Final Report of Dr. Gerard Christian Valme



Thanks to Project Haiti and the Endourological Society, I was very fortunate to come to India for a fellowship at Muljibhai Patel Urological Hospital. Two years ago, I had the pleasure to meet Dr. John Denstedt during a PCNL workshop organized by Dr. Henri Lanctin in Port-au-Prince, Haiti. When I shared my interest and passion for stone management, Dr. Lanctin assured me that MPUH was the place to be and Dr. Denstedt personally contacted Dr. Mahesh Desai, making that dream become a reality.

MPUH is the first hospital in India that is devoted entirely to Nephrology and Urology. It provides optimal and affordable care to local but also to patients from around the world. It is also known for its residency, research and fellowship program.

Even though I came to India to learn PCNL, I soon realized that MPUH had so much more to offer. While my main focus remained on stone management, I was able to participate in most of the hospital daily activities consisting of ward rounds, outpatient clinics, operating theatre sessions and academic meetings. The latter included uropathology, transplant and tumor board meetings. In the outpatient department, I had the opportunity to work with the residents and be trained in urodynamics and genitourinary ultrasound scans.

JPAC which is the academic wing of the institution became my second home based on the amount of time spent there. I devoted a lot of hours learning and improving my endourological and laparoscopic skills on models and animals. With the help and dedication of Dr. Ankit Pal, I routinely worked on simulation models such as the Beatle trainer, the Apple TURP, the Uro Karl Storz TURP, the 3D printed kidney model and the percutaneous puncture simulation model. The last one was particularly helpful because of my interest in PCNL.

In the operation theatre I had the opportunity to observe a lot of cases such as laparoscopic, endourologic, robotic assisted and open surgeries. I observed but also scrubbed and participated in some PCNL cases. Watching Dr. Sabnis and Dr. Desai perform PCNLs and mini-percs was amazing and very instructive. During my stay in Nadiad, to my great satisfaction, I was able to observe and participate in approximately 1362 cases including 200 PCNLs and Minipercs.

From July 2nd to July 29th, I was fortunate to be trained in laparoscopy. Daily lectures were given by Dr. Ganpule, Dr. Abhishek, Dr. Sudharsan, Dr. Mohan and Dr. Gopal. Chicken pyeloplasties were done in wet lab under the supervision of Dr. Ankit Pal. Dr. Mahesh Desai also took some time from his very busy schedule to lecture us on percutaneous nephrolithotomy. Being able to listen and learn from Dr. Desai’s extensive knowledge and experience on PCNL was incredible and very enlightening.    

From July 28th to July 29th, I attended a conference on complications in urology: “Dilemmas and Solutions” at JPAC in Nadiad. In attendance were past presidents of SIU and some famous urologists like Dr. Sanjay Kulkharni from Pune, Dr. Shailesh Shah from Ahmedabad, Dr, Ajay Kumar from Patna, Dr. Ravindra Sabnis and Dr. Mahesh Desai from Nadiad. To attend such a conference and be among those distinguished surgeons was an honor. On August 11th 2018, I also attended a conference in Vadodara on “New Frontiers of Uro-Oncology” organized by HCG Cancer Centre.   

I’m very grateful to Dr. Desai, Dr. Sabnis, Dr. Denstedt and Dr. Lanctin for such a great opportunity. Special thanks to Project Haiti and the Endourological Society for enabling me to travel to India. It was a great experience to spend 6 months at MPUH, a state of the art hospital, to learn and to be trained in endourology and PCNL. Living so far, for so long away from my family was very challenging but at the end very rewarding.

Dr. Gerard Christian Valme

Urology Fellow