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 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
Urological Oncology Partial or Radical Nephrectomy – Open / Laparoscopic / Robotic Radical Prostatectomy – Open / Laparoscopic / Robotic Radical Cystectomy – Open / Laparoscopic / Robotic Penectomy - Bilateral Groin Dissection - RPLND
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
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
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
Urology 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: 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 … 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
How to get into Urology 1.Talk to Urologists 2.Request a Urology rotation while a BST 3.Do some Urology based audit while BST 4.Get Registrar Experience Cork - Galway - Limerick best bets 5.Apply for new Residency programme 6.Do Urology Research (MCh, MD) 7.Attend teaching / ISU meeting
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
Contacts Urological Trainees of Ireland (UTI) website: European Society of Residents in Urology: (Ireland webpage) Me: