Dr. George Koch

Yeah, they definitely are.

We've talked about case songs.

We're kind of getting into education a little bit.

And education in reconstructive urology is something that I would love a career that focuses on.

You know, as someone who's been a longtime leader in GERS and, you know, the Society of Genitourinary Reconstructive Surgeons, you know, could you talk a little bit about the role that urethral reconstruction is playing in fellows training and maybe how that's changed over time with so many, like the expansion of the disease processes we see?

Well, I appreciate it.

I'm going to send this episode to my parents now.

I mean, I I certainly this is a, you know, disclosure.

This is a podcast on urethral strictures.

And I do think that urethral stricture is still kind of a campfire.

You know, it's it's.

What you have to be kind of a master of the perineum to be a reconstructive urologist, I think.

And and we're still the ones in some cases who in those penile cancer cases get called to help with, you know, urethral dissection or, you know, certainly in like the trauma cases like or the the folks who who often get called on to help with like perineal and pelvic injuries.

So I certainly think that perineal surgery and urethral surgery specifically, like I said, is like the campfire that we all kind of

that we all kind of come to a couple of times a year, but we come into it from different, from different places and different perspectives, you know, like, you know, you name a reconstructive urologist and at least from an outside perspective, I would tell you like what my thoughts are on their, on their like clinical focus and clinical volume, you know, mostly based on kind of what they publish and what they talk about, but there's a bunch of them, you know, like you said, like gender surgery, robotic surgery, transitional urology,

who does lots of abdominal stuff, who does the skin and soft tissue stuff.

I think it's like really wonderful.

And when I talk about with our residents who are hopefully all listening to this podcast and all thinking about reconstructive urology, I talk about like, I love the fact that oftentimes I get problems that like,

Maybe aren't either aren't represented on the case logs or you can't say, oh, this is a that case.

It's like a bunch of different cases and I kind of have to put it together.