Genitourinary Reconstruction


Karl J. Kreder, MD, MBA started the reconstructive urology fellowship at the University of Iowa in 1997. Since its inception, a total of 16 fellows have been trained at Iowa.  In 2014, Bradley A. Erickson, MD was named the fellowship director, and the emphasis of the program has shifted from female/male pelvic reconstruction to male pelvic reconstruction, prosthetics, and transgender surgery.  In 2018, Amy Pearlman, MD joined the faculty, providing added emphasis on men’s health and transgender care. In 2019, the University of Iowa began to offer transgender surgical care including gender affirming bottom surgery.

Goals and objectives for training

The mission of the Genitourinary Reconstruction fellowship is to provide 12 months* of intense, comprehensive clinical and surgical training in urologic reconstruction and prosthetics that prepares the fellow to meet the unique reconstructive needs of patients. The fellowship provides extensive hands-on training in the operating room, where it is expected that fellows will be able to independently perform both routine cases and cases of moderate complexity that deal with aspects of male reconstruction (e.g. urethral stricture, erectile dysfunction, stress incontinence) and general reconstruction (urinary diversion, ureteral reconstruction, surgery in previously operated/radiated fields) at program completion. The fellowship also involves training in counseling patients about transfeminine gender-affirming genital surgery.

Our fellows become proficient in the clinical work-up and management of men’s health issues by working directly with attendings, and by conducting their own, independently run clinic focused on reconstructive cases. The fellow will also receive a 1/8th appointment to the Iowa City Veterans Hospital and spends two days a month acting as the primary faculty working with PGY-6 and PGY-4 residents. Our fellows also design and conduct clinical research projects in reconstructive urology and men’s health. Further, the fellow has access to the Trauma and Urologic Reconstruction Network of Surgeons (TURNS).

*Applicants interested in a 24-month fellowship that would include 12 months of clinical and/or basic science research should alert Theresa Lent at the time of application submission.  The research year would commence in the second year of the fellowship.


Please review our basic curriculum guide.