Urological SurgeryDavid Galvin MDSpecialist Registrar In Urology

Urological SurgeryMost fascinating area in Surgery Deals with all Surgical Pathology involving:KidneysUretersBladderSeminal Vesicles and VasTesticles and ScrotumUrethraFemale Urology

Urological OncologyProstate Cancer: Commonest male cancer

Bladder Cancer: 4th commonest male cancer

Kidney Cancer: 8th commonest cancer. Most lethal.

Testicular Cancer: Commonest cancer

Urological OncologyPartial or Radical NephrectomyOpen / Laparoscopic / Robotic

Radical ProstatectomyOpen / Laparoscopic / Robotic

Radical CystectomyOpen / Laparoscopic / Robotic

Penectomy - Bilateral Groin Dissection - RPLND

EndoUrologyStonePercutaneous NephrolithotomyFlexible UreteroscopyRigid UreteroscopyDormia BasketLaser FragmentationESWLCystolithopaxyEndoscopic SurgeryCystoscopyTURPUrethrotomyTURBTOtherReconstructionFemale UrologyED SurgeryTransplantation

Manpower Nationally23 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 Positions5 will be Urology Residents

Urology Research RegistrarsConway (2), Trinity (2) - Cork, Beaumont etc

Future Manpower NeedsLowest Urologists in Europe (1:180,000)Maintain Dublin CentresMMH / SJH to expand over timeDevelop 4 man units in Cork, Limerick, GalwayHuge Expansion RequiredEnhance present unitsSingle appointments working in triosNatural increase in private sector

Urology Training: UKInternFoundation Year 1 (FY1)Foundation Year 2 (FY2)Foundation Year 3 (FY3)Foundation Year 4 (FY4)Foundation Year 5 (FY5)Urology Fellowship 1Urology Fellowship 2FRCS (Urol)Consultant UrologistConsultant Urological Surgeon

Urology Training: IrelandInternBasic Surgical Training (MRCS)Urology Residency 1Urology Residency 2Urology Residency 3Urology Residency 4Urology Specialist Registrar5 Year SchemeConsultant Urological Surgeon

Why I did Urology I wanted to do SurgeryI enjoyed Endoscopic UrologyIt is largely (75%) Elective basedOn call is frequent but generally lightCall is from home throughout the countryEnjoy family life with my wife and childrenWell structured Training postsVery International - Regular Conferences

How to get into UrologyTalk to UrologistsRequest a Urology rotation while a BSTDo some Urology based audit while BSTGet Registrar ExperienceCork - Galway - Limerick best betsApply for new Residency programmeDo Urology Research (MCh, MD)Attend teaching / ISU meeting

Present and FutureTraining 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

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