KSU Endourology & ESWL Fellowship

 

INTRODUCTION

The last 20 years has seen the biggest revolution in surgical practice. The technology has rushed through all surgical specialists with the main aims of replacing radical surgical procedures with minimal invasive techniques that achieve the same end. The Urologist is justly proud of spearheading and being at the forefront of these advancing minimally invasive surgical techniques. The first endoscopes were developed and applied to in the lower urinary tract and to urological procedure date. There remains no recess in the upper or lower urinary passages which are unaccessible to direct endoscopic examination. Very few enlarged prostates, bladder tumors, strictures or stones which together make up more than 80% of urological lesions. Necessitating intervention now require open surgery. The treatment of urinary tract stones forms a major part of the workload of the urological surgeon with the projected lifetime risk being at least 50% higher than the highest corresponding figures in the West, in addition the experience has shown that we are dealing with different stone disease than the one seen in the West which necessitate special experience in treatment even for the doctors who were trained in the West.

Removal of the stone remains the mainstay of the management of these patients and even in the most complicated cases it is now possible to do this with the minimal invasion. The introduction of Percutaneous Nephrolithotomy (PNL and Extracorporeal shockwave Lithotripsy (ESWL forever altered the approach and indications of urological interventions. The high i ence of stones in our country, the different nature of the stone disease and the rapid change in the means of stone removal necessitate the Urologist to have special training to acquire the necessary skills in various Urology Unit techniques and ESWL. First units in the KKUH was one of the Kingdom to acquire this new technology and to date. Has the largest experience in the Kingdom in various techniques of endourology and stone management in particular percutaneous renal procedures, ESWL and ESWL related procedures keeping up to date with the progress in this field of urological surgery. Moreover ment are the major research of stone manage- interest of the members of the unit Backed with the experience of over 8,000 surgery related about and percutaneous per together with 150o procedure year, the majority of it done feel we urologist equipped from all aspects to train subspecialty our unit at KKUH.

 

ACADEMIC TRAINING:

 In addition to the clinical and operative activities the candidates are expected to participate in all the academic and teaching activities of the unit. TRAINING HOSPITALS: The Urology Unit at King Khalid University Hospital will be the site of training. It has the experienced personnel and the necessary facilities to run the whole programme.

 

OBJECTIVES

Fellowship Programaims to train selected Urologist in the t of Endourology and ESWL with particular emphasis on the stone management Additional skills to be acquired are teaching ability and research capability ,particular the candidate is expected to gain special skills in following:

 1. Various aspects of diagnostic and operative Endourology

2. Percutaneous Renal Surgery

3. ESVVL

 4. Interventional Uroradiology

 5. Management of renal stone disease in the Kingdom

 

6. Basic and Research in the subject ofurinary stone disease.

 

PROGRAM SCOPE AND OUTLINE

CLINICAL AND OPERATIVE TRAINING: This will involve 21 months General Endourology, ESWL and Percutaneous Renal Surgery. 3 months Interventional Uroradiology

Program Content:

 a) Clinical Training

 b) Uroradiology Training

c) General Endourology Techniques

 d) Extracorporeal Shockwave Lithotripsy

e) PNL and related percutaneous renal surgery techniques Ureteroscopy (Diagnostic and operative)

 g) Cystolitholapaxy

 

ACADEMIC TRAINING:

In addition to the clinical and operative activities the candidates are expected to participate in all the academic and teaching activities of the unit.

TRAINING HOSPITALS:

The Urology Unit at King Khalid University Hospital will be the site of training. It has the experienced personnel and the necessary facilities to run the whole programme.

 

ADMISSION REQUIREMENTS:

 1. A basic medical qualification M.B.Bs. or equivalent degree recognized by the King Saud University

2. Successful completion of the internship.

3. Passing the Saudi Board of Urology or equivalent.

 4. Passing a selection examination and o personal interview according to the Rules and Regulations of King Saud University Fellowship Program.

5. Provision by the candidate of a release letter from his/her sponsor for the whole duration of the Program.

 

Duration: TWO YEARS OF FULL-TIME J Residency Training in Endourology & EWSL Upon successful completion of the final examination, the candidate will be awarded K.SU. Fellowship in Nephrology