Urologická klinika
Všeobecné fakultní nemocnice a 1. lékařské fakulty Univerzity Karlovy v Praze

Urology Course for 6th year Students of General Medicine - Academic Year 2014/2015

The urology rotation takes 2 weeks (= 3 EC).

Attendance to lectures and practice will be “rewarded” by credit points and there will be given amount of credits students need to obtain in order to get final credits and be able to take the exam.

First week:

  • theoretical lectures

Place: Department of Urology of General University Hospital and 1st Faculty of Medicine of Charles University, Ke Karlovu 6, 12800 Prague 2, 5th floor – Lecture room

Do’s: make sure you have white coat and shoes to change available with you for the first teaching week as well

Time: 8:30 am to 1:30 pm

Monday:

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

Bedside teaching:  Urologic endoscopy.

Tutors: Vobořil V., M.D., Purmová M., M.D., Vaľová Z., M.D., Prof. Dvořáček J., M.D., DrSc., M.D. Kočárek, Ph.D.

Tuesday:

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

Bedside teaching:  Taking history and clinical examination.

Tutors: Novák K., M.D., Petřík A., M.D., PhD., M.D., Sedláček J., M.D., Zámečník L., M.D., PhD., Šrámková T., M.D., PhD.

Wednesday:

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

Bedside teaching: Intensive and postoperative care in urological patients.

Tutors: Macek P., M.D., Ph.D., Pichlíková Y., M.D., Drlík M., M.D., Votoček E., M.D., Pavlík I., M.D., MBA.

Thursday:

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.

Bedside teaching: Urodynamic investigation, pediatric urology.        

Tutors: Ass. Prof. Kočvara R., M.D., PhD., Prof. Hanuš T.,M.D., DrSc., Ass. Prof. Zachoval R., M.D., PhD., Dítě Z., M.D.

Friday:

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

Bedside teaching: Taking history and clinical examination.

Tutors: Soukup V., M.D., PhD., Pešl M., M.D., Sobotka R., M.D., Čapoun O., M.D.

Krolupper M. M.D.

Second week:

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

There will be a roster, that students will assign themselves individually during the first week based on number of spots available for each activity (e.g. outpatients 6 students, assisting in the OR 1-2 students, watching case in the OR 4-6 students etc. – but the number of free spots will be adjusted to the number of students in the whole group)

Students are welcomed and will be given a possibility to participate actively on surgeries during this week (= assisting). For each day there will be 1-2 students allocated to operating teams. Although this is voluntary activity, students who will choose to participate are expected to show up.

Expected daily schedule:

Monday to Thursday:

  • 7-7:45 - morning rounds (2 wards for adult patients, 1 pediatric and 1 ICU)
  • 7:45-8:30 case discussions or urology videos
  • 8:30-according to activity (some outpatients are in the afternoon only)

Friday:

  • seminar on microbiology and uroradiology, credits

NOTE FOR ERASMUS STUDENTS:

  • the first week is together with other English speaking students, the second week is however separate during the 3rd week (following a practical week of English speaking students), the roster will be similar and so will the number of necessary credits point to obtain.

EXAMS:

  • Exams will mainly take place mainly during the week following the two teaching weeks. Exams take place at the 5th floor, Department of Urology of General University Hospital and 1st Faculty of Medicine of Charles University, exam dates are usually announced on Friday afternoon in SIS, please do not call secretary’s office. Registration for the exams is possible exclusively via SIS through your login. The same applies to Erasmus students willing to take an exam.

CONTACT:

CONSULTATIONS:

prof. MUDr. Tomáš Hanuš, DrSc., Head of Department of Urology
MUDr. Petr Macek, Ph.D., Teaching organizer

 

 

Urology exam questions

 

Lower urinary tract and male genital tract infections

Tumors of the penis

 

Upper urinary tract infections, urosepsis, septic shock

Adrenal tumors

 

Urinary stone disease (= urolithiasis) – symptoms and diagnosis

Non-malignant conditions of the scrotum and spermatic cord (hydrocele, spermatocele, varicocele)

 

Urinary stone disease (= urolithiasis) – principles of management

Investigation methods in urology – urodynamics

 

Benign prostatic hyperplasia

Sexually transmitted diseases

 

Trauma of the kidney, ureter, scrotum and testes

Cystic diseases of the kidney

 

Prostate cancer

Endourology of lower urinary tract (cystoscopy and common transurethral procedures)

 

Hydronephrosis

Investigation methods in urology – imaging

 

Renal tumors

Investigation methods in urology – urine tests

 

Neurogenic bladder

Hematuria – diagnosis and differential diagnosis

 

Acute scrotum

Congenital anomalies of the lower urinary tract, vesicoureteric reflux

 

Bladder tumors

Obstructive uropathies

 

Trauma of urinary bladder and urethra

Laparoscopy in urology

 

Tumors of the renal pelvis and ureter

Emergencies in urology excluding acute scrotum (urinary retention, clot retention, priapism)

 

Urinary incontinence

Urologic complications of gynecological diseases

 

Tumors of the testis

Congenital anomalies of the upper urinary tract

 

Urethral strictures

Urinary diversion

 

Renal colic and its differential diagnosis

Voiding dysfunctions, their clinical symptoms and differential diagnosis

 

Erectile dysfunction and male infertility

Endourology of upper urinary tract (ureteroscopy, percutaneous renal procedures)