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Urology

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Urological surgery deals with surgical pathology of the kidneys, ureters, bladder, seminal vesicles, vas deferens, testicles, scrotum, urethra, and female urology. Key areas include urological oncology like prostate, bladder, kidney, and testicular cancers. Surgeries are performed openly as well as laparoscopically and robotically. Endourology techniques include treating stones, endoscopic surgery, and reconstruction. Urology training in Ireland involves initial surgical training followed by urology residencies and specialization, with the goal of developing more units and increasing Ireland's low number of urologists per population.

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Urological SurgeryUrological Surgery David Galvin MDDavid Galvin MD Specialist Registrar In UrologySpecialist Registrar In Urology
Urological SurgeryUrological Surgery Most fascinating area in SurgeryMost fascinating area in Surgery Deals with all Surgical PathologyDeals with all Surgical Pathology involving:involving: KidneysKidneys UretersUreters BladderBladder Seminal Vesicles and VasSeminal Vesicles and Vas Testicles and ScrotumTesticles and Scrotum UrethraUrethra Female UrologyFemale Urology
Urological OncologyUrological Oncology Prostate Cancer: Commonest male cancerProstate Cancer: Commonest male cancer Bladder Cancer: 4th commonest male cancerBladder Cancer: 4th commonest male cancer Kidney Cancer: 8th commonest cancer. Most lethal.Kidney Cancer: 8th commonest cancer. Most lethal. Testicular Cancer: Commonest cancer <40Testicular Cancer: Commonest cancer <40 Ageing populationAgeing population
Urological OncologyUrological Oncology Partial or Radical NephrectomyPartial or Radical Nephrectomy Open / Laparoscopic / RoboticOpen / Laparoscopic / Robotic Radical ProstatectomyRadical Prostatectomy Open / Laparoscopic / RoboticOpen / Laparoscopic / Robotic Radical CystectomyRadical Cystectomy Open / Laparoscopic / RoboticOpen / Laparoscopic / Robotic Penectomy - Bilateral Groin Dissection - RPLNDPenectomy - Bilateral Groin Dissection - RPLND
EndoUrologyEndoUrology StoneStone PercutaneousPercutaneous NephrolithotomyNephrolithotomy Flexible UreteroscopyFlexible Ureteroscopy Rigid UreteroscopyRigid Ureteroscopy Dormia BasketDormia Basket Laser FragmentationLaser Fragmentation ESWLESWL CystolithopaxyCystolithopaxy Endoscopic SurgeryEndoscopic Surgery CystoscopyCystoscopy TURPTURP UrethrotomyUrethrotomy TURBTTURBT OtherOther ReconstructionReconstruction Female UrologyFemale Urology ED SurgeryED Surgery TransplantationTransplantation
Manpower NationallyManpower Nationally 2323 Urology ConsultantsUrology Consultants (7 outside Dublin)(7 outside Dublin) Also 5 Private Urologists (increasing)Also 5 Private Urologists (increasing) 99 Specialist RegistrarsSpecialist Registrars Positions (8 filled July 06)Positions (8 filled July 06) Dublin (7), Galway (1), Limerick (1)Dublin (7), Galway (1), Limerick (1) 1212 Non-SpR RegistrarNon-SpR Registrar PositionsPositions 5 will be Urology Residents5 will be Urology Residents Urology Research RegistrarsUrology Research Registrars Conway (2), Trinity (2) - Cork, Beaumont etcConway (2), Trinity (2) - Cork, Beaumont etc
Future Manpower NeedsFuture Manpower Needs Lowest Urologists in Europe (1:180,000)Lowest Urologists in Europe (1:180,000) Maintain Dublin CentresMaintain Dublin Centres MMH / SJH to expand over timeMMH / SJH to expand over time Develop 4 man units in Cork, Limerick,Develop 4 man units in Cork, Limerick, GalwayGalway Huge Expansion RequiredHuge Expansion Required Enhance present unitsEnhance present units Single appointments working in triosSingle appointments working in trios Natural increase in private sectorNatural increase in private sector
Urology Training: UKUrology 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: IrelandUrology Training: Ireland Intern Basic Surgical Training (MRCS) Urology Residency 1 Urology Residency 2 Urology Residency 3 Urology Residency 4 Urology Specialist Registrar 5 Year Scheme Consultant Urological Surgeon
Why I did Urology Why I did Urology I wanted to do SurgeryI wanted to do Surgery I enjoyed Endoscopic UrologyI enjoyed Endoscopic Urology It is largely (75%) Elective basedIt is largely (75%) Elective based On call is frequent but generally lightOn call is frequent but generally light Call is from home throughout the countryCall is from home throughout the country Enjoy family life with my wife andEnjoy family life with my wife and childrenchildren Well structured Training postsWell structured Training posts Very International - Regular ConferencesVery International - Regular Conferences
How to get into UrologyHow to get into Urology 1.1. Talk to UrologistsTalk to Urologists 2.2. Request a Urology rotation while a BSTRequest a Urology rotation while a BST 3.3. Do some Urology based audit while BSTDo some Urology based audit while BST 4.4. Get Registrar ExperienceGet Registrar Experience Cork - Galway - Limerick best betsCork - Galway - Limerick best bets 1.1. Apply for new Residency programmeApply for new Residency programme 2.2. Do Urology Research (MCh, MD)Do Urology Research (MCh, MD) 3.3. Attend teaching / ISU meetingAttend teaching / ISU meeting
Present and FuturePresent and Future Training undergoing changeTraining undergoing change Future is bright - huge expansion long overdueFuture is bright - huge expansion long overdue in an ageing populationin an ageing population Very competitive SubspecialtyVery competitive Subspecialty Training is well structuredTraining is well structured Getting in the door is now much easierGetting in the door is now much easier
ContactsContacts Urological Trainees of Ireland (UTI) website:Urological Trainees of Ireland (UTI) website: www.homepage.mac.com/www.homepage.mac.com/davidgalvindavidgalvin European Society of Residents in Urology:European Society of Residents in Urology: www.esru.netwww.esru.net (Ireland webpage)(Ireland webpage) Me: davidgalvin@mac.comMe: davidgalvin@mac.com

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Urology

  • 1. Urological SurgeryUrological Surgery David Galvin MDDavid Galvin MD Specialist Registrar In UrologySpecialist Registrar In Urology
  • 2. Urological SurgeryUrological Surgery Most fascinating area in SurgeryMost fascinating area in Surgery Deals with all Surgical PathologyDeals with all Surgical Pathology involving:involving: KidneysKidneys UretersUreters BladderBladder Seminal Vesicles and VasSeminal Vesicles and Vas Testicles and ScrotumTesticles and Scrotum UrethraUrethra Female UrologyFemale Urology
  • 3. Urological OncologyUrological Oncology Prostate Cancer: Commonest male cancerProstate Cancer: Commonest male cancer Bladder Cancer: 4th commonest male cancerBladder Cancer: 4th commonest male cancer Kidney Cancer: 8th commonest cancer. Most lethal.Kidney Cancer: 8th commonest cancer. Most lethal. Testicular Cancer: Commonest cancer <40Testicular Cancer: Commonest cancer <40 Ageing populationAgeing population
  • 4. Urological OncologyUrological Oncology Partial or Radical NephrectomyPartial or Radical Nephrectomy Open / Laparoscopic / RoboticOpen / Laparoscopic / Robotic Radical ProstatectomyRadical Prostatectomy Open / Laparoscopic / RoboticOpen / Laparoscopic / Robotic Radical CystectomyRadical Cystectomy Open / Laparoscopic / RoboticOpen / Laparoscopic / Robotic Penectomy - Bilateral Groin Dissection - RPLNDPenectomy - Bilateral Groin Dissection - RPLND
  • 5. EndoUrologyEndoUrology StoneStone PercutaneousPercutaneous NephrolithotomyNephrolithotomy Flexible UreteroscopyFlexible Ureteroscopy Rigid UreteroscopyRigid Ureteroscopy Dormia BasketDormia Basket Laser FragmentationLaser Fragmentation ESWLESWL CystolithopaxyCystolithopaxy Endoscopic SurgeryEndoscopic Surgery CystoscopyCystoscopy TURPTURP UrethrotomyUrethrotomy TURBTTURBT OtherOther ReconstructionReconstruction Female UrologyFemale Urology ED SurgeryED Surgery TransplantationTransplantation
  • 6. Manpower NationallyManpower Nationally 2323 Urology ConsultantsUrology Consultants (7 outside Dublin)(7 outside Dublin) Also 5 Private Urologists (increasing)Also 5 Private Urologists (increasing) 99 Specialist RegistrarsSpecialist Registrars Positions (8 filled July 06)Positions (8 filled July 06) Dublin (7), Galway (1), Limerick (1)Dublin (7), Galway (1), Limerick (1) 1212 Non-SpR RegistrarNon-SpR Registrar PositionsPositions 5 will be Urology Residents5 will be Urology Residents Urology Research RegistrarsUrology Research Registrars Conway (2), Trinity (2) - Cork, Beaumont etcConway (2), Trinity (2) - Cork, Beaumont etc
  • 7. Future Manpower NeedsFuture Manpower Needs Lowest Urologists in Europe (1:180,000)Lowest Urologists in Europe (1:180,000) Maintain Dublin CentresMaintain Dublin Centres MMH / SJH to expand over timeMMH / SJH to expand over time Develop 4 man units in Cork, Limerick,Develop 4 man units in Cork, Limerick, GalwayGalway Huge Expansion RequiredHuge Expansion Required Enhance present unitsEnhance present units Single appointments working in triosSingle appointments working in trios Natural increase in private sectorNatural increase in private sector
  • 8. Urology Training: UKUrology 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
  • 9. Urology Training: IrelandUrology Training: Ireland Intern Basic Surgical Training (MRCS) Urology Residency 1 Urology Residency 2 Urology Residency 3 Urology Residency 4 Urology Specialist Registrar 5 Year Scheme Consultant Urological Surgeon
  • 10. Why I did Urology Why I did Urology I wanted to do SurgeryI wanted to do Surgery I enjoyed Endoscopic UrologyI enjoyed Endoscopic Urology It is largely (75%) Elective basedIt is largely (75%) Elective based On call is frequent but generally lightOn call is frequent but generally light Call is from home throughout the countryCall is from home throughout the country Enjoy family life with my wife andEnjoy family life with my wife and childrenchildren Well structured Training postsWell structured Training posts Very International - Regular ConferencesVery International - Regular Conferences
  • 11. How to get into UrologyHow to get into Urology 1.1. Talk to UrologistsTalk to Urologists 2.2. Request a Urology rotation while a BSTRequest a Urology rotation while a BST 3.3. Do some Urology based audit while BSTDo some Urology based audit while BST 4.4. Get Registrar ExperienceGet Registrar Experience Cork - Galway - Limerick best betsCork - Galway - Limerick best bets 1.1. Apply for new Residency programmeApply for new Residency programme 2.2. Do Urology Research (MCh, MD)Do Urology Research (MCh, MD) 3.3. Attend teaching / ISU meetingAttend teaching / ISU meeting
  • 12. Present and FuturePresent and Future Training undergoing changeTraining undergoing change Future is bright - huge expansion long overdueFuture is bright - huge expansion long overdue in an ageing populationin an ageing population Very competitive SubspecialtyVery competitive Subspecialty Training is well structuredTraining is well structured Getting in the door is now much easierGetting in the door is now much easier
  • 13. ContactsContacts Urological Trainees of Ireland (UTI) website:Urological Trainees of Ireland (UTI) website: www.homepage.mac.com/www.homepage.mac.com/davidgalvindavidgalvin European Society of Residents in Urology:European Society of Residents in Urology: www.esru.netwww.esru.net (Ireland webpage)(Ireland webpage) Me: davidgalvin@mac.comMe: davidgalvin@mac.com