Dr. John D.Denstedt

1. To provide a balanced training in basic and advanced endourological and laparoscopic treatment of urological problems.
2. To provide the fellow with the foundation for an academic career including teaching skills, grant writing skills, manuscript preparation, research methodology and critical appraisal of research.
3. To integrate the fellow into the Urology training program at The University of Western Ontario.

   Description of Training

   The Endourology and Laparoscopy Fellowship at The University of Western Ontario is a 2 year program which involves one year research and one year clinical experience. Fellows are an integral part of the training program at Western and they participate in activities ranging from clinical duties, teaching, basic and clinical research. Western is a provincial referral centre for stone disease including the shock wave lithotripter program and a comprehensive stone clinic, both of which allow the fellow to gain experience in the management of complex stone disease. There is a strong emphasis on minimally invasive surgery, particularly oncology.
   
   Fellows gain experience with laparoscopic nephrectomy, partial nephrectomy, adrenalectomy, nephroureterectomy, and pyeloplasty. Western was the first clinical urology program in Canada to use the Da Vinci robot.

   Duration of Training

   The fellowship program is two years with the first year dedicated to research and the second year to clinical experience. Fellows are required to have completed a recognized Urology Residency with the appropriate certification.

   Evaluation Process
   The fellow will undergo a formal interim review at six months and at the completion of training. Objectives and goals will be reviewed and any deficiencies will be addressed.

   Percutaneous Procedures	100
   Ureteroscopy Procedures	300
   SWL Procedures	1500
   Lower Tract Procedures	200
   Robot Assisted Laparoscopic Procedures
   Pyeloplasty	15
   Radical Prostatectomy	65
   Radical Nephrectomy	30
   Partial Nephrectomy	15
   Adrenalectomy	5

   Laboratory Facilities and Research Supervision

   Currently we have two Ph.Ds working in the fields of biomaterial infection and metabolic stone disease. A newly formed Centre for Probiotics has been established at the Lawson Health Research Institute (one of our affiliated institutes). There is bench space provided for fellows. We have core lab facilities that include DNA microarrays, SELDI and MALDI proteomics, mass spectrometry, tissue culture, etc. A full animal vivarium is located on site. Additionally, London is home to the National Research Council of Canada's Integrated Manufacturing and Technologies Institute, Robarts Research Institute, and CSTAR (Canadian Surgical Technologies and Advanced Robotics). CSTAR initiative is a surgical research and education initiative that includes a state-of-the-art animal surgical facility and telecommunications centre. We currently have several collaborative projects with scientists at these institutions.
   

   Research Interests

   Dr. John Denstedt: Dr. Denstedt has a wide variety of interests including stent engineering, biomaterials, endourological management of stone disease and surgical simulation.

   Dr. Hassan Razvi: Dr. Razvi's research interests include the minimally-invasive management of prostatic disease, endourological and medical management of stone disease and prostate cancer.

   Dr. Stephen Pautler: Dr. Pautler is involved in the development of laparoscopic surgical techniques, minimally invasive urologic oncology, robotic and image registration research and kidney cancer research.

   Clinical Duties

   The fellow participates in all endourology and laparoscopy cases during their clinical year. Fellows also attend grand rounds and provide on-call coverage two weeknights per month (no weekends). The fellows also attend the metabolic stone clinic held on a monthly basis.

   Funding

   This is a fully funded position at competitive rates paid in Canadian dollars.

   Previous Graduates of the Fellowship Program

   Hassan Razvi	Professor	University of Western Ontario, London, Ontario
   Rajiv Singal	Lecturer	University of Toronto, Toronto Ontario
   Denise Arsenault	Assistant Professor	McGill University, Montreal, Quebec
   Tim Wollin	Assistant Professor,	University of Alberta, Edmonton, Alberta
   Mario Sofer	Assistant Professor	University of Tel Aviv, Tel Aviv, Israel
   Jim Watterson	Assistant Professor	University of Ottawa, Ottawa, Ontario
   Darren Beiko	Assistant Professor	Queen’s University, Kingston, Ontario
   Andrew Tan,	Consultant Urologist	University of Western Australia, Perth, Australia
   Bodo Knudsen	Assistant Professor	Ohio State University, Columbus, Ohio
   Ben Chew	Assistant Professor	University of British Columbia, Vancouver, British Columbia
   Moti (Mordechai) Duvdevani	Chief of Endourology and Lithotripsy	Hadassah Ein-Karem University Hospital, Jerusalem, Israel
   Raymond Ko	Consultant Urologist	Sydney, Australia
   Frédéric Soucy	Assistant Professor	Laval University, Quebec City, Quebec
   Geoff Wignall	Urologist	Grey Bruce Health Services, Owen Sound, Ontario

   Fellow Accomplishments

   2nd Prize, Essay Contest Award: 14th World Congress on Endourology and SWL. Razvi H, Singal RK, Lee TY, Denstedt JD, Chun SS, Mosalei H, Bennett JD, Romano W: Evaluation of doppler ultrasound and dynamic contrast-enhanced computed tomography in acute and chronic renal obstruction. 1996.

   2nd Prize, Essay Contest Award: 15th World Congress on Endourology and SWL. Wollin TA, Tieszer C, Riddell JV, Denstedt JD, Reid G: Bacterial biofilm formation, encrustation deposition and antibiotic adsorption to ureteral stents indwelling in humans. 1997.

   Clinical Prize Essay, 57th Canadian Urological Association. Watterson JD, Beiko DT, Kuan JK, Denstedt JD: A randomized prospective blinded study evaluating the acquisition of ureteroscopy skills using a computer-based virtual reality simulator: Validation of the Uromentor simulator. 2002.
   
   1st Prize, Endourology Society Basic Science Essay Contest: 20th World Congress on Endourology and SWL. Watterson JD, Cadieux PA, Beiko DT, Cook AJ, Burton JP, Harbottle R, Lee C, Rowe E, Sidhu H, Reid G, Denstedt JD, Sidhu H: Oxalate degrading enzymes from Oxalobacter Formigenes: A novel device coating to reduce urinary tract biomaterial related encrustation. 2002.

   1st Prize, Essay Contest, Texas Urologic Society annual meeting, Sedona AZ, Knudsen BE, Glickman RD, Stallman KJ, Maswaldi S, Beiko DT, Denstedt JD, Teichman JT: Comparison of Lumenus, Dornier, Innova and Optical Integrity Holmium:YAG laser optical fibers. 2003

   2nd Prize, Endourology Society Essay Contest: 21st World Congress on Endourology and SWL. Beiko DT, Watterson JD, Knudsen BE, Nott L, Pautler SE, Brock G, Razvi H, Denstedt JD: A Double-blinded prospective randomized controlled trial assessing the safety and efficacy of intravesical agents for ureteral stent symptoms following extracorporeal shock wave lithotripsy. 2003

   AUA/Yamanouchi Best Abstract Prize in the category of Stone Disease. Chew BH, Cadieux PA, Knudsen BE, Reid G, Denstedt JD, McCormack JK: Oxalate degradion by recombinant lactic acid bacteria: the basis for a new probiotic treatment of hyperoxaluira. 2005

   Third Prize, Endourology Society Clinical Essay Contest: 24th World Congress on Endourology and SWL. Duvdevani M, Razvi H, Sofer M, Beiko DT, Nott L, Chew BH, Denstedt JD: Contemporary percutaneous nephrolithotripsy - 1585 surgeries in 1338 consecutive patients. 2006

   Second Prize, New Investigator's Award, Society for Infection and Inflammation in Urology. Cadieux PA, Chew BH, Nott L, Seney S, Denstedt JD: The use of triclosan-eluting ureteral stents in long-term stented patients. 2007

   Third Prize, New Investigator's Award, Society for Infection and Inflammation in Urology. Wignall GR, Chew BH, Denstedt JD, Cadieux PA: The effects of triclosan on uropathogens sensitivity to clinically relevant antibiotics. 2007

   Best Endourology Paper, 25th World Congress on Endourology & SWL. Wignall GR, Denstedt JD, Cunningham IA: Structural and compositional stone analysis using coherent-scatter computed tomography: Early results using a novel technique. 2007

   Third Prize, Essay Contest, Northeastern Section of the American Urological Association. Ray AA, Duvdevani M, Razvi H, Denstedt JD: Percutaneous surgery for treatment-resistant biliary calculi. 2007

   First Prize, Essay Contest - Science Category, 25th World Congress on Endourology and SWL. Ko R, Cadieux PA, Dalsin JL, Lee BP, Elwood CN, Razvi H: Novel uropathogen-resistant coatings inspired by marine mussels. 2007

   The Alban Gee Memorial Prize for Best Poster Presentation, 61st Annual Scientific Meeting of The Urological Society of Australia. Ko R, Cadieux PA, Dalsin JL, Lee BP, Elwood CN, Razvi H: Novel biofilm-resistant coatings for urology inspired by Mother Nature. 2008

    

   Interested residents are encouraged to fill out and send the application form to Dr. John D. Denstedt at the above address
   
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