Dr. George Koch

speaker

842 appearances 4 recordings 1 series first heard Jan 2026 last heard 6d ago

Dr. George Koch’s voice in public audio — every appearance, attributed to the second.

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recordings per month · last 12 months

Recordings per month over the last 12 months — 4 in all, peaking in Sep 2026 with 1.

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BackTable Urology · Ep. 289 Insights into Urethroplasty & Reconstructive Care with Dr. Benjamin N. Breyer · 10 Feb 2026 podcast

We're training more reconstructive urologists than we used to.

There are 30 fellowships where there used to be 12, but we're still short on reconstructive urologists.

So I'm always thinking when I'm teaching some of these techniques, and especially urethroplasty,

can i do i think i can get my chief residents to be able to graduate being able to do a urethroplasty which i know is is a controversial thought like you know is it a subspecialty case is a is a you know a straightforward epa or bulbar urethroplasty like is that something that that a private practice urologist or a non-sub specialty trained urologist should be doing for patients or should they be referring them you know the guidelines they are

I think generously they say that, you know, people doing urethroplasty should be able to do urethroplasty and comfortable with urethroplasty.

I don't think they necessarily say we have to be subspecialty trained.

So I'm rambling a little bit, but I'd love your thoughts on like where residents factor into the more of these complex cases and if urethral reconstruction is something that they should be exposed to or should they be working towards competency or is it somewhere in the middle?

I'd love your thoughts on it.

Yeah, that's a good point and kind of,

Being able to troubleshoot, I think, is the difference between doing a straightforward case and maybe like outkicking your coverage is like, you know, all of a sudden this case ended up being very different than what I thought it was going to be.

And I've already passed a point where we now have to complete the anastomosis.

You know, like this has to be done.

Yeah, yeah, three in just the last 18 months for us.

Yeah, it's incredible.

It is certainly growing.

And the increase in fellowships, I mean, that certainly has helped.

But that is the thought that I kind of always have when I'm looking at the resident that's operating with me is like, do I think I can get this person to the point where they could do what we're doing today?

As you're doing that, you know, and your practice is obviously different than mine, both in your experience and you have a fellow kind of taking on, I'm sure, some of the teaching burden, even while they're also learning.

But are you... I wonder, like...

Do you have a curriculum that you follow?

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