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I'm Shubham Gupta. I'm an assistant professor of Urology in the Department of Urology here at the University of Kentucky. My practice focuses on reconstructive urology and cancer survivorship, which is a mouthful, but the cancer survivorship part of it is patients who have had cancer and treatment for cancer, and they're doing fine from that.
So they've had the cancer removed or radiated, but now they have complications from that treatment itself.
Women with cervical cancer will have issues with their bladder after radiation for that, men with prostate
cancer will have leakage of urine
after prostate removal. So we are able to
perform the entire breadth and spectrum
of survivorship care to these patients
who have had issues with genitourinary
malignancies in the past. So that is one
aspect of it. The other aspect of my
practice is reconstructive urology, which
is, to put it in very simplistic terms--
it's like plumbing: if your plumbing is
blocked you can remove the bad stuff and
put good things back together and that's
really what I do, which is different from
oncology. If you have a diseased portion
or diseased organ you remove it; our job
is more to reconstruct it. So within
urology, it's a very small
niche, and we are the only center in the
entire state that provides these
services. Some of the complicated
operations and procedures we do are
things like urethraplasty. A urethraplastcy is an open reconstruction of
the urethra tube that men pee out of. I'm
the only person in the entire state that
does it as well as I do with the volumes
that we have. I have patients who come in
from Western Kentucky, Northern Tennessee,
Southern Ohio, Indiana, West Virginia to
try and get that operation done here. The
other thing is that a lot of other
centers, like Cleveland Clinic, that do
this operation keep patients for two or
three days after surgery. Our outcomes, we think, are so great that we are able to send patients home the same day with excellent short-term as well as long-term results.
One of the other operations that I do very well, I think, is the treatment of Peyronie's disease, which is abnormal curvature of the penis.
It is something that affects one out of ten men. Men don't really want to talk about it because it can be a little embarrassing, but our center is the only center in the entire state that offers five different treatment options for Peyronie's disease, and we've had excellent outcomes with it, and I think over the last three years we've we've treated upwards of a hundred men, if not more, with Peyronie's disease.