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Welcome to the University Hospitals Urology Institute at Cleveland Medical Center and the Case Western Reserve University Department of Urology.

I am very fortunate to lead the Urology Institute which has a rich tradition of excellence in patient care, research and postgraduate training. It is an honor to build upon the foundation of this historic program established by Dr. Lester Persky and Dr. Marty Resnick.

We have experienced significant growth over the past year with five new urologists hired for strategic roles throughout our regional system. We welcome Dr. Ehud Gnessin, an expert in the area of HOLEP and complex stone disease; Dr. Kiranpreet Khurana, an expert in the area of infertility, genitourinary reconstruction, and men’s health; Dr. Irina Jaeger, an outstanding general urologist to develop our program at our flagship East region hospital, Ahuja Medical Center; Dr. Kim Fitzgerald to lead our efforts at the Bedford/ Richmond hospitals in the Eastern region, and Dr. Allan Love to provide coverage for our West region at St. John Medical Center.

The Urology Institute continues to be a leader amongst Urology departments across the country with the amount of NIH, VA, and extramural research funding. Dr. Sanjay Gupta leads this effort. We recently hired Dr. Magda Grabowska from Vanderbilt University who is an NIH funded investigator in the area of castration resistant prostate cancer. Our clinical research also remains very productive as evidenced by last year’s AUA national meeting where Department faculty and residents had 26 different abstracts and presentations accepted.

Translational research remains very active and a high priority for the Institute. We started our new prostate program where novel MRI techniques are used to identify and localize prostate cancer not easily identified with conventional ultrasound imaging. We have also developed techniques to perform in gantry MRI guided prostate biopsy which promises to reduce the number of unnecessary biopsies and identify lethal versus indolent cancer. Dr. Lee Ponsky directs these efforts for the Urology Institute in close collaboration with NIH funded radiologist, Dr. Vikas Gulani. Translational research in the area of urinary incontinence and pelvic floor dysfunction is led by Dr. Adonis Hijaz. Research by Dr. Hijaz’s team has shown that the use of patient derived stem cells can correct certain forms of urinary incontinence. Furthermore, the group has also developed a proprietary biodegradable mesh which avoids the complications associated with conventional synthetic mesh used to correct female related urinary incontinence.

The residency training program remains strong under the guidance of Dr. Ed Cherullo and Dr. Lynn Woo. We still retain the protected year of research where residents are encouraged and supported to pursue hypothesis-generated ideas with faculty mentorship and guidance. The diversity of training remains amongst the best offered in the country with rotations at University Hospitals, the Cleveland VA (third largest in the United States), the Cleveland Clinic, Southwest Urology independent practice group, MetroHealth Medical Center (County hospital), and an international one month rotation in Chile. University Hospitals is now a level one trauma center, so the opportunity to diagnose and manage patients with genitourinary trauma in both an acute and delayed setting is another added feature of the training program. We are also proud to note that two of our most recent training graduates accepted faculty appointments at academic teaching hospitals, and two of this year’s chief residents plan to do fellowship training next year in the pursuit of an academic career.

We continue to offer the most advanced robotic and laparoscopic approaches for all genitourinary malignancies. We have developed enhanced recovery protocols for our genitourinary oncology patients in order to improve perioperative outcomes, reduce hospital stay, and decrease readmissions. The Urology Institute’s Center for Outcomes Research and Quality Improvement, which focuses on comparative effectiveness research dedicated to improving the processes of care and health outcomes for patients diagnosed with urologic diseases, continues to grow. The group uses administrative data and patient-reported outcomes to improve the quality of urologic care, and address health care disparities for vulnerable populations with cancer. Dr. Robert Abouassaly and Dr. Simon Kim lead these efforts. Dr. Kim continues to remain funded with NIH R01 and Conquer Cancer Foundation awards.

The pediatric urology division provides state of the art family centered care for children and adolescents with congenital and acquired conditions of the kidneys, bladder and genitalia. We have a comprehensive voiding dysfunction program employing minimally invasive diagnostic and treatment modalities including an effective biofeedback program and Botox bladder injections for complex voiding problems. We also have an active minimally invasive program including robotic surgery for urinary tract reconstruction and endoscopic management for urinary tract stones, vesicoureteral reflux and congenital obstructions in infants. The pediatric urology division participates in national collaborative studies of pediatric genitourinary cancers including Wilms tumor, bladder tumors, and testicular tumors. Dr. Jonathan Ross and Dr. Lynn Woo lead these efforts.

The Urology Institute offers genitourinary reconstruction for men with urethral stricture, hypospadias, pelvic trauma, concealed penis, and urethral fistula. Surgical expertise is also now available for men with erectile dysfunction as a result of curvature or scarring of the penis, a condition known as Peyronie’s disease. We also offer placement of inflatable penile prostheses for men who have failed other forms of treatment for erectile dysfunction. Dr. Chris Gonzalez leads the development of this program, and our newest urologist, Dr. Kiranpreet Khurana, will organize and lead a multi-disciplinary Men’s Health Center for the University Hospitals network across the region.

The Urology Institute at University Hospitals Case Western Reserve University continues to provide outstanding patient care, urologic training, and translational research. Our new affiliation agreement with Case Western Reserve University will allow us to continue our 100 plus year relationship with the school and will allow us to expand on academic opportunity around the region and nationwide. Please do not hesitate to contact me or visit us here in Cleveland.


Chris M. Gonzalez, MD MBA FACS
Lester Persky Professor and Chairman
Case Western Reserve University
Department of Urology
Director, UH Urology Institute

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Chris M. Gonzalez, MD, MBA, FACS

Lester Persky Professor and Chairman
Case Western Reserve University School of Medicine
Director, UH Urology Institute
Department of Urology
University Hospitals Cleveland Medical Center
Cleveland, Ohio