood. With this unmatched experi- aid the family in managing toilet-train- gery under the tutelage of Dr. ence, UC Irvine Pediatric Urology is ing issues. Children with complex Thomas Ahlering. Dr. Rodriguez positioned to make a significant differ- neurological anomalies such as has published manuscripts and book ence in the lives of children born with myelodysplasia and related spinal chapters in robotic surgery in urolo- this rare complex defect. disorders will benefit from advanced gy and has presented his work at diagnostic and interventional tech- national and international confer- Perinatal Urology niques to correct or minimize the ences. Genitourinary anomalies are one of impact of these disorders on the child's quality of life. For appointments and referrals, the more common problems discov- please call: ered prenatally (in 1% of routine Esequiel Rodriguez Jr., M.D. maternal-fetal ultrasounds). Under- For the benefit of all of the Office: 714.456.7005 standably, this creates considerable children of Orange County, angst for the expectant parents. a new day has arrived at UC Irvine Medical Center. 2
  3. 3. Program in Medical Orange County High Education for the School Students Have Latino Community Career Day Learning (PRIME-LC), a National Opportunity at the Model Astellas Surgical Dr. Esequiel Rodriguez was Education Center successful in securing ½ FTE for his work in the PRIME-LC efforts. This is a crucial mission of the University of California, Irvine School of Medicine designed to educate highly qualified physicians Beginning in June 2008, over the next 2-3 years, Dr. Ralph Clayman and to serve the diverse populations of Dr. Elspeth McDougall will provide approximately 53 career day sessions, California. PRIME-LC is one of one for each high school in Orange County. During each session, the stu- the signature programs and a dents will be provided with lectures on the future of medicine and medical national model for meeting the technology, videotaped medical procedures, and hands-on demonstrations healthcare needs as Latinos with the surgical simulators and the da Vinci® Robotic become the largest population Surgical System. The Astellas Surgical Education Center is group in California. In response to an ideal facility for providing students with career exploration an increasing need for highly opportunities in medicine. qualified, culturally sensitive and linguistically competent physician- For more information, please contact Rosanne Santos. leaders, PRIME-LC graduates will Office: 714.456.8176 impact healthcare access and out- comes in the local communities through a variety of mechanisms with which to influence tomorrow's Significant Facts about the health systems. Along with the M.D. degree, a master’s degree Department of Urology prepares clinician leaders to become advocates and activists in 1) Rated among the top 20 programs in the United States the underserved Latino communi- by U.S. News & World Report. ties with opportunities to develop expertise in academic medicine, 2) Among the top 50 urology programs rated by the U.S. telemedicine, public health, News & World Report, we achieved the lowest mortality healthcare disparities, research, public policy and other related rate. fields. PRIME-LC also provides strong emphasis on graduate level 3) We are among the leaders in laparoscopic surgery training in the culture, society, lan- (minimally invasive surgery) in Orange County when it guage, history and beliefs of the comes to less invasive surgery for cancer (prostate, Latin American people and US kidney, bladder, and testis), kidney stones, or urinary Latinos. tract obstruction. The innovative 4) Our robotic technology and robotic surgery place us PRIME-LC among the top programs in the United States. This year, program will be housed in the we performed the first surgery in California on the latest new medical da Vinci® S HD™Robotic Surgical System, equipped with education build- high definition display. ing located on the UC Irvine 5) Our outstanding team consists of nine full-time faculty, campus. four part-time faculty, and four PhDs. 3
  4. 4. Department of Urology Your Urology Visiting Professors Spring 2008, Issue 9 Harry W. Herr, M.D. The urology newsletter is published bian- Professor of Urology nually. We welcome your comments and ideas for stories. Please send them to Memorial Sloan-Kettering Dr. Elspeth McDougall, editor, at Cancer Center; make sure to let us know New York, NY if we have permission to reproduce your comment in full or in part in Your Urology. The 2007 John W. Posey Visiting Professor Copyright © 2008 The Regents of the December 20-22, 2007 University of California. All rights reserved. Department Chairman The Department of Urology was pleased to host Dr. Harry Herr as the 2007 Ralph V. Clayman, M.D. John W. Posey Visiting Professor, December 20-22, 2007. Dr. Herr provided Newsletter Editor lectures over the three days on topics related to his area of expertise in Elspeth M. McDougall, M.D., FRCSC reconstructive urologic cancer surgery for our department and surrounding Newsletter Coordinator community urologists. In addition, Dr. Herr taught a dedicated, hands-on Cynthia Shell surgery laboratory session for our eight residents to instruct them in the techniques of urinary diversion surgery. If you do not want to receive further com- munications from the Department of Urology, please contact Cynthia Shell. UC Irvine Medical Center Department of Urology 333 City Blvd. West, Suite 2100 Orange, CA 92868 Tel: 714.456.5371 Mission Through excellence and leadership in patient care, education, and research, the Department of Urology will provide its patients with the absolute best in innova- tive, less invasive urological care; its residents with a superb curriculum-based educational and operative training experi- ence; and its faculty with every opportunity to excel clinically while teaching and pur- suing research of both a basic and clinical nature. Ian M. Thompson Jr., M.D. Vision Professor and Chair By virtue of clinical and research accom- plishments, the Department of Urology Department of Urologic Surgery seeks to become recognized as one of the University of Texas top 10 programs in Urology in the United Health Science Center States. San Antonio, TX Urology Visiting Professor March 6-8, 2008 Dr. Ian M. Thompson accepted an invitation to be our visiting professor March 6-8, 2008. The Urology Department faculty, fellows, residents, medical students and community urologists enjoyed Dr. Thompson’s lectures over the three days on the prevention, detection and treatment of prostate cancer. In addition, Dr. Thompson taught a hands-on cadav- eric laboratory session for the eight urology residents on the surgical techniques of RPLND (retroperitoneal lymph node dissection) for the treatment of testicular cancer. 4
  5. 5. UC Irvine Healthcare Department of Urology Clinical Faculty . Ralph V. Clayman, M.D. David K. Ornstein, M.D. Professor and Chairman Assistant Professor and Department of Urology Director, Urological Oncology Dr. Clayman is world renowned for his clinical and laboratory Dr. Ornstein completed a fellowship in urologic oncology at the work in minimally invasive surgery. He specializes in the treat- National Cancer Institute. He now treats patients with all types ment of kidney stones, kidney cancer, strictures of the ureter and of urologic cancers. He has extensive experience with open, all other aspects of renal and ureteral diseases. laparoscopic, and robotic surgery, and is particularly interested in For appointments and referrals, please call: potency and continence-sparing radical prostatectomy using the 714.456.3418 da Vinci® Robotic Surgical System. For appointments and referrals, please call: 714.456.5378 Thomas E. Ahlering, M.D. Professor and Vice Chairman Dr. Ahlering is well known for laparoscopic radical prostatectomy Esequiel Rodriguez, M.D. using the da Vinci® Robotic Surgical System. He specializes in Assistant Clinical Professor treatments for cancer of the prostate, bladder, kidney, and testis. Dr. Rodriguez has specific interests in pediatric and robotic sur- He did his postgraduate fellowship training in Urological gery. He has an appointment in the PRIME-LC program at UC Oncology at University of Southern California, Los Angeles. Irvine and will provide much-needed educational opportunities in For appointments and referrals, please call: healthcare to the Hispanic community. He completed a fellow- 714.456.6068 ship in robotic surgery at UC Irvine under the tutelage of Dr. Thomas Ahlering. For appointments and referrals, please call: Atreya Dash, M.D. 714.456.7005 Assistant Clinical Professor Dr. Dash completed a fellowship in urologic oncology at Memorial Sloan-Kettering Cancer Center in New York. He has experience Leland Ronningen, M.D. in all areas of urologic oncology including the advanced surgical Associate Clinical Professor treatment of prostate, renal, testis and bladder cancers. His Dr. Ronningen is particularly interested in benign diseases of the patient treatment modalities include minimally invasive surgical prostate and practices general urology. technologies such as laparoscopy to improve the care and convalescence of patients with urologic cancers. For appointments and referrals, please call: For appointments and referrals, please call: 714.456.7127 714.456.7005 Nader Sadoughi, M.D., FACS Regina M. Hovey, M.D. Clinical Professor Associate Clinical Professor Dr. Sadoughi’s interest and expertise are in urologic oncologic surgery and neuromuscular dysfunction of the lower urinary tract Director, Urology Residency Program for urinary incontinence. He is actively involved in teaching Dr. Hovey specializes in female urology, urinary incontinence, urology residents at the VA Long Beach Healthcare System, neurourology, and lower urinary tract reconstruction. She did her where he sees patients. He did his postgraduate fellowship postgraduate fellowship training in Female Urology, Neurourology training at Sloan Kettering Cancer Center in New York. and Reconstructive Urology at University of California, Davis. For appointments and referrals, please call: For appointments and referrals, please call: 562.826.5434 714.456.7128 Tony E. Khoury, M.D. Anne R. Simoneau, M.D. Professor and Chief of Pediatric Urology Associate Clinical Professor Dr. Khoury is world renowned for his expertise in the medical and Assistant Director, Urological Oncology surgical management of complex pediatric urology anomalies, Dr. Simoneau has clinical trials in prostate cancer prevention including reconstructive surgery for incontinence, genital anomalies, and is working in the laboratory on bladder cancer prevention. renal transplantation and oncology. He did his postgraduate fellow- She did her postgraduate fellowship training in Clinical Urological ship training in Pediatric Urology at the Hospital for Sick Children in Oncology at University of Southern California, Los Angeles. Toronto, Ontario, Canada. For prostate cancer prevention, please call: For appointments and referrals, please call: 714.456.3330 714.456.3838 Aaron Spitz, M.D. Jerry B. Miller, M.D. Assistant Clinical Professor Clinical Professor Male Reproductive Medicine and Surgery Dr. Miller specializes in general practice urology and supervises Dr. Spitz has expertise in the treatment of male infertility and residents-in-training in the general urology clinic. sexual dysfunction. He did his fellowship training at Baylor For appointments and referrals, please call: College of Medicine, Houston, TX. 714.456.7005 For appointments and referrals, please call: 714.456.7005 Elspeth M. McDougall, M.D., FRCSC Professor of Urology and Associate Dean, Clinical Science Education Dr. McDougall specializes in minimally invasive surgery for the treatment of kidney stones, kidney cancer and strictures of the ureter. She did her postgraduate fellowship training in Endourology and Extracorporeal Shock Wave Lithotripsy at Washington University Medical School, Barnes Hospital, St. Louis, MO. For appointments and referrals, please call: 714.456.7005 5
  6. 6. Nonprofit Org. US Postage PAID Department of Urology Santa Ana, CA Permit No. 1106 333 City Blvd. West, Suite 2100 Orange, CA 92868-5395 University of California, Irvine Medical Center 101 The City Drive South -- Orange, CA 92868 Driving Directions to UC Irvine Medical Center -- From I-5 take the Chapman Avenue exit. Drive westbound on Chapman. Turn left (south) onto The City Drive South. Proceed to Dawn Way. Turn left. The UC Irvine Medical Center visitor parking structure is on the left side. Upon exiting the parking structure after parking, continue down the broad walkway until you see Miss Kelly's Coffee Cart on your right side. On your left side is the entry to the Pavilion III urology offices. If you are lost, please call 714.456.7005. Visit the Department of Urology on the Web at -- UC Irvine Healthcare - Urology Newsletter Spring 2008