Dr. George Koch
speaker
842 appearances
4 recordings
1 series
first heard Jan 2026
last heard 5d ago
Dr. George Koch’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 4 in all, peaking in Sep 2026 with 1.
Appearances
Oh, wonderful.
Love it.
How, you know, you talk a little bit about being at UCSF for, you know, the, the duration of your career then, and being under Dr. Mac and itch and now,
you know you yourself are a giant in reconstructive urology how have you seen your practice evolve from the early career and kind of how he practiced to kind of how you're treating patients now
Yeah, and that was one thing that I really wanted to get into as we kind of start to narrow down on urethral reconstruction is how you've seen the process or you've seen the pathways change from Dr. McInnich
to your procedures and then how you've seen them change even over the course of time.
So you feel like less, you know, it seems like it kind of went in anastomotic to buckle back to anastomotic, but without a transection.
Is that kind of what you're describing?
I mean, that was one thing I felt like Dr. Wessels kind of talked about the same progression.
You know, when I was, when I was in, I was in fellowship, maybe five years after Niels Johnson, who's one of my mentors in residency.
And even the strictures that he and I talked about fixing and fellowship were kind of very
very different.
And I think that really reflected Dr. Wessel's, Dr. Volsky leaving the practice and Dr. Wessel's also kind of talking about making some of the shifts in kind of philosophy that you're talking about.
We talked about, whereas I would look at a rug for a guy with LS and see two areas and say, I think we can get a buckle to go across both.
I specifically remember the one that got us talking about this exact
problem.
And he was like, well, you know, maybe we can do a miatoplasty or a Nikolovsky and then dilate the proximal one and kind of see if we can stop the proximal progression if we treat the miatus.
It really was a different way of thinking than I think I expected even to come into, you know, a year earlier when I transitioned from residency to fellowship.
Absolutely.
And I want to get into that a little bit later when we talk about urethroplasty research as well.
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