Genitourinary Reconstructive Surgery (GURS) Fellowship

Mount Sinai Medical Center, Miami Beach
Fellowship Director: Dr. Billy Cordon
Core Faculty: Dr. Michaela Sljivich, Dr. Scott Polackwich

Position Summary

The Mount Sinai Medical Center GURS Fellowship is a 1-year, high-volume, advanced surgical training program in male genitourinary reconstruction. The fellow will train directly with Dr. Billy Cordon, Dr. Michaela Sljivich, and Dr. Scott Polackwich, gaining comprehensive expertise in urethral reconstruction, prosthetics, trauma reconstruction, genital surgery, men’s health, robotic reconstruction, and upper tract reconstructive surgery. The fellow will function with autonomy expected of a junior attending, with graded independence in the OR, and clinic. Additionally the fellow will be expected to complete research projects during their time here.

Core Clinical Responsibilities

Reconstructive Urethral Surgery

Anterior and posterior urethroplasty
Radiation-induced strictures
Anastomotic, augmented, and staged repairs
Buccal mucosal graft harvests
Reconstruction after trauma, pelvic fracture, or iatrogenic injury
Rectourethral fistula repairs
Gracilis Flap Harvest

Male Incontinence & Prosthetic Surgery

Artificial urinary sphincter (AUS)
Male urethral sling surgery
Inflatable penile prosthesis (IPP) placement, revision, and salvage
Management of prosthetic complications
Complese revision prosthetic cases

Genital & Penile Reconstruction

Peyronie’s disease surgeries (plication, grafting, IPP with corrective procedures)
Penile trauma repair
Buried penis repair (simple and complex)
Scrotal and perineal reconstruction
Split-thickness grafting

Trauma & Emergency

Urologic trauma evaluation and management
Penetrating trauma to urethra, penis, scrotum, and bladder
Blunt trauma to GU organs
Posterior urethral distraction defects
Testicular rupture, torsion, and high-acuity genital injuries
Priapism Management

Robotic & Upper Tract Reconstruction

Robotic Reconstructive Surgery

Robotic ureteral reconstruction (simple & complex)
Robot-assisted ureteral reimplantation
Robotic pyeloplasty (primary and redo)
Robotic ureterolysis for retroperitoneal fibrosis
Robotic ureteral stricture repairs with buccal graft
Robotic ureteral reconstruction after iatrogenic or radiation injury

Upper Tract Reconstruction

Ureteral stricture evaluation and management
Endoscopic vs. reconstructive decision-making
Complex Ureteral Reconstruction Robotic vs Open

Men’s Health & Andrology

Erectile dysfunction management
Hypogonadism and testosterone therapy
Aesthetic and functional genital procedures

Operative Expectations

Fellow will focus on reconstructive operative procedures.
Fellow will operate 3-4 days per week.
Will need to meet GURS requirements and submit case logs at 6 months and 12 months.
Fellow will function as a junior faculty

Outpatient Responsibilities

Fellow will spend 1 to 2 days a week in clinic
Will work up reconstructive patients from preop to postop and will learn to follow reconstructive patients longitudinally.
Fellow will become proficient in various outpatient proceudres including: RUG, VCUGs, UDS, Penile dopplers, Xiaflex injections, TRUS, dilations

Research & Academic Duties

The fellow will have dedicated research time ½ day per week (Tues/Wed afternoons)
Completion of at least one manuscript suitable for publication
Presentation of work at AUA, GURS, SMSNA, or other national meetings
Participation in outcomes research and clinical databases
Teaching residents and medical students

Call & Coverage

Will enter the faculty call pool and take primary faculty call.
If available will cover trauma/reconstructive call.

Teaching Responsibilities

Hands-on teaching in OR, clinic, and simulation labs
Resident and medical student instruction in reconstructive techniques

Professional Development

The fellow will graduate with mastery in:

Complex urethral reconstruction
High-level prosthetic and incontinence surgery
Robotic and open upper tract reconstruction

Will have honed skills in : Speaking, presenting research projects, and writing manuscripts

Qualifications

Completion of an ACGME-accredited urology residency
Eligibility for unrestricted Florida licensure
Demonstrated interest in reconstructive urology and robotics
Professionalism, maturity, and strong surgical skill

Application Process

Participates in the AUA Fellowship Match (beginning 2027 cycle)
Requirements:
- Register for the GURS match
- CV
- Three letters of recommendation (including PD)