Dr. George Koch

Or, you know, I talked with with Rachel Mann about I think one of the coolest things about about reconstructive urology is that you.

You may train in one place, then you get a job somewhere else and those just aren't the patients you see.

You know, it's really like your disease processes and your patients that kind of guide what you end up being an expert in and being a reconstructive urologist to treat.

I also like love that and the creativity that kind of goes into it.

I love camping.

Yeah.

Well, I think that, and maybe it's a, some sort of Venn diagram and like the personality of a reconstructive urologist, but you know, you see Dr. Meyers like on his hikes and all the time as well, you know?

But maybe there's, maybe there's some sort of camping thing.

Maybe the next, you know, maybe the next GERS doesn't, shouldn't be in a major city, but it should be like...

why have a ski meeting we got to do a camp meeting exactly exactly george what an idea that would be fun i i'm already worried that that you're gonna next like tap me to organize it but it would be it would certainly be fun to go to

So one thing that that is is something that I struggle with and and think about a lot as we talk about the complexity of cases and what constitutes reconstruction.

And I always go back to, you know, for us,

urologists in general.

The AUA, I've heard the stat that 65% of counties in the US don't have a urologist.

There's a shortage of urologists.

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.