THE DIVISION OF UROLOGY

A full range of surgical and diagnostic urologic services are availab1e through this division. The Division of Urology interacts actively with most other adult and pediatric services at Howard University Hospital. Two full-time, eight part-time, and volunteer urologists constitute the staff.

THE DIVISION OF COLON AND RECTAL SURGERY

The Division of Colon and Rectal Surgery was formed in 1990. It provides surgical residents and medical students the opportunity to participate in the care of patients with diseases of the small intestine, colon, rectum, and anus. Special emphasis is placed on management of colorectal carcinoma, intestinal stomas (and their complications), inflammatory bowel disease, incontinence, constipation complex anal fistulae, and anal sphincter preservation. Trainees are exposed to the preoperative, operative, and post-operative management of these patients. Lower gastrointestinal endoscopy is an integral part of this rotation.

An anorectal physiology laboratory, incorporating both anal manometry and electromyography, has been established for diagnostic and therapeutic applications, and for research in anorectal physiology.

THE DIVISION OF ENDO-LAPAROSCOPIC SURGERY

This newly established division affords residency training in the areas of laparoscopy and surgical endoscopy. The division stresses the importance of competency in the performance of rigid and flexible sigmoidoscopy and colonoscopy, as well as exposure of the residents to upper endoscopy and ERCP procedures. Residents are exposed to advanced laparoscopic procedures in addition to hands on instruction and participation in commonly performed procedures such as cholecystectomy, appendectomy, and herniorrhaphy. Laparoscopic techniques are taught and refined using inanimate trainers, as well as live animal models during scheduled sessions throughout the year.