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Reconstructive urologic surgery fellowships at Lahey Hospital & Medical Center are designed to develop expertise in adult male reconstructive urology. We offer a one-year clinical fellowship through our Center for Reconstructive Urologic Surgery—a regional, national and international referral center focusing on disorders of the male urethra and external genitalia. 

The program is designed to provide expertise in adult male reconstructive urology including: 

  • Urethral reconstruction 
  • Hypospadias
  • Rectourethral fistula repair
  • Buried penis repair
  • Complications of gender affirming surgery
  • Peyronie’s disease
  • Genital lymphedema
  • Surgery for penile and urethral cancer
  • GU prosthetic cases (AUS, male sling, IPP)

Fellows will participate in a high volume reconstructive practice consisting of more than 300 procedures per year, including more than 150 urethral reconstructions per year. In addition to a large surgical volume, fellows will participate in a weekly reconstruction clinic gaining experience in preoperative decision making and urethral imaging.

Goals and Objectives for Training

This fellowship provides robust exposure to complex male reconstructive urologic and prosthetic surgery. The fellow will attain graduated responsibility in the operating room throughout the year. The goal of training is to obtain expertise in the pre-operative, operative, and post-operative management of adult male reconstructive urology. Additionally, clinical research, surgical education and mentoring are emphasized with the goal of training individuals for a future academic career in reconstructive urology.

Clinical Responsibilities

The fellow needs to obtain a Massachusetts medical license and will function as a clinical instructor with hospital staff privileges. The fellow will run an independent clinic approximately three days per month. The fellow will operate with Dr. Vanni three to four days per week and spend one day per week in our reconstruction clinic.


Fellows will have the opportunity to participate in clinical research through Lahey Hospital & Medical Center, as well as participate in outcomes studies with the Trauma and Urologic Reconstruction Network of Surgeons database.

Fellows will be expected to submit at least two abstracts to a regional or national meeting, and to submit at least one manuscript for peer-reviewed publication. Support is provided for travel to the annual meeting of the American Urological Association.


Fellows will supervise residents in the operating room and are expected to participate in weekly departmental conferences including morbidity and mortality, GU radiology, indications, journal club and Grand Rounds.

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To be considered for our fellowship, you must: 

  • Be eligible for medical licensure in Massachusetts prior to starting your fellowship and be a United States citizen. 
  • Complete a urologic training program accredited by the Accreditation Council for Graduate Medical Education. 
  • Complete all three steps of the United States Medical Licensing Examination.
  • Obtain three letters of support for the fellowship. One of these must be from your current program director. 

For more Information or To Apply

We participate in the AUA match for fellowships in genitourinary reconstructive surgery. Information is available on the Society of Genitourinary Reconstructive Surgeons website

For more information, please contact:

Alex J. Vanni, MD, FACS 
Reconstructive Urologic Surgery Fellowship Program Director
Phone: 781.744.8420
Fax: 781.744.5429
Email: [email protected]