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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)
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Obligatory:
Recommended:
Last update: Sedlická Petra (27.11.2023)
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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, Hospital Na Homolce (Urologické oddělení Nemocnice Na Homolce),
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)
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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)
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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)
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