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5th year Course Book/Urology


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5th year Course Book/Urology

  1. 1. Course Book<br />Of Urology<br />Fifth Stage<br />Department of Surgery<br />College of Medicine<br />2010-2011<br />Course coordinator and list of teachers on this course<br />Course: urology<br />Course coordinator: Dr. Ali Kamal<br />Department: surgery<br />College: Medicine<br />Course coordinator link:<br />Tel. +9647705449905<br />List of teachers on this course:<br />Dr. Ismaeel Hama Ameen<br />Dr. Aso Omer Rasheed<br />Dr. Sarwar Noore Mahmoud<br />Dr. Ali Kamal M.Sami<br />Dr. Ahmed Abdulhameed<br />Course Overview<br />The course of urology is dedicated to deal with undergraduate level to know the importance of urology in the daily activities of the junior doctors and the sessions and the lectures are overall based on simple principles and standards for the juniors in urology to understand the physiology and pathology and management of these problems in simple and qualified methods in 16 lectures.<br />The subjects should enable the students to understand the procedures of intervention in urology and the justification of such intervention and when to decide to treat conservatively and when to interfere with the disease process with a wide base of knowledge that will help the students to widen their experiences through journals and textbooks after understanding the basics of urology.<br />Course Objectives<br /> <br />At the end of the course of urology, the students should be able to master and perform the basic skills that are considered fundamentals in urology and to have basic urological experience needed for doctors in urology department or in case of urological emergency, and some of these objectives include:<br /><ul><li>Insertion of urethral Foley’s catheter.
  2. 2. Performing suprapubic cystostomy
  3. 3. Diagnosing urine retention with its management.
  4. 4. Suspecting urethral injury and urethral rupture.
  5. 5. Diagnosing and treatment of urological diseases.
  6. 6. Suspecting malignancy and differentiating from benign lesions.
  7. 7.
  8. 8. Course Reading List
  9. 9. 1-Baily and Love, short practice of surgery
  10. 10. 2-Smith’s urology
  11. 11. 3-Journal of Urology. American Urological Association .
  12. 12. 4-European association of urology, clinical guidelines.</li></ul>Syllabus<br />No.Title of subjectLecturer/Tuttor’s name1kidney and urinary symptomsDr. Aso Omer Rasheed2Investigation in urologyDr. Aso Omer Rasheed3Congenital anomalies of UTDr. Aso Omer Rasheed4infectionDr. Aso Omer Rasheed5AnuriaDr. Aso Omer Rasheed6hydronephrosisDr. Aso Omer Rasheed7UrolithiasisDr. Aso Omer Rasheed8renal trumaDr. Aso Omer Rasheed9renal tumorDr. Aso Omer Rasheed10Prostate infections 1Dr. Sarwar Noore11Prostate inferctions 2Dr. Sarwar Noore12BPH 1Dr. Sarwar Noore13BPH 2Dr. Sarwar Noore14Carcinoma of prostate 1Dr. Sarwar Noore15Carcinoma of prostate 2Dr. Sarwar NooreNo.Title of subjectLecturer/Tuttor’s name16Urinary bladder anatomy, physiology and pathologyDr. Ali Kamal17Rupture of urinary bladder , urine retentionDr. Ali Kamal18Neuropathic bladder + urinary incontinenceDr. Ali Kamal19Urinary bladder stones ,vesical fistula, bladder diverticulumDr. Ali Kamal20Bladder tumorsDr. Ali Kamal21Urinary bladder schistosomiasis,Dr. Ali Kamal22Urethra and penis ,anatomy and congenital anomaliesDr. Ahmed Abdulhamed23HypospadiasDr. Ahmed Abdulhamed24Acquired urethral strictureDr. Ahmed Abdulhamed25Disorders of female urethraDr. Ahmed Abdulhamed26Ectopic testis and cryptorchidismDr.Ismaeel Hama amen27HydroceleDr.Ismaeel Hama amen28OrchitisDr.Ismaeel Hama amen29Torsion of the spermatic cordDr.Ismaeel Hama amen30Tumors of the testisDr.Ismaeel Hama amen<br />Lectures titles (the kidney)<br />Lecturer (dr. Aso Omer )<br /><ul><li>Objectives: these lectures are dedicated to help the medical students understand the importance of the kidneys in daily practice as a common problem that they will face every day in the hospital and urinary emergency of renal trauma or renal stones or anuria or infection of the kidneys,the objectives are:
  13. 13. The function of kidneys.
  14. 14. The investigations needed to diagnose and define renal problems.
  15. 15. To differentiate between anuria and urine retention.
  16. 16. To be clinically capable of differentiation between renalcolic and acute abdomen.
  17. 17. Management of renal colic.
  18. 18. The lines of treatment of renal colic and renal pain.
  19. 19. Surgical treatment of renal tumor.
  20. 20. The lectures include:
  21. 21. Introduction to kidney function and physiology of urine formation.
  22. 22. Causes of renal colic, renal tumor ,hydronephrosis, anuria , renal trauma and their managment
  23. 23. Lectures titles (the Prostate)
  24. 24. Lecturer (dr. Sarwar Noore )
  25. 25. Objectives: these lectures are dedicated to help the medical students understand the importance of the prostate as a common problem that they will face every day in the hospital and urinary emergency of hematuria or urine retentionor infection of the prostate,the objectives are:</li></ul>1-To understand the function of prostate.<br />2-The investigations needed to diagnose and define prostate infections and relation to LUTS.<br />3-To differentiate between benign prostatic hyperplasia and prostatic carcinoma.<br />4-To be clinically capable of performing rectal examination .<br />5-Management of BPH.<br />6-Surgical treatment of prostatic carcinoma.<br /><ul><li>The lectures include:</li></ul>a-Introduction to prostate anatomy and physiology.<br /> b-Presentation ,diagnosis and treatment of prostatic problems.<br />Lectures title: (Urinary bladder)<br /><ul><li> Lecturer name: Dr. Ali kamal
  26. 26. Objectives: Theses lectures are directed to dedicated to help the medical students understand the functions and anatomy and micturition process and the mechanism of urinary retention in daily practice as a common problem that they will encounter while dealing with patients suffering from urinary frequency and hematuria or urinary bladder carcinoma ,also the rupture of bladder.the objectives are:</li></ul>1-The causes of urinary retention, also the causes of urinary bladder rupture.<br />2-The difference between the urinary retention and anuria<br /> 3-To differentiate between acute and chronic retention.<br />4-To be clinically capable of differentiate between intraperitoneal and extraperitoneal rupture of bladder.<br />5-Management of retention.<br />6-The contraindications to catheterization in cases of urine retention with urethral injury.<br />7-Surgical treatment of rupture of urinary bladder,, vesical fistula .<br /><ul><li>The lectures include:</li></ul>a-Introduction to urinary bladder function and physiology of micturition. and meaning of urine retention.<br />b-presentation and management of bladder stones, infections, and malignancy, fistulas, congenital anomalies.<br /><ul><li>Causes of urine retention and classification of urine retention acute and chronic , neurogenic and obstructive and presentation of patients.
  27. 27. What is difference between intraperitoneal and extraperitoneal bladder rupture, how to diagnose both and treatment of both types.</li></ul>References:<br />1-Baily and Love short practice of surgery<br />2- Journal of urology.<br />Lectures titles (the penis and urethra)<br />Lecturer (dr. Ahmed abdulhameed )<br /><ul><li>Objectives: These lectures are dealing with the penis and urethra and are intending to introduce the penis and urethral problems as congenital and acquired diseases.
  28. 28. the objectives are:</li></ul>1-To understand the anatomy of penis and urethra .<br />2-The investigations needed to diagnose and treat urethral diseases.<br />3-To differentiate between hypospadias and epispadius.<br />4-To be clinically capable of catheterizing the urethra in female and male.<br />5-Management of urethral injury.<br /> 6-The lines of diagnosing female urethral problems.<br />7-Surgical treatment of urethral strictures.<br /><ul><li>The lectures include:</li></ul>a-Introduction to penis and urethral anatomy.<br />b-presentation and treatment of congenital and acquired urethral problems in male and in females.<br />Lectures titles (the testis)<br />Lecturer (dr. Ismaeel Hama Ameen )<br /><ul><li>Objectives: these lectures are dealing with the testes and the congenital abnormalities as well as the acquired problems of the testis , and a the emergency of testicular and spermatic conditions.
  29. 29. the objectives are:</li></ul>1-The function , anatomy and physiology of testes.<br />2-The investigations needed to diagnose and define testicular problems .<br />3-To diagnose the emergency of testicular torsion and infection of testes.<br /> 4-To be clinically capable of diagnosing hydrocele and varicocele.<br />5-Management of renal colic.<br /> 6-The lines of treatment of renal colic and renal pain.<br />7-Surgical treatment of renal tumor.<br /><ul><li>The lectures include:
  30. 30. a-Introduction to testis anatomy, function and physiology ,</li></ul> b-presentation and treatment of testicular torsion and hydrocele and varicocele and ect Causes of renal colic, renal tumor ,hydronephrosis, and ectopic testis, also infection .<br /> Student feedback for the subject of a lecture<br />Date: course: year: lecturer: title:<br />No.Evaluation QuestionsScore(1-5)Subjective Remarks1The objectives and key messages of the subject were clear2The contents of the subject were useful and related to the main objectives of the course3The materials were prepared carefully as needed4The lecturer/ tutor while lecturing tried to analyze the principles, contents and the important points of the subject simply and properly.5The lecturer/ tutor while lecturing kept my attention.6The lecturer/ tutor came into the classroom on time and was committed to the duration of the lecture.7The lecturer's behavior in the classroom was calm and respectful8The slides used in the lecture were clear and attractive.9At the end of the lecture, the lecturer gave the students a chance for questions and comments. His/ her answers were complete. 10The reading sources are new and compatible with the subject.Total score<br />1-very bad 2–bad 3–medium 4- good 5-verygood<br />Examinations.<br /> Types of questions: <br />1-short essay.<br />2-long essay.<br />3-multiple choice questions.<br />Time of exam. <br />3 Three hours.<br />The number of questions and marks are divided as follows:<br />30 Marks for long essays.<br />30 Marks for short essays.<br />60 Marks for MCQs.<br />The methods of correction of answers depend on key answers and key for multiple choice questions and correction and marks are given accordingly.<br />Advices and directions for all students before and during exams.<br /><ul><li>Read the question twice before answering.
  31. 31. Think of the answer before writing.
  32. 32. Plan your answer in a separate page before writing it down on the answer paper.
  33. 33. Arrange the answer in the form of introduction, contents and the final part so that the student organizes his/her answe
  34. 34. Sample of MCQ and long and short essays</li></ul>regarding the penis all are true except:<br />a- has a fixed root and a body that hangs free.<br />b- the bulb of the penis is traversed by the urethra and covered on its outer surface by bulbospongiosus muscle.<br />c- the corpora cavernosa supplied by branches from the external femoral arteries.<br />d- the corpus spongiosum at its end expands to form the glans penis.<br /> e- nerve supply is from the pudendal nerve and the pelvic plexus<br />the correct answer is ( c )<br />which of the following is correct regarding urethrorectal and vesicorectal fistula:<br />they are very common congenital abnormality .<br />they are almost always associated with imperforate anus.<br />urorectal septum has developed completely.<br />the fistula opens on the anterior abdominal wall.<br />cystoscopy and panendoscopy can not show the fistulous opening.<br />The correct answer is ( d )<br />classification of hypospadias according to location include all the following except:<br />perineal.<br />glandular.<br />suprapubic.<br />coronal.<br />penoscrotal.<br />The correct answer is ( c )<br />which of the following is not a clinical finding in Peyronie’s disease:<br />a- painful erection.<br />b- curvature of the penis.<br />c- poor erection distal to the involved area.<br />d- the patient has moderate to severe pain when the penis is in nonerect state.<br />e- Examination of the penile shaft reveals a palpable dense, fibrous plaque involving the tunica albuginea. <br />The correct answer is ( d )<br />treatment of acquired urethral stricture and its complications, all are correct but one:<br />a- dilation of urethral stricture is not usually curative.<br />b- urethrotomy under endoscopic direct vision.<br />c- short strictures (≤2 cm) of the anterior urethra should be completely excised and primary anastomosis done.<br /> d- strictures >2 cm in length can be managed by patch graft urethroplasty. <br /> e- periurethral abscess self-limited and will heal spontaneously.<br />The correct answer is ( e )<br />Question: Enumerate the causes of priapism<br />Answer: <br /> - Idiopathic in 60% of cases.<br /> - Secondary in 40% of cases due to the following diseases:<br /> 1) Leukemia.<br /> 2) Sickle cell disease.<br /> 3) Pelvic tumors.<br /> 4) Pelvic infections.<br /> 5) Penile trauma.<br /> 6) Spinal cord trauma.<br /> 7) Medications (trazodone). Currently, intracavernous injection therapy for impotence may be the most common cause<br />Question: write short assay on the diagnosis of urethral diverticulum.<br />Answer :<br />Diagnosis:<br />1) feeling a rounded cystic mass in the anterior wall of the vagina that leaks pus from the urethral orifice when pressure is applied.<br />2) Endoscopy may reveal the urethral opening. <br />3) The postvoiding film of an IVU series may demonstrate the lesion. <br />4) Transvaginal ultrasonography .<br /> Student feedback on the course<br />Date : course: year lecturer:<br />no.Evaluation QuestionsScore(1-5)Subjective Remarks1The objectives and key messages of the subject were clear2The contents of the subject were useful and were related to the main objectives of the course3The coordinator teacher had worked hard to prepare the materials4The coordinator teacher had worked hard to cooperate and prepare the course 5The lecturers were carefully selected and were expert in their fields6The coordinator teacher gave a good attention to the students' criticisms and claims7Information on the Examination process was well provided8The questions of the exams were related to the contents of the course9There is a potential to promote and develop the course in the following areas:10 Total of the levels<br />1-very bad 2- bad 3-medium 4-good 5-very good<br />