Educational activities

Inpatient service

EVMS' Urology Residency, established in 1965 by reconstructive urology pioneers Charlie and Pat Devine, is designed around a single service run by chief residents at Sentara Norfolk General Hospital and Children's Hospital of The King's Daughters. Residents round on inpatient consult and surgery patients and receive assignments based on their level of experience.

In addition to general urologic surgery, residents receive significant exposure to:

  • laparoscopic radical prostatectomy
  • radical cystectomy with continent diversion
  • laparoscopic radical and donor nephrectomy
  • pelvic reconstruction for incontinence/prolapse
  • urethral reconstruction
  • microscopic infertility procedures

Residents in the first two years rotate through Naval Medical Center Portsmouth clinics. The schedule often permits residents to travel to surrounding affiliated hospitals to gain additional index case experience. Our single-service design has some advantages over strict "rotations." Residents have flexibility in their daily assignments so they can balance their case logs and their personal interests, especially in their chief year.

Outpatient service

Outpatient urology takes place at the Sentara Ambulatory Care Clinic each Thursday morning for adult care and Monday afternoons at CHKD for pediatric urology. We have an ambulatory care clinic rotation for the residents through Urology of Virginia, where the resident spends the bulk of the day in the outpatient urology offices.

Our outpatient experiences were developed to enhance the half-day clinic at Sentara Norfolk General (one half-day per week) and the limited outpatient experiences at Naval Medical Center Portsmouth, as well as to broaden the populations residents serve. Once a month, residents will work with Dr. Brugh to evaluate complex infertility cases.

Weekly meetings

  • Monday morning Interesting Case and X-Ray Conference: Residents present an upcoming case or cases which are particularly interesting with appropriate X-rays and lab values. Interesting and difficult cases in the hospital are discussed with regard to future management.
  • Monday afternoon Core Curriculum: The core curriculum is a 24-month review of Campbell’s Urology. A resident, with attending assistance, will present certain topics using the American Urological Association Core Curriculum.
  • Thursday morning Grand Rounds: The chief resident organizes this series, which varies from attending lectures, visiting professor lectures and morbidity and mortality conferences to pathology case review.

Journal clubs

  • White journal club: Residents meet monthly to review important articles in the Journal of Urology.
  • Topic-oriented journal club: Once per month from September through May, a staff member or invited guest organizes a journal club focused on 8-10 important articles in topics such as oncology, benign prostatic hyperplasia, infertility and incontinence.

We also have a visiting professor four times per year, i.e., January, April, June and September.

Mission trips

Our residents have international opportunities for outreach, volunteering in:

  • Monterrey, Mexico
  • San Fernando, Trinidad
  • Kingston, Jamaica
  • Communities in the Dominican Republic
  • Dakar, Senegal
  • Harare, Zimbabwe

Resident research

Our residents participate in clinical research opportunities in fields, such as urologic oncology, robotic surgery, reconstructive surgery and more.

Resident research activity in the last three years has included manuscript preparation, lectures, teaching activities, abstracts and active performance of research or participation in clinical studies and reviews.

Chesnut – Buccal mucosal graft augmented anastomotic urethroplasty for anterior urethral strictures: long-term outcomes from two international institutions, January 14-18, 2015, 62nd Annual James C. Kimbrough Urological Seminar, Sheraton Harbor Island, San Diego, CA

Allemang – Initial effectiveness of Fortesta testosterone 2% gel among hypogonadal men January 14-18, 2015, 62nd Annual James C. Kimbrough Urological Seminar, Sheraton Harbor Island, San Diego, CA

Stromberg – Preoperative factors identifying patients with high risk clinical gleason score 8-10 prostate cancer who are downgraded at time of radical prostatectomy, January 14-18, 2015, 62nd Annual James C. Kimbrough Urological Seminar, Sheraton Harbor Island, San Diego, CA

Zuckerman, JM, McCammon, KA – Stress urinary incontinence, male. In The 5-Minute Urology Consult Third Edition, pp 478-479, (ed) L.G. Gomella, Wolters Kluwer Health, Philadelphia, 2015

Nielsen M, Zuckerman J, Virasoro R, Tonkin J, DeLong J, and McCammon – Gender differences in urinary both her due to stress urinary incontinence – non-moderated poster session, February 24-28, 2015, SUFU winter meeting, Scottsdale, Arizona

Jack Zuckerman, Jeremy Tonkin, Ramon Virasoro, Kate Smentkowski, David Gilbert, Kurt McCammon – moderated poster – topic - Penile prosthesis placement in patients with a history of total phallic construction, May 15-20, 2015, Annual AUA meeting, New Orleans, LA

Matthew Ingham, Arjun Poddar, Mark Shaves, Michael Fabrizio, Raymond Lance, Robert Given, Kurt McCammon, Paul Schellhammer, Michael Williams presented Prospective Quality of Life Impact Analysis Following Localized Prostate Cancer Treatments: Brachytherapy, Cryotherapy, and Radical Prostatectomy Long-Term Follow-Up. May 15-20, 2015, Annual AUA meeting, New Orleans, LA

Ramon Virasoro, Oscar Storme, Kenneth DeLay, Jeremy Tonkin, Jack Zuckerman, Kurt McCammon, Gerald Jordan – moderated poster – topic - Corporoplasty with small intestine submucosa in patients with Peyronie’s disease, May 15-20, 2015, Annual AUA meeting, New Orleans, LA

Matthew Ingham, Ahmed El-Shafei, Robert Given, Stephen Jones presented Outcomes of Salvage Prostate Cryoablation After Primary External Beam Radiation or Brachytherapy: Is There a Difference?, May 15-20, 2015, Annual AUA meeting, New Orleans, LA

Zuckerman JM, Smentkowski K, Gilbert D, Storme O, Jordan G, Virasoro R, Tonkin J and McCammon K – Penile prosthesis implantation in patients with a history of total phallic construction. J Sex Med 12:2485-2491, 2015.

Matthew Ingham, Arjun Poddar, Mark Shaves, Michael Fabrizio, Raymond Lance, Robert Given, Kurt McCammon, Paul Schellhammer, Michael Williams – Prospective quality of life impact analysis following localized prostate cancer treatments: brachytherapy, cryotherapy, and radical prostatectomy long-term follow-up, October 22-24, 2015, 73rd Annual Mid-Atlantic Section Joint Meeting with New England Section of the AUA, Atlantis Paradise Island, Bahamas

Matthew Nielsen, Erin Glace, Kurt McCammon. Subjective clinical effectiveness of percutaneous tibial nerve stimulation: a single center experience, October 22-24, 2015, 73rd Annual Mid-Atlantic Section Joint Meeting with New England Section of the AUA, Atlantis Paradise Island, Bahamas

Matthew Ingham, Poddar A, Shaves M, Fabrizio M, Lance R, Given R, McCammon K, Schellhammer P, Williams M – Poster Session II – Prospective quality of life impact analysis following localized prostate cancer treatments: brachytherapy, cryotherapy, and radical prostatectomy long-term follow-up, December 2-4, 2015, SUO meeting, Washington, DC

Travis C. Allemang, MD, Michael B. Williams, MD, Shilpa Katta, Gyorgy Petrovics, PhD, Isabell A. Sesterhenn, MD, Shiv Srivastava, PhD, David G. McLeod, MD, Inger Rosner, MD, and Albert Dobi, PhD, Prostate cancer gene expression signatures associated with seminal vesicle invasion and biochemical recurrence after radical prostatectomy, January 13-17, 2016, 63rd Annual James C. Kimbrough Urological Seminar, San Antonio, TX

Lt. Paul D. McClain, MD, Lt. Mark Steinmetz, MD, Lt. Travis Allemang, MD, Cdr. R. Chanc Walters, MD – Testosterone replacement among hypogonadal men – differences between urologic and endocrinologic care, January 13-17, 2016, 63rd Annual James C. Kimbrough Urological Seminar, San Antonio, TX

Lt. Ines Stromberg, USN, MD, Cdr. R. Chanc Walters, USN, MD – Does additional patient reminders optimize clinical schedules? A retrospective study in a military urology practice, January 13-17, 2016, 63rd Annual James C. Kimbrough Urological Seminar, San Antonio, TX

Matthew Nielsen, MD, Erin Glace, MSPT/PRPC, and Kurt McCammon, MD – Myofascial Trigger Point Dry Needling for Pelvic Pain and Urinary Symptoms: An Initial Single Center Experience, Podium Session, February 23-27, 2016, SUFU winter meeting, New Orleans, LA

Jessica Delong, MD, Robert Strehlow, MD, Matthew Ingham, MD, Jeremy Tonkin, MD, and Kurt McCammon, MD – Is Periurethral Injections of Macroplastique a Viable Option for Patients with Post-Prostatectomy Urinary Incontinence?, Non-Moderated Poster Session, February 23-27, 2016, SUFU winter meeting, New Orleans, LA

Shepler R, Zuckerman JM, Troyer D, Malcolm JB. Robotic-assisted laparoscopic partial cystectomy for symptomatic urachal hamartoma. Turk J Urol 2016 March; 42(1):44-7

Allemang TC, Malcom JB, Suarez OA, Kelly DC and McCammon KA – Robotic assisted laparoscopic vesicourethral stricture excision and anastomosis, May 6-10, 2016, AUA Annual meeting, San Diego, CA

Allemang TC, Williams MB, Katta S, Petrovics G, Rosner I and Dobi A – Prostate cancer gene expression signatures associated with capsule and seminal vesicle invasion and biochemical recurrence after radical prostatectomy, May 6-10, 2016, AUA Annual meeting, San Diego, CA

Nielsen MA, Glace E, McCammon KA – moderated poster - Myofascial trigger point dry needling for pelvic pain and urinary symptoms: an initial single center experience, October 6-9, 2016, Mid-Atlantic Section of the AUA Annual meeting, Hot Springs, VA

Strehlow R, Virasoro R, Storme O, Tonkin J and McCammon KA – podium presentation- Use of intralesional collagenase clostridium histolyticum injection therapy for Peyronie’s disease: results from the private practice setting, October 6-9, 2016, Mid-Atlantic Section of the AUA Annual meeting, Hot Springs, VA

Stromberg I and Walters C - display poster - Effects of reminder phone messaging on improving patient adherence to clinic appointments in a military subspecialty clinic, October 6-9, 2016, Mid-Atlantic Section of the AUA Annual meeting, Hot Springs, VA

Strehlow R, Tonkin JB, Zuckerman JM, Goodwin J, Virasoro R and McCammon KA – Scientific Session III - Resident Prize Essays - Liposomal bupivacaine to control post-operative pain following buccal mucosal graft harvesting: short term results from a randomized controlled trial, October 6-9, 2016, Mid-Atlantic Section of the AUA Annual meeting, Hot Springs, VA

Brandon A, Ingham MD, Williams MB, Fabrizio MD – Quality of life evaluation: what is published and practical for routine use. In: Robot-Assisted Radical Prostatectomy: Beyond the Learning Curve. 1st edition, Chapter 18. (ed) JW Davis, publisher – Springer. October 9, 2016

Zuckerman JM and McCammon KA – Rectourethral fistula, Chapter 8, In JS Sandhu (Ed), Urinary Dysfunction in Prostate Cancer, Springer International Publishing, Switzerland 2016.

Zuckerman, J.M., McCammon, K.A. – Penile Vascular Surgery, Chapter 70, In S.D. Graham and T.E. Keane (Ed.), Glenn’s Urologic Surgery, 8th edition, Wolters Kluwer, Philadelphia, PA, 2016

Edwards B, Virasoro R. – Surgical Treatment of Peyronie’s Disease, Chapter 67, In S.D. Graham and T.E. Keane (Ed.), Glenn’s Urologic Surgery, 8th edition, Wolters Kluwer, Philadelphia, PA, 2016

Stromberg & Walters - talk - Is strict morphology an appropriate measure of sperm quality after vasectomy reversals? – Session I – Residents Competition, January 11-15, 2017 - 64th Annual James C. Kimbrough Urological Seminar, San Diego, CA

McClain, Wang, Given – talk - Impact of prostate cancer therapy on urinary incontinence and quality of life – Session VII – Residents Competition, January 11-15, 2017 - 64th Annual James C. Kimbrough Urological Seminar, San Diego, CA

Nielsen, Gresham, Glace, Anderson, McCammon – Physical therapy for pelvic pain and orchialgia in men – non-moderated poster session, February 28-March 4, 2017 - SUFU winter meeting, Scottsdale, AZ

McClain – Impact of prostate cancer therapy on urinary incontinence and quality of life, poster presentation - March 17, 2017 – 32nd Annual Academic Research Competition, Awarded 2nd place - Naval Medical Center Portsmouth

Nielsen – Physical therapy for orchialgia – podium session - May 12-16, 2017 – AUA Annual meeting, Boston, MA

Strehlow – AUA National Chief Resident Debate – May 12-16, 2017 – AUA Annual meeting, Boston, MA

Smentkowski – Comparison of outcomes between ulnar and radial free flaps for neophallus construction – moderated poster - May 12-16, 2017 – AUA Annual meeting, Boston, MA

Smentkowski/McClain – Impact of Prostate Cancer Therapy on Urinary Incontinence and Quality of Life – moderated poster - May 12-16, 2017 – AUA Annual meeting, Boston, MA

Wang – AiRSTRiP – An Acute Rapid Stone Treatment Pathway to Reduce Treatment – moderated poster - September 12-16, 2017 - 35th World Congress of Endourology, Vancouver, Canada

McClain P – Quality of Life after Surgery for Localized Prostate Cancer – Resident Forum - October 19-22, 2017 - 37th Congress of the Societe Internationale d’Urologie (SIU), Lisbon, Portugal

McClain – Quality of Life after Surgery for Localized Prostate Cancer - January 10-14, 2018 - 65th Annual James C Kimbrough Urological Seminar, Scottsdale, AZ

Roger – Fibroepithelial vaginal polyps in a newborn female - January 10-14, 2018 - 65th Annual James C Kimbrough Urological Seminar, Scottsdale, AZ

Nielsen – Posterior tibial nerve stimulation: identification of prognostic factors for successful outcomes - Non-Moderated Poster - February 27-March 3, 2018 - SUFU winter meeting, Austin, TX

Nielsen – Physical therapy for orchialgia: treatment modalities – Non-Moderated Poster - February 27-March 3, 2018 - SUFU winter meeting, Austin, TX

Nielsen – Trigger point dry needling as a treatment for orchialgia– poster - March 1-3, 2018 - Mid-Atlantic AUA meeting, Amelia Island, FL

Nielsen – Physical therapy for orchialgia: treatment modalities - poster - March 1-3, 2018 - Mid-Atlantic AUA meeting, Amelia Island, FL

Roger – Fibroepithelial Vaginal Polyps in a Newborn Female – poster – March 23, 2018 - Academic Research Competition, Naval Medical Center Portsmouth, VA

McClain – Quality of Life after Surgery for Localized Prostate Cancer, moderated poster - May 18-21, 2018 - Annual AUA meeting, Moscone Center, San Francisco, CA

Nielsen – Trigger Point Dry Needling as a Treatment for Orchialgia – podium – May 18-21, 2018 - Annual AUA meeting, Moscone Center, San Francisco, CA

Nielsen – Physical Therapy for Orchialgia Effective in Previously Treated Patients – podium - May 18-21, 2018 - Annual AUA meeting, Moscone Center, San Francisco, CA