Veidlapa Nr. M-3 (8)
Study Course Description

Oncological Urology

Main Study Course Information

Course Code
ROG_007
Branch of Science
Clinical medicine; Obstetrics and gynaecology
ECTS
6.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

Acquisition of knowledge about urinary tract anatomy, diagnostics of complications of gynecologic malignancies in urinary tract, intraoperative diagnostics of urinary tract lesions and their removal.

Learning Outcomes

Knowledge

1.Effect of oncogynecologic disease and its treatment on urinary tract (cancer evasion in urinary tract organs, complications of radical surgical and radiation therapy treatment).

Skills

1.Options to avoiding urologic complications, ability to identify and treat urologic complications. Ability to discuss with patients and their relatives the course of oncogynecologic disease and its treatment effects on urinary system (fistula, stricture, disturbed bladder function). Ability to interpret investigations. Ability to recognize and treat urinaru tract injuries. Ability to select patients for urinary tract surgical manipulations (ureter stent placement, fistula treatment, pelvic exenteration). pre- and post-operative patient care after urinary tract surgical manipulations. Differential diagnostics of urinary tract malignancies.

Competences

1.Ability to investigate and diagnose a urinary tract lesion in an oncogynecologic patient. Preoperative investigation and cooperation with urologists. Investigations: urine analysis (microscopic and biochemical examination), blood analysis, ultrasonography, x-ray, MRI, cystoscopy, ureteroscopy. Understanding the formation of ureter and bladder lesions (fistula, stricture, surgical injury) caused by the disease or surgical treatment. Ability to perform cystoscopy, bladder suturing, ureter dissection. If necessary and with the help of urologists, ability to perform ureteroscopy, ureter stent placement, ureter injury suturing, cystectomy, continent urinary diversion. Ability to analyse results and complications of investigation and treatment, provide evidence based investigation and treatment strategy for an oncogynecologic patient with urinary tract complications.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Participation un urological operations, independent performance of certain stages of operations.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
Solution of a clinical task with evaluation.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Anatomy of ureter. Intraoperative ureter and bladder injury, the principles of reconstruction. Cystoscopy, stent placement procedure and application in case of gynaecological oncological diseases.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

What does oncological gynaecologist need to know about malignancies in urology?
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Organisation of oncological services in Latvia, refferal system, guidlines, algorithms and patient pathways
Total ECTS (Creditpoints):
6.00
Number of Residency Seminars:
3
Length (weeks):
6
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Ayhan A., Reed N., Gultekin M., Dursun P. Textbook of gynecological oncology. - Turkey: Gunes publishing, 2016. - 1638 lpp

2.

Gebhart J.B. Urologic Surgery for the Gynecologist and Urogynecologist: Female Pelvic Surgery. - Philadelphia: W.B.Saunders, 2010. - 192 lpp.

3.

Brunicardi F.C., Andersen D.K., Billiar T.R., et.al. Schwartz's Principles of Surgery, 11st ed., 2019 McGraw-Hill Education

Additional Reading

1.

Desai M. New Technology in Urologic Surgery, An Issue of Urologic Clinics. - Philadelphia: W.B.SauMalcolm R.A. The Cancer Handbook. 2nd ed. – United Kingdom: Wiley, 2007. - 1772 lpp.

Other Information Sources

1.

- Lekciju materiāls, semināru materiāls

2.

- www.esgo.com resursi