Dominican Republic
PFP has created the first reconstructive urology fellowship in the Dominican Republic to improve outcomes in urological care in a country where currently there are no urologists with formal training in reconstructive surgery

Worldwide, trauma is currently the sixth leading cause of death, accounting for 10% of mortalities [1], and the urogenital system has consistently been shown to be involved in 10% of patients presenting after trauma and is therefore a significant factor in trauma-induced morbidity and mortality.[2]

One of the urogenital diseases treated through reconstructive urology surgery is urethral strictures.   The Dominican Republic (DR) has high rates of trauma (ranks 2nd in the world in fatalities from traffic accidents [3]) and subsequent urethral injury.  Unfortunately, there are no urologists with formal training in reconstructive surgery in the country.

In cooperation with local organizations and committed International Medical Educators (IMEs), Physicians for Peace has established the first accredited reconstructive urology fellowship to improve outcomes in urological care in the Dominican Republic.

[1] Smith, J., Greaves, I., Porter, K. Major trauma, 1 publ. edition. Oxford (United Kingdom): Oxford University Press, 2010 [p. 1].
[2] Shewakramani, S., Reed, K.C. Genitourinary trauma.  Emerg Med Clin North Am. 2011;29(3):501-518
[3] World Health Organization, “Global Status Report on Road Safety 2013.

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    Dr. Wellington Ledesma is an attending urologist working in the public hospitals of the Dominican Republic. An enthusiastic and thoughtful scholar, he attended all four of the adult urology surgical training missions led by Physicians for Peace in the Dominican Republic since 2013.