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  • Urology

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    rikasusanti101001201
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    This document discusses urological surgery and training. It describes urological surgery as dealing with surgical pathology of the kidneys, ureters, bladder, and other genitourinary organs. It notes that prostate cancer is the most common male cancer and bladder cancer is the fourth most common. The document outlines urological oncology procedures and endourology procedures for treating conditions like stones. It provides information on current and needed urology resources in Ireland and describes the urology training pathways in the UK and Ireland.

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    BAHAN KULIAH UROLOGY

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    This document discusses urological surgery and training. It describes urological surgery as dealing with surgical pathology of the kidneys, ureters, bladder, and other genitourinary organs. It notes that prostate cancer is the most common male cancer and bladder cancer is the fourth most common. The document outlines urological oncology procedures and endourology procedures for treating conditions like stones. It provides information on current and needed urology resources in Ireland and describes the urology training pathways in the UK and Ireland.

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    © All Rights Reserved
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    561 tayangan13 halaman

    Urology

    Diunggah oleh

    rikasusanti101001201
    This document discusses urological surgery and training. It describes urological surgery as dealing with surgical pathology of the kidneys, ureters, bladder, and other genitourinary organs. It notes that prostate cancer is the most common male cancer and bladder cancer is the fourth most common. The document outlines urological oncology procedures and endourology procedures for treating conditions like stones. It provides information on current and needed urology resources in Ireland and describes the urology training pathways in the UK and Ireland.

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    © All Rights Reserved
    Unduh sebagai PPT, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 13

    Urological Surgery

    David Galvin MD
    Specialist Registrar In Urology

    Urological Surgery

    Most fascinating area in Surgery


    Deals with all Surgical Pathology
    involving:
    Kidneys
    Ureters
    Bladder
    Seminal Vesicles and Vas
    Testicles and Scrotum
    Urethra
    Female Urology

    Urological Oncology

    Prostate Cancer: Commonest male cancer

    Bladder Cancer: 4th commonest male cancer

    Kidney Cancer: 8th commonest cancer. Most lethal.

    Testicular Cancer: Commonest cancer <40

    Ageing population

    Urological Oncology

    Partial or Radical Nephrectomy

    Radical Prostatectomy

    Open / Laparoscopic / Robotic

    Radical Cystectomy

    Open / Laparoscopic / Robotic

    Open / Laparoscopic / Robotic

    Penectomy - Bilateral Groin Dissection - RPLND

    EndoUrology

    Stone

    Percutaneous
    Nephrolithotomy
    Flexible Ureteroscopy
    Rigid Ureteroscopy
    Dormia Basket
    Laser Fragmentation
    ESWL
    Cystolithopaxy

    Endoscopic Surgery

    Cystoscopy
    TURP
    Urethrotomy
    TURBT

    Other

    Reconstruction
    Female Urology
    ED Surgery
    Transplantation

    Manpower Nationally

    23 Urology Consultants (7 outside Dublin)

    9 Specialist Registrars Positions (8 filled July 06)

    Dublin (7), Galway (1), Limerick (1)

    12 Non-SpR Registrar Positions

    Also 5 Private Urologists (increasing)

    5 will be Urology Residents

    Urology Research Registrars

    Conway (2), Trinity (2) - Cork, Beaumont etc

    Future Manpower Needs

    Lowest Urologists in Europe (1:180,000)


    Maintain Dublin Centres

    MMH / SJH to expand over time

    Develop 4 man units in Cork, Limerick,


    Galway
    Huge Expansion Required
    Enhance present units
    Single appointments working in trios
    Natural increase in private sector

    Urology Training: UK
    Intern
    FoundationYear1(FY1)
    FoundationYear2(FY2)
    FoundationYear3(FY3)
    FoundationYear4(FY4)
    FoundationYear5(FY5)
    UrologyFellowship1
    UrologyFellowship2

    FRCS(Urol)
    ConsultantUrologist
    ConsultantUrological
    Surgeon

    Urology Training: Ireland


    Intern
    BasicSurgicalTraining(MRCS)
    UrologyResidency1
    UrologyResidency2
    UrologyResidency3

    UrologySpecialistRegistrar
    5YearScheme

    UrologyResidency4

    ConsultantUrological
    Surgeon

    Why I did Urology

    I wanted to do Surgery
    I enjoyed Endoscopic Urology
    It is largely (75%) Elective based
    On call is frequent but generally light
    Call is from home throughout the country
    Enjoy family life with my wife and children
    Well structured Training posts
    Very International - Regular Conferences

    How to get into Urology


    Talk to Urologists
    Request a Urology rotation while a BST
    Do some Urology based audit while BST
    Get Registrar Experience

    1.
    2.
    3.
    4.

    5.
    6.
    7.

    Cork - Galway - Limerick best bets

    Apply for new Residency programme


    Do Urology Research (MCh, MD)
    Attend teaching / ISU meeting

    Present and Future

    Training undergoing change


    Future is bright - huge expansion long overdue in
    an ageing population

    Very competitive Subspecialty

    Training is well structured

    Getting in the door is now much easier

    Contacts
    Urological Trainees of Ireland (UTI) website:
    www.homepage.mac.com/ davidgalvin
    European Society of Residents in Urology:
    www.esru.net (Ireland webpage)
    Me:

    davidgalvin@mac.com

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