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

Nonvascular Intervention in Urology and Transplantology

Main Study Course Information

Course Code
RIR_004
Branch of Science
Clinical medicine; Roentgenology and Radiology
ECTS
3.00
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 theoretical knowledge and practical skills in non-vascular interventions in urology and transplantology to prepare for the subspecialty of interventional radiology.

Learning Outcomes

Knowledge

1.At the end of this course, residents are familiar with the classifications of solid and cystic lesions of the kidneys. Will know what the Whitaker test is, will be able to interpret it. Residents are familiar with the materials used to perform urinary tract percutaneous procedures. Will be able to apply iodine contrast, air and CO2 for optimal renal pelvis puncture. Residents will know the basic principles of urinary and vascular anastomoses and their impact on minimally invasive manipulations. The difference between a living and deceased donor kidney transplant, its effect on the formation of anastomosis. Knows the potential risks of intervention.

Skills

1.During the course, residents will learn to correctly position of the patient before the percutaneous procedure, choose the safest approach, perform the following manipulations: • Percutaneous nephrostomy administration – US, fluoroscopy, computed tomography control, puncture without visual control, nephrostomy fixation, incl. patients with anatomical variants of the kidney (rotation, horseshoe kidney), pregnant women, patients in the intensive care unit, kidney transplant, ileum conduit, etc., as well as administration of chemotherapeutic agents, access to antero- and retrograde endourological manipulations (ablation, resection, etc.). • Sclerotherapy of cystic lesions. • Stent implantation in the urethra (anterograde/retrograde). • Urethral balloon dilation. • Therapeutic urethral occlusions. • Evacuation of foreign bodies. • Percutaneous nephrolithotomy. • Diagnostic aspiration. • Collection drainage (including perirenals, prostate abscesses, etc.) under US, CT control. • Measurement of renal transplant intraarterial pressure, angioplasty, stenting. In-depth acquisition of manipulations that are within the competence of the radiologist's main specialty is planned.

Competences

1.At the end of the course, residents will be able to apply the acquired theoretical knowledge and practical skills to perform invasive manipulations in the kidneys, kidney transplants and urinary system, will be aware of possible complications, will be able to diagnose and treat them.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Preparation of presentations on nonvascular intervention in urology, using the recommended literature sources, with their evaluation and analysis in workshops. With the aim of mastering and understanding the problem in depth.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
2.

Examination

-
-
Assessment of residents' knowledge includes testing of current knowledge – seminars and practical training (30%), patient analysis (20%), multi-choice tests and clinical situation analysis (50%). Examination of the acquired knowledge with differentiated assessment in a 10-point system.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Placement location

Topics

Urinary tract obstruction – causes, treatment.
  1. Seminar

Modality
Location
On site
Placement location

Topics

Intervention in renal transplant dysfunction cases.
Total ECTS (Creditpoints):
3.00
Number of Residency Seminars:
2
Length (weeks):
3
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Rastinehad, A.R., Siegel, D.N., Pinto, P.A., Wood, B.J. (eds.). 2016. Interventional urology. Springer.

2.

Uberoi, R. et al. 2017. European Curriculum and Syllabus for Interventional Radiology, Cardiovascular and Interventional Radiological Society of Europe.

Additional Reading

1.

Parajuli, S., Aziz, F. (eds.). 2019. Kidney Transplant Management. Springer.

2.

Shafa, J. and Kee, S.T. 2019. Learning Interventional Radiology. Elsevier.