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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

Urological Surgery

David Galvin MD

Specialist Registrar In Urology

urological surgery2
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
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 oncology4
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
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
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
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
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

urology training ireland
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
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
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
present and future
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
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