What does it take to build a successful reconstructive urology practice while balancing the worlds of academia and private practice? In this episode of BackTable Urology, reconstructive urologist Dr. Lucas Wiegand joins host Dr. Jose Silva to explore his career journey from training at the University of South Florida and fellowship at Washington University, to establishing his practice at Orlando Health.
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SYNPOSIS
Dr. Wiegand shares insights on the evolution of robotic surgery, from laparoscopic to single-port systems, and how these advances have improved patient recovery and expanded the possibilities for outpatient care.
The conversation also dives into the shifting boundaries between academic and private practice, the growing demand for reconstructive urology, and practical advice for residents considering fellowship training. Dr. Wiegand emphasizes the enduring value of subspecialty education, the increasing recognition (and even financial premium) placed on fellowship training, and the importance of continuous learning, collaboration, and patient-centered care.
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TIMESTAMPS
00:00 - Introduction
03:12 - Robotic Surgery in Urology
04:08 - Choosing a Fellowship
07:18 - Single Port Robotics
11:36 - Open vs. Robotic Surgery
24:33 - The Growing Demand for Urologic Care in Florida
27:53 - Building a Reconstructive Urology Practice
32:48 - The Role of Fellowship in Reconstructive Urology
36:46 - Staying Current and Engaged Post-Residency
42:19 - Final Thoughts and Contact Information