Veidlapa Nr. M-3 (8)
Study Course Description
Urology
Course Code
RAD_008
Branch of Science
Clinical medicine
ECTS
19.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Juris Ērenpreiss
Residency Speciality
Speciality
Andrologist
Supervisor of Medical Speciality
Juris Ērenpreiss
Contacts
-
About Study Course
Objective
To ensure the acquirement and improvement of the theoretical knowledge and practical skills in urology that corresponds with the requirements of the andrological speciality, to prepare a physician for the certification in additional speciality of andrology.
Learning Outcomes
Knowledge
1.Anatomy, normal and pathophysiology of the urinary system. Functional tests of urinary system, urofloumetry; Urinary tract infections. Diagnostics. Treatment; Functional evaluation of prostate activity; Prostate diseases: classification, diagnosis, treatment of prostatitis; benign prostatic hyperplasia, prostate malignancies; Effects of androgens on prostate function. Testosterone replacement therapy, deprivation of androgen, and prostate health / illness; Varicocele: pathophysiology, classification. Effect of varicocele on sperm quality. Varicocelectomy: laparoscopic, micro-surgical, etc; Cryptorchism, hypospadias, epispadias. Balanitis, posthitis. Diagnostics, medical and surgical treatment; Male contraception: vasectomy. Indications, contraindications. Other types of male contraception; Azoospermia and testicular biopsies: obstructive and non-obstructive azoospermia, diagnostics, differential diagnostics. Treatment types for obstructive and non-obstructive azoospermia.
Skills
1.Performs uroflowmetry; Obtains and evaluates prostatic exprimate; Performs ultrasonographic examination of urinary system and scrotum: transadbominal and transrectal ultrasonography of the prostate. Ultrasonography of seminal vesicles. Scrotum: Testicles and their appendages US; Performs instrumental diagnosis of erectile dysfunction (penile dopplerography with and without application of the vasoactive substances); Performs testicular biopsies: TESE, TESA, PESA, MESA.
Competences
1.Evaluates functional tests of urinary system, evaluates urofloumetry and its results; Diagnoses and treats urinary tract infections; Diagnoses prostate diseases, differentially diagnoses subspecies of prostatitis. Manages prostatitis treatment methods and types. Is familiar with the diagnostics and treatment of benign prostatic hyperplasia; Diagnoses varicocele and its stages (palpatory, ultrasonography). Is familiar with varicocele surgical indications and subtypes; Diagnoses testicular diseases (parenchymal lesions, microcalcinosis, spermatocele, etc.). Knows their treatment; Diagnoses and treats erectile dysfunction.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Getting acquainted with the recommended literature. Preparation of a presentation on the current diagnostics and treatment of uro-andrological pathology.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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Practical work 90% (performs diagnostics, treatment of uro-andrological patients). Final examination: oral test: analysis of 3 clinical cases – 10%.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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Topics
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Anatomy and physiology of the urinary system. Functional tests of urinary system: urine tests, bacteriological tests, functional assessment of kidneys and urine bladder, uroflowmetry.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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Topics
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Anatomy of penis, testicles, prostate, seminal vesicles.
Anatomy and physiology of erection and ejaculation.
Histology and physiology of testis.
Assessment of the testicular histology.
Histology of the prostate and seminal vesicles.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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Topics
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Urinary tract infections. Asymptomatic bacteriuria. Complicated urinary tract infection. Diagnostics, prophylactic therapy. An impact of these diseases on male reproductive system and health.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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Topics
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Functional assessment and diseases of prostate: an international assessment scale of the prostate function, PSA, analysis of the prostate secretion. Prostate diseases: classification of prostatitis, diagnosis, therapy. Benign prostate hyperplasia, prostate cancer.
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Seminar
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Modality
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Location
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|---|---|---|
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Topics
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Congenital malformations of penis.
Small penis in children: clinical, surgical and psychological aspects.
Pathophysiology of the testicular descent. Diagnosis of the undescended testis. Medical and surgical treatment.
Hypospadias, extrophy of urine bladder, variations of genitals and their psychological consequences.
Peironi disease and other morphological deviances of penis: clinics and therapy. Penile tumours and sexual function.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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Topics
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Varicocele: pathophysiology, classification according to the clinical and ultrasound data. Its impact on testicular function and seminal quality. Varicocelectomy: laparoscopic, micro-surgical, others.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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Topics
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Cryptorchidism, hypospadia, epispadia. Balanitis, postitis: causes, pathogenesis, classification. Diagnostics, conventional and surgical treatment. Benign prostate hyperplasia, its impact on sexual function and fertility. Prostate cancer, hystological aspects and grading.
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Seminar
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Modality
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Location
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|---|---|---|
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Topics
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Androgen receptors in prostate. Relation to prostate carcinoma.
Impact of the prostate carcinoma and its therapy on male sexual function.
Hormonal and chemical therapy of the prostate cancer.
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Seminar
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Modality
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Location
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Topics
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Testicular tumours: epidemiology, risk factors, calssification.
Oncological and surgical aspects.
Fertility management in patients with testicular tumours, and other malignancies.
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Seminar
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Modality
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Location
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|---|---|---|
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Topics
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Azoospermia and testicular biopsies: obstructive and non-obstructive azoospermia, diagnostics, differential diagnostics. Testicular biopsies, and their types: fine needle aspiration, open biopsy, microsurgical biopsy. TESE, TESA, PESA, MESA. Indications, advantages, methodologies. Treatment of obstructive azoospermia.
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Seminar
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Modality
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Location
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|---|---|---|
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Topics
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Causes of erectile dysfunction: vascular, hormonal, others. Hormonal and instrumental diagnostics of erectile dysfunction (penile Doppler ultrasound with and without usage of the vaso-active substances).
Ultrasound investigation of urinary system and scrotum. Transabdominal and transrectal ultrasound of prostate. US of seminal vesicles.
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Seminar
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Modality
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Location
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|---|---|---|
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Topics
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Male contraception. Vasectomy. Indications, contraindications. Vaso-vasostomia, vaso-epididymostomia.
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Total ECTS (Creditpoints):
19.00
Number of Residency Seminars:
12
Length (weeks):
14
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Partin, A.W., Peters, C. A., et.al. 2021. Campbell Walsh Wein Urology. 12th Edition. Elsevier. ClinicalKey
2.
Lejnieks, A. 2010. Klīniskā medicīna. Nieru slimības. Rīga. NMA.
Additional Reading
1.
European Association of Urology Guidelines
2.
Pētersons A., Vēverbrants, E., Lazovskis, I. 1998. Kā atklāt un ārstēt nieru slimības. Rīga. A. Pētersona autorizdevums
Other Information Sources
1.
The Journal of Urology
2.
European Urology