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Course, academic year 2024/2025
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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
Explanation: MUDr. Tomáš Hradec, tomas.hradec.@vfn.cz
Old code: 613
Guarantor: prof. MUDr. Viktor Soukup, Ph.D.
Comes under: Compulsory for GM 4.y._24/25
Attributes: Lékařství
Klinický předmět
Pre-requisite : B80632, B80634, B83161, B83162
Annotation
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.
Last update: Kolářová Jana (05.03.2021)
Literature -

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 ..

Last update: Sedlická Petra (27.11.2023)
Teaching methods

 

SUBJECT UROLOGY FOR THE 4TH GRADE

OF GENERAL MEDICINE – ACADEMIC YEAR 2024/2025 

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

·         Department of Urology, Hospital Na Homolce (Urologické oddělení Nemocnice Na Homolce),

  • Department of Urology, Regional Hospital Kladno (Urologické oddělení Oblastní nemocnice Kladno).

The student will only have practice in one of the hospitals listed above.

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.

 

New this year, an MCQ test will be included for credit, which students will write on the day of the exam.

 

Conditions at the Department of Urology, General University Hospital and First Faculty of Medicine to pass the subject and get the credit are following:

1.)  Attending 100 % of theoretical lectures (first week)

2.)  Collecting defined amount of credit points, which will be given after participation in listed activities during clinical practise (second week). The choice of the activities is based on the students’ preference and is thus to a certain extent optional. Or completing a set number of days in one of the friendly hospitals.

3.) Passing multiple choice test at the day of exam. Student who will not pass the MCQ test will not be able to continue with oral exam, but he will not lose his exam atempt. Student who will not pass the second MCQ test atempt, will be able to continue with oral exam, but the result of the test will be not taken into acount.

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. The exams take place on the 5th 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: +420 224 967 050.

CONSULTATIONS: English parallel and Erasmus students – send your questions to:  petra.sedlicka@lf1.cuni.cz, petra.sedlicka@vfn.cz  or tomas.hradec@vfn.cz

 

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

                    Head of the Department of Urology           Deputy Head for Education

 

 

Last update: Sedlická Petra (26.09.2024)
Requirements to the exam

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                                                                                            

      

 

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                                                                                                                                       

Last update: Sedlická Petra (23.08.2024)
Syllabus
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.

Last update: Kolářová Jana (05.03.2021)
Education plan -
Schedule by date
Day Date Description Teacher Files Note Hodnocení
Monday13.01.202508:30 a.m.-12:30 INTRODUCTION to urology + SEMINARS (see Files-Schedule of topics)/ where: 5th floor auditorium, Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ Come on time, thank you// note: seminars (1st week) and practice (2nd week) are mandatory.AP 4053+4054, MO 13.1. seminars
Tuesday14.01.202508:30 a.m.-12:30 SEMINARS (see Files-Schedule of topics)/ where: 5th floor auditorium, Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ AP 4053+4054, TU 14.1. seminars
Wednesday15.01.202508:30 a.m.-12:30 SEMINARS (see Files-Schedule of topics)/ where: 5th floor auditorium, Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ AP 4053+4054, WE 15.1. seminars
Thursday16.01.202508:30 a.m.-12:30 SEMINARS (see Files-Schedule of topics)/ where: 5th floor auditorium, Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ AP 4053+4054, THU 16.1. seminars
Friday17.01.202509:00 a.m.-11:00 practical training of urinary bladder catheterisation + hands-on training in urological ultrasonography (see Files-Schedule of topics)/ where: 5th floor, catheterisation (classroom), USG studyroom; Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ You will be divided into two parallel groups (in half according to the alphabet).// 1st group:09:00-10:00 catheterisation (classroom) and 10:00-11:00 USG (studyroom), 2nd group: 09:00-10:00 USG (studyroom) and 10:00-11:00 catheterisation (classroom)AP 4053+4054, FRI 17.1. catheterisation + ultrasonography
Monday20.01.2025PRACTICAL INTERNSHIP at the Urology Clinic VFN/ MO 20.1-Fri 24.1./a minimum of 14 credits-Program depending on where you register for positions./ You will learn more on Monday during the introduction to urology ( info in Files-Where to register for practical training + orientation plans, Distribution of students to hospitals..)/ where: Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ Bring a white coat + slippers + ISIC card./ Come on time, thank you//Students who will not have practice in friendly hospitals will have practice with us at VFN.AP 4053+4054, MO 20.1.-Fri 24.1. practical training at VFN
Monday20.01.2025PRACTICAL INTERNSHIP in the orher hospitals/ MO 20.1-Fri 24.1./meet 2 days/ You will learn more on Monday during the introduction to urology ( info in Files-Where to register for practical training + orientation plans, Distribution of students to hospitals)/ where: Fakultní nemocnice Bulovka (in Prague), Nemocnice Na Homolce (in Prague), Oblastní nemocnice Kladno (in Kladno), Ústřední vojenská nemocnice(in Prague)/ Come on time, thank you//The student will have practice in only one hospital./ Bring a white coat + slippers + ISIC card. AP 4053+4054, MO 20.1.-Fri 24.1. practical training in the other hospitals
Monday03.02.2025ERASMUS (7777) winter semester: PRACTICAL INTERNSHIP at the Urology Clinic VFN/ MO 3.2.-FRI 7.2./a minimum of 14 credits-Program depending on where you register for positions(see file Distribution of students to hospitals-table Practical training VFN; file Where to register for practical training)/ We will send you more information about practice by email at the beginning of the academic year. We will also send information about Moodle, where the study materials will be./ where: Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ Come on time, thank you/ Bring a white coat + slippers + ISIC card./ !!! note:You are only concerned with information about practice at VFN. You will not have experience in other hospitals! Information about the first week of block teaching (face-to-face seminars) does not apply to you! 7777 Erasmus-winter semester, MO 3.2.-FRI 7.2. practical training at VFN
Monday03.03.202508:30 a.m.-12:30 INTRODUCTION to urology + SEMINARS (see Files-Schedule of topics)/ where: 5th floor auditorium, Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ Come on time, thank you// note: seminars (1st week) and practice (2nd week) are mandatory.AP 4051+4052, MO 3.3. seminars
Tuesday04.03.202508:30 a.m.-12:30 SEMINARS (see Files-Schedule of topics)/ where: 5th floor auditorium, Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ AP 4051+4052, TU 4.3. seminars
Wednesday05.03.202508:30 a.m.-12:30 SEMINARS (see Files-Schedule of topics)/ where: 5th floor auditorium, Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ AP 4051+4052, WE 5.3. seminars
Thursday06.03.202508:30 a.m.-12:30 SEMINARS (see Files-Schedule of topics)/ where: 5th floor auditorium, Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ AP 4051+4052, THU 6.3. seminars
Friday07.03.202509:00 a.m.-11:00 practical training of urinary bladder catheterisation + hands-on training in urological ultrasonography (see Files-Schedule of topics)/ where: 5th floor, catheterisation (classroom), USG studyroom; Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ You will be divided into two parallel groups (in half according to the alphabet).// 1st group:09:00-10:00 catheterisation (classroom) and 10:00-11:00 USG (studyroom), 2nd group: 09:00-10:00 USG (studyroom) and 10:00-11:00 catheterisation (classroom)AP 4051+4052, FRI 7.3. catheterisation + ultrasonography
Monday10.03.2025PRACTICAL INTERNSHIP in the orher hospitals/ MO 10.3.-FRI 14.3./meet 2 days/ You will learn more on Monday during the introduction to urology ( info in Files-Where to register for practical training + orientation plans, Distribution of students to hospitals)/ where: Fakultní nemocnice Bulovka (in Prague), Nemocnice Na Homolce (in Prague), Oblastní nemocnice Kladno (in Kladno), Ústřední vojenská nemocnice(in Prague)/ Come on time, thank you//The student will have practice in only one hospital./ Bring a white coat + slippers + ISIC card. AP 4051+4052, MO 10.3.-Fri 14.3. practical training in the other hospitals
Monday10.03.2025PRACTICAL INTERNSHIP at the Urology Clinic VFN/ MO 10.3.-FRI 14.3./a minimum of 14 credits-Program depending on where you register for positions./ You will learn more on Monday during the introduction to urology ( info in Files-Where to register for practical training + orientation plans, Distribution of students to hospitals..)/ where: Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ Bring a white coat + slippers + ISIC card/ Come on time, thank you//Students who will not have practice in friendly hospitals will have practice with us at VFN.AP 4051+4052, MO 10.3.-FRI 14.3. practical training at VFN
Monday31.03.2025ERASMUS (7777) summer semester: PRACTICAL INTERNSHIP at the Urology Clinic VFN/ MO 31.3.-FRI 4.4./a minimum of 14 credits-Program depending on where you register for positions(see file Distribution of students to hospitals-table Practical training VFN; file Where to register for practical training)/ We will send you more detailed information about the practice by email when we know all the names of the students who are to come to us. (When they send them to us from the foreign department of the 1.LF). We will also send information about Moodle, where the study materials will be./ where: Department of Urology, General University Hospital in Prague (Urologická klinika VFN), Ke Karlovu 6, Prague 2/ Come on time, thank you/ Bring a white coat + slippers + ISIC card./ !!! note:You are only concerned with information about practice at VFN. You will not have experience in other hospitals! Information about the first week of block teaching (face-to-face seminars) does not apply to you! 7777 Erasmus-summer semester, MO 31.3.-FRI 4.4. practical training at VFN
 
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