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Urological Surgery

Urological Surgery. David Galvin MD Specialist Registrar In Urology. Urological Surgery. “Most fascinating area in Surgery” Deals with all Surgical Pathology involving: Kidneys Ureters Bladder Seminal Vesicles and Vas Testicles and Scrotum Urethra Female Urology. Urological Oncology.

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Urological Surgery

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  1. Urological Surgery David Galvin MD Specialist Registrar In Urology

  2. Urological Surgery • “Most fascinating area in Surgery” • Deals with all Surgical Pathology involving: • Kidneys • Ureters • Bladder • Seminal Vesicles and Vas • Testicles and Scrotum • Urethra • Female Urology

  3. Urological Oncology • Prostate Cancer: Commonest male cancer • Bladder Cancer: 4th commonest male cancer • Kidney Cancer: 8th commonest cancer. Most lethal. • Testicular Cancer: Commonest cancer <40 • Ageing population

  4. Urological Oncology • Partial or Radical Nephrectomy • Open / Laparoscopic / Robotic • Radical Prostatectomy • Open / Laparoscopic / Robotic • Radical Cystectomy • Open / Laparoscopic / Robotic • Penectomy - Bilateral Groin Dissection - RPLND

  5. EndoUrology • Stone • Percutaneous Nephrolithotomy • Flexible Ureteroscopy • Rigid Ureteroscopy • Dormia Basket • Laser Fragmentation • ESWL • Cystolithopaxy • Endoscopic Surgery • Cystoscopy • TURP • Urethrotomy • TURBT • Other • Reconstruction • Female Urology • ED Surgery • Transplantation

  6. Manpower Nationally • 23 Urology Consultants (7 outside Dublin) • Also 5 Private Urologists (increasing) • 9 Specialist Registrars Positions (8 filled July 06) • Dublin (7), Galway (1), Limerick (1) • 12 Non-SpR Registrar Positions • 5 will be Urology Residents • Urology Research Registrars • Conway (2), Trinity (2) - Cork, Beaumont etc

  7. Future Manpower Needs • Lowest Urologists in Europe (1:180,000) • Maintain Dublin Centres • MMH / SJH to expand over time • Develop 4 man units in Cork, Limerick, Galway • Huge Expansion Required • Enhance present units • Single appointments working in trios • Natural increase in private sector

  8. Urology Training: UK Intern Foundation Year 1 (FY1) Foundation Year 2 (FY2) Foundation Year 3 (FY3) Foundation Year 4 (FY4) Foundation Year 5 (FY5) FRCS (Urol) Consultant Urologist Urology Fellowship 1 Urology Fellowship 2 Consultant Urological Surgeon

  9. Urology 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 … • I wanted to do Surgery • I enjoyed Endoscopic Urology • It is largely (75%) Elective based • On call is frequent but generally light • Call is from home throughout the country • Enjoy family life with my wife and children • Well structured Training posts • Very ‘International’ - Regular Conferences

  11. How to get into Urology • Talk to Urologists • Request a Urology rotation while a BST • Do some Urology based audit while BST • Get Registrar Experience • Cork - Galway - Limerick best bets • Apply for new Residency programme • Do Urology Research (MCh, MD) • Attend teaching / ISU meeting

  12. Present and Future • Training undergoing change • Future is bright - huge expansion long overdue in an ageing population • Very competitive Subspecialty • Training is well structured • Getting ‘in the door’ is now much easier

  13. Contacts Urological Trainees of Ireland (UTI) website: www.homepage.mac.com/davidgalvin European Society of Residents in Urology: www.esru.net (Ireland webpage) Me: davidgalvin@mac.com

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