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Skills and Procedures Form - Urology
Procedures
Please list the approximate number performed within the past 24 months
General
Routine endoscopy
Advanced endoscopy techniques
Adrenalectomy
Pelvic exenteration
Radical retroperitineal dissection
Fertility work-up male
Fertility work-up female
Vasectomy
Transuretheral surgery
Penile prosthesis
Adult hernias
Pediatric general
Pediatric advanced developmental
Ultrasonograpgy
Laproscopic surgery
Renal transplant surgery
ESWL
Other
Laser Certification
Argon
KTP
YAG
Other
Please list any limitations or comments on information provided above:
I affirm that all information provided on this page is true and accurate.
*
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Date
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