Transcript Urological Surgery - UCC Surgical Society | surgical@

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
– Open / Laparoscopic / Robotic
• Radical Prostatectomy
– Open / Laparoscopic / Robotic
• Radical Cystectomy
– Open / Laparoscopic / Robotic
• Penectomy - Bilateral Groin Dissection - RPLND
EndoUrology
• Stone
– Percutaneous
Nephrolithotomy
– Flexible Ureteroscopy
– Rigid Ureteroscopy
– Dormia Basket
– Laser Fragmentation
– ESWL
– Cystolithopaxy
• Endoscopic Surgery
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Cystoscopy
TURP
Urethrotomy
TURBT
• Other
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Reconstruction
Female Urology
ED Surgery
Transplantation
Manpower Nationally
• 23 Urology Consultants (7 outside Dublin)
– Also 5 Private Urologists (increasing)
• 9 Specialist Registrars Positions (8 filled July 06)
– Dublin (7), Galway (1), Limerick (1)
• 12 Non-SpR Registrar Positions
– 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
Foundation Year 1 (FY1)
Foundation Year 2 (FY2)
Foundation Year 3 (FY3)
Foundation Year 4 (FY4)
Foundation Year 5 (FY5)
Urology Fellowship 1
Urology Fellowship 2
FRCS (Urol)
Consultant Urologist
Consultant Urological
Surgeon
Urology Training: Ireland
Intern
Basic Surgical Training (MRCS)
Urology Residency 1
Urology Residency 2
Urology Specialist Registrar
Urology Residency 3
5 Year Scheme
Urology Residency 4
Consultant Urological
Surgeon
Why I did Urology …
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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
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Talk to Urologists
Request a Urology rotation while a BST
Do some Urology based audit while BST
Get Registrar Experience
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Cork - Galway - Limerick best bets
5. Apply for new Residency programme
6. Do Urology Research (MCh, MD)
7. 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:
[email protected]