Urology - B80613 (General Medicine - English parallel)

• Title: Urology
• Guaranteed by: Department of Urology First Faculty of Medicine Charles University and General University Hospital in Prague (11-00720)
• Faculty: First Faculty of Medicine
• Actual: from 2023
• Semester: winter
• Points: 3
• E-Credits: 3
• Examination process: winter s.:
• Hours per week, examination: winter s.:0/50, C+Ex [HS]
• Extent per academic year: 50 [hours]
• Capacity: unlimited
• Min. number of students: unlimited
• 4EU+: no
• Virtual mobility / capacity: no
• State of the course: taught
• Language: English
• Teaching methods: full-time
• Teaching methods: full-time
• Explanation: MUDr. Tomáš Hradec, [e-mail]
• Old code: 613
• Guarantor: prof. MUDr. Viktor Soukup, Ph.D.
• Comes under: Compulsory for GM 4.y._23/24
• Attributes: Lékařství; Klinický předmět
• Pre-requisite : B80632, B80634, B83161, B83162

Annotation

Last update: Jana Kolářová (05.03.2021)

An overview of the etiopathogenesis, diagnosis and treatment of urological diseases, targeted information on acute conditions of the most common diseases such as benign prostatic hyperplasia or urolithiasis. Basics of urooncology and pediatric urology, evaluation of laboratory findings, X-ray documentation, ultrasonographic findings. Indications for conservative and surgical treatment in urology.

Syllabus

Last update: Jana Kolářová (05.03.2021)

First week: theoretical lectures

Introduction to urology and its content; basic genitourinary anatomy; basic examination techniques in urology, urine examination, ultrasound in urology, X-ray investigations, urologic endoscopy; basic instruments and types of catheters in urology; benign prostatic hyperplasia - symptoms, diagnosis and treatment. Urologic endoscopy.

Urinary stone disease - etiology, diagnosis and management (ESWL, endoscopy, open procedures), metaphylaxis, renal colic; laparoscopy in urology; urethral strictures - etiology, diagnosis, management; basic andrology and sexology.

Urinary tract infections - etiology, diagnosis and treatment; urologic complications of gynecologic diseases; adrenal tumors - the role of urologist, symptoms, diagnosis, management; trauma and emergencies in urology. Intensive and postoperative care in urological patients.

Pediatric urology - genitourinary tract anomalies, symptoms, diagnosis, management, reconstructive surgeries and voiding dysfunctions; pediatric andrology; voiding disorders and incontinence - types, diagnosis, conservative and surgical management. Urodynamic investigation, pediatric urology.

Urologic oncology - symptoms, diagnosis and management (bladder, kidney, prostate, testicular and penile cancer); urinary diversion after cystectomy. Taking history and clinical examination.

Second week:

practical - attending inpatients, outpatients, operating rooms, lithotripsy suite, X-ray department (including ultrasound), prostate biopsies and urodynamics.

Literature

English

Last update: Petra Sedlická (27.11.2023)

Obligatory:

• . . In McAninch, Jack W. Lue, Tom F. (eds.). Smith & Tanagho's general urology . New York: McGraw-Hill, 2020, s. -. ISBN 978-1-259-83433-2..

Recommended:

• . . In Kawaciuk, Ivan. Urologie . Jinočany: H & H, 2000, s. -. ISBN ..
• . . In Tanagho, Emil A., McAninch, Jack W. (eds.). Smith's general urology . New York: McGraw-Hill medical, 2008, s. -. ISBN ..

Czech

Last update: Petra Sedlická (27.11.2023)

Povinná:

• Hanuš, Tomáš, Macek, Petr. Urologie pro mediky. Praha: Univerzita Karlova, nakladatelství Karolinum, 2015, 305 s. ISBN 978-80-246-3008-3.
• Hanuš, Tomáš. Urologie. V Praze: Triton, 2011, 207 s. ISBN 978-80-7387-387-5.
• Macek, Petr, Hanuš, Tomáš, Herle, Petr. Urologie pro všeobecné praktické lékaře. Praha: Raabe, 2011, 138 s. ISBN 978-80-86307-85-5.
• Vzdělávací program urologie UK 1. LF [online]. Dostupné z: https://portal.lf1.cuni.cz/clanek-996-vzdelavaci-program-urologie-1-lf-uk
• Kočvara, Radim. Edukační program Dětská urologie [online]. Dostupné z: https://portal.lf1.cuni.cz/clanek-857-edukacni-program-detskaurologie

Doporučená:

• McAninch, Jack W. Lue, Tom F. (eds.). Smith & Tanagho's general urology. New York: McGraw-Hill, 2020, 820 s. ISBN 978-1-259-83433-2.

Teaching methods

Last update: Petra Sedlická (19.09.2023)

SUBJECT UROLOGY FOR THE 4^TH GRADE

OF GENERAL MEDICINE – ACADEMIC YEAR 2023/2024

 

Dear students,

 

Urology is one of the first clinical subjects in the 4th grade at The First Faculty of Medicine of Charles University in Prague. It is a 2-week clinical rotation (2 × 25 hrs). In the first week, there are daily on-site theoretical seminars including illustrative case reports on particular topics. The theoretical week ends up on Friday with a practical training of urinary bladder catheterisation and a hands-on training in urological ultrasonography. The second week is dedicated to the practical training (see below).

Schedule of topics in the first week:

Monday: Introduction, characteristics of urology; Urological examination; Microbiology; Haematuria; Upper and lower urinary tract infections; Case reports

Tuesday: Acute scrotum; Imaging methods in urology; Urinary stone disease; Obstructions; Case reports

Wednesday: Urothelial cancer; Renal cancer; Testicular cancer; Case reports

Thursday: BPH, Prostate cancer; Voiding disorders; Case reports

Friday: Practical training of urinary bladder catheterisation using medical phantoms; Hands-on training in urological ultrasonography

 

The second week:

The second week of the subject is dedicated to the practical training, which takes place at various urological departments in following hospitals:

• Department of Urology, General University Hospital and First Faculty of Medicine (Urologická klinika VFN a 1. LF UK),
• Department of Urology, Central Military Hospital, Prague – Střešovice (Urologická klinika ÚVN v Praze – Střešovice),
• Department of Urology, University Hospital Bulovka, Prague (Urologické oddělení Fakultní nemocnice Bulovka), and
• Department of Urology, Regional Hospital Kladno (Urologické oddělení Oblastní nemocnice Kladno).

Conditions at the Department of Urology, General University Hospital and First Faculty of Medicine (Urologická klinika VFN a 1. LF UK) to pass the subject and get the credit are following. The credits will be given after reaching certain minimal amount of credit points. These credit points will be given after participation in listed activities. The choice of the activities is based on the students’ preference and is thus to a certain extent optional.

 

 

The training objectives don’t differ among particular departments – the students participate in the operation of both OPDs and ORs. The educational quality of all urological departments is comparable. Regarding credit criteria and minimal required attendance, same rules apply at all departments. In previous years, we included the so-called “shadowing” in the list of optional activities, i.e. the student has got the opportunity to attend ward round, morning meeting and subsequently all the morning programme (ORs or OPDs) with an individual physician. This step is our reaction to the students’ logical request to spend their clinical rotation as efficiently as possible. An individual approach, which is absolutely essential for the practical training, is provided by allocating students to several urological departments.

Based on attendance sheets, the credits will be given and registered to SIS by the secretary (Petra Sedlická, Department of Urology, General University Hospital and First Faculty of Medicine) at the end of the clinical rotation.

 

EXAMINATION: The exams start on Friday of the second week of the clinical rotation. Additional exams take place the week following the clinical rotation – these spots are reserved only for the students who already finished their clinical rotation. In next weeks, there will be at least 1 time slot opened each week during the rest of the academic year. The exams take place on the 5^th floor of the Department of Urology, General University Hospital and First Faculty of Medicine. The exam dates will be published in advance. The application for exams via SIS only.

CONTACT: Organization of the clinical rotation – Ms Petra Sedlická, phone: [phone].

CONSULTATIONS: English parallel and Erasmus students – send your questions to: [e-mail] or [e-mail]

 

                  prof. MUDr. Viktor Soukup, Ph.D.                    MUDr. Vojtěch Fiala         

                    Head of the Department of Urology           Deputy Head for Education

 

Requirements to the exam

Last update: Petra Sedlická (05.09.2023)

Examination assessment rules:

The student draws a total of two questions. There are two envelopes and he draws one question from each envelope. Each question is graded (1,2,3,4).

If the student does not pass the first question (he is graded 4), this constitutes a reason for the termination of the exam. In the case of a 4 grade for any of the questions, the grade of the entire exam is,, failed,,

Urology exam questions

1st basket:

1. Lower urinary tract infections, male sexual organs infections

2. Acute pyelonephritis (obstructive, non-obstructive)                                 

3. Urinary stones – symptoms, diagnosis, renal colic                                      

4. Urinary stones – treatment                                                                                                 

5. Benign prostate hyperplasia                                                                                               

6. Renal and ureteral trauma                                                                                                   

7. Prostate cancer – diagnosis                                                                                                 

8. Renal cancer                                                                                                                              

9. Acute scrotum                                                                                                                                          

10. Urinary bladder cancer                                                                                                       

11. Trauma of urinary bladder and urethra                                                                        

12. Renal pelvis and ureteral cancer                                                                                     

13. Urinary incontinence                                                                                                                          

14. Testicular cancer                                                                                                                   

15. Urethral strictures                                                                                                                

16. Prostate cancer – treatment                                                                                            

17. Voiding disorders – clinical finding and differential diagnosis              

 

2nd basket:

1. Penile cancer                                                                                                                             

2. Adrenal tumours                                                                                                                     

3. Non-malignant conditions of epididymis, scrotum and spermatic cord(hydrocele, spermatocele, varicocele) 

4. Diagnostic methods in urology – urodynamics                                                            

5. Sexually transmitted diseases                                                                                            

6. Upper and lower urinary tract diversions                                                                      

7. Diagnostic methods in urology – imaging methods                    

8. Haematuria – diagnosis, differential diagnosis, urine tests                     

9. Congenital anomalies of lower urinary tract, vesicoureteral reflux     

10. Congenital obstructive uropathies                                                                 

11. Acquired upper urinary tract obstructions                                                  

12. Acute conditions in urology except for acute scrotum(urinary retention, urinary bladder tamponade, priapism)

13. Urological complications of gynaecological diseases                               

14. Hydronephrosis. Congenital anomalies of kidneys and ureters           

15. Erectile dysfunction                                                                                                             

16. Male infertility                                                                                                                                       

Education plan

English

Schedule by date
Day	Date	Description	Teacher	Files	Note	Hodnocení
Monday	08.01.2024	08:30-12:30 introduction to urology + seminars. (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4053+4054, MO 8.1.
Tuesday	09.01.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4053+4054, TU 9.1.
Wednesday	10.01.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4053+4054, WE 10.1.
Thursday	11.01.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4053+4054, TH 11.1.
Friday	12.01.2024	08:00-12:00 practical training of urinary bladder catheterisation + hands-on training in urological ultrasonography (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor (classroom-catheterisation, studyroom-ultrasonography). You will be divided into two parallel groups (in half according to the alphabet). 1st group: 08:00-10:00 catheterization and 10:00-11:00 ultrasonography/2nd group 09:00-10:00 ultrasonography and 10:00-12:00 catheterization			AP 4053+4054, FR 12.1.
Monday	15.01.2024	practical internship in the other hospitals/ Monday 15.1.-Friday 19.1./ you will learn more on Monday during the introduction to urology (info in Files - Where to registr for practical training other hospital, orientation plans, for idea Practical training-division others hospitals).			AP 4053+4054, MO 15.1.-FR 19.1.
Monday	15.01.2024	practical internship at the VFN Urology Clinic/ Monday 15.1.-Friday 19.1., a minimum of 14 credits/ you will learn about the program on Monday during the introduction to urology (info in Files - Where to registr for practical training VFN, for idea Practical training VFN).			AP 4053+4054, MO 15.1.-FR 19.1.
Monday	26.02.2024	08:30-12:30 introduction to urology + seminars. (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4051+4052, MO 26.2.
Tuesday	27.02.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4051+4052, TU 27.2.
Wednesday	28.02.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4051+4052, WE 28.2.
Thursday	29.02.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4051+4052, TH 29.2.
Friday	01.03.2024	08:00-12:00 practical training of urinary bladder catheterisation + hands-on training in urological ultrasonography (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor (classroom-catheterisation, studyroom-ultrasonography). You will be divided into two parallel groups (in half according to the alphabet). 1st group: 08:00-10:00 catheterization and 10:00-11:00 ultrasonography/2nd group 09:00-10:00 ultrasonography and 10:00-12:00 catheterization			AP 4051+4052, FR 1.3.
Monday	04.03.2024	practical internship in the other hospitals/ Monday 4.3.-Friday 8.3./ you will learn more on Monday during the introduction to urology (info in Files - Where to registr for practical training other hospital, orientation plans, for idea Practical training-division others hospitals).			AP 4051+4052, MO 4.3.-FR 8.3.	průměr: 1, hodnoceno: 1x
Monday	04.03.2024	practical internship at the VFN Urology Clinic/ Monday 4.3.-Friday 8.3., a minimum of 14 credits/ you will learn about the program on Monday during the introduction to urology (info in Files - Where to registr for practical training VFN, for idea Practical training VFN).			AP 4051+4052, MO 4.3.-FR 8.3.

Czech

Rozpis datumový
Den	Datum	Popis	Učitel	Soubory	Poznámka	Hodnocení
Pondělí	08.01.2024	08:30-12:30 introduction to urology + seminars. (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4053+4054, MO 8.1.
Úterý	09.01.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4053+4054, TU 9.1.
Středa	10.01.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4053+4054, WE 10.1.
Čtvrtek	11.01.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4053+4054, TH 11.1.
Pátek	12.01.2024	08:00-12:00 practical training of urinary bladder catheterisation + hands-on training in urological ultrasonography (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor (classroom-catheterisation, studyroom-ultrasonography). You will be divided into two parallel groups (in half according to the alphabet). 1st group: 08:00-10:00 catheterization and 10:00-11:00 ultrasonography/2nd group 09:00-10:00 ultrasonography and 10:00-12:00 catheterization			AP 4053+4054, FR 12.1.
Pondělí	15.01.2024	practical internship in the other hospitals/ Monday 15.1.-Friday 19.1./ you will learn more on Monday during the introduction to urology (info in Files - Where to registr for practical training other hospital, orientation plans, for idea Practical training-division others hospitals).			AP 4053+4054, MO 15.1.-FR 19.1.
Pondělí	15.01.2024	practical internship at the VFN Urology Clinic/ Monday 15.1.-Friday 19.1., a minimum of 14 credits/ you will learn about the program on Monday during the introduction to urology (info in Files - Where to registr for practical training VFN, for idea Practical training VFN).			AP 4053+4054, MO 15.1.-FR 19.1.
Pondělí	26.02.2024	08:30-12:30 introduction to urology + seminars. (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4051+4052, MO 26.2.
Úterý	27.02.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4051+4052, TU 27.2.
Středa	28.02.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4051+4052, WE 28.2.
Čtvrtek	29.02.2024	08:30-12:30 SEMINARS (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor auditorium			AP 4051+4052, TH 29.2.
Pátek	01.03.2024	08:00-12:00 practical training of urinary bladder catheterisation + hands-on training in urological ultrasonography (see Files - Schedule of seminar topics), where: VFN Urology Clinic, Ke Karlovu 6, Prague 2, 5th floor (classroom-catheterisation, studyroom-ultrasonography). You will be divided into two parallel groups (in half according to the alphabet). 1st group: 08:00-10:00 catheterization and 10:00-11:00 ultrasonography/2nd group 09:00-10:00 ultrasonography and 10:00-12:00 catheterization			AP 4051+4052, FR 1.3.
Pondělí	04.03.2024	practical internship in the other hospitals/ Monday 4.3.-Friday 8.3./ you will learn more on Monday during the introduction to urology (info in Files - Where to registr for practical training other hospital, orientation plans, for idea Practical training-division others hospitals).			AP 4051+4052, MO 4.3.-FR 8.3.	průměr: 1, hodnoceno: 1x
Pondělí	04.03.2024	practical internship at the VFN Urology Clinic/ Monday 4.3.-Friday 8.3., a minimum of 14 credits/ you will learn about the program on Monday during the introduction to urology (info in Files - Where to registr for practical training VFN, for idea Practical training VFN).			AP 4051+4052, MO 4.3.-FR 8.3.