Viva Practice for the FRCS(Urol) and Postgraduate Urology Examinations, Second Edition

409 Pages·2018·34.7 MB·English

by  Ahmed

Viva Practice for
the FRCS(Urol) and
Postgraduate Urology
Examinations
Second Edition

Viva Practice for
the FRCS(Urol) and
Postgraduate Urology
Examinations
Second Edition
Edited by
Manit Arya, Iqbal S Shergill, Herman S Fernando,
Jas S Kalsi, Asif Muneer and Hashim U Ahmed
CRC Press
Taylor & Francis Group
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© 2018 by Taylor & Francis Group, LLC
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To Maanvii and Krishan, who light up my life.
To Navroop, Mehtaab and Partap, for their support and motivation.
To my parents, Rani and Stanley, who have always stood by me, and my
wife, Deepa, and my daughter, Aditi, for their love and support.
To Harwinder, Serena, Sian and Hari, I thank you for enriching my
life and for all the love and support you give me every day.
To Iaisha, Adam and Jemima, for all your patience and support.
To all my family and friends, without whom nothing in my career would have been possible.

CONTENTS
Preface ix
Editors xi
Contributors xiii
1 Prostate cancer 1
Hashim U Ahmed, Jane Boddy, Alan Doherty, Lyndon Gommersall and Manit Arya
2 Testicular cancer 37
Farooq A Khan and Jas S Kalsi
3 Penile cancer 63
Asif Muneer
4 Urothelial cancer 79
David Mak, Muhammad Jamal Khan, Herman S Fernando, Ciaran Lynch
and Lyndon Gommersall
5 Renal cancer 111
Emma Bromwich, Ahmed Qteishat, Herman S Fernando and Dominic Hodgson
6 Paediatric urology 127
Aruna Abhyankar and Arash K Taghizadeh
7 Urological emergencies, part 1: Acute testicular pain,
complications of TURP, sepsis and penile fracture 157
Iqbal S Shergill and Basharat Jameel
8 Urological emergencies, part 2: Genitourinary trauma and
urethral stricture 169
Davendra M Sharma, Iqbal S Shergill and Manit Arya
9 Urinary tract infections 193
Vibhash Mishra and Jas S Kalsi
10 Urinary tract stones 219
Thomas Johnston, Mark Rochester and Oliver Wiseman
11 Female urology and neurourology 247
Christian Nayar, Vinay Kalsi, Rizwan Hamid, Julian Shah and Tina Rashid
12 Benign prostatic hyperplasia 279
Iqbal S Shergill, Ananda K Dhanasekaran, Jas S Kalsi and William J McAllister
vii
C 13 Andrology 297
O
N Jas S Kalsi, Suks Minhas and Asif Muneer
T
E
N 14 Urotechnology, principles of uroradiology and miscellaneous 341
T
S Gidon Ellis, Daniel Cohen, John A Bycroft and Jim Adshead
15 TNM classification for urological cancers 365
Herman S Fernando
16 Commonly asked Viva questions 371
Index 381
viii
PREFACE
The Fellowship of the Royal Colleges of Surgeons (FRCS) (Urol) examination is set to test the
required standard of a recognised urology specialist in the United Kingdom, i.e. a day one
National Health Service (NHS) UK/Ireland consultant. The examination is divided into two
parts. The first part is devoted entirely to multiple choice questions (MCQs) and extended
matching questions (EMQs) which aim to test the entire urology syllabus in depth.
The second part uses clinical scenarios to form the basis of the viva voce section of the
examination. These vivas test the candidate on the domains of overall professional capability,
knowledge and judgement, logical thought process, safe practice and communication skills.
The aim of this book is to provide a selection of common clinical scenarios together with a
guide to answering these questions. Each chapter has been written by consultant urological
surgeons or senior urology trainees who have already been successful in passing the examination.
The book is intended primarily to be used as a revision tool in conjunction with a larger urology
textbook supplemented by lectures and urology journals. In order to avoid an exhaustive list
of references, only selected ones are included together under ‘References’ with some suggested
‘Further Reading’. In several chapters a longer list of references has been included as this was
deemed appropriate by the editors.
In addition to the FRCS(Urol) examination we hope that the scope of this book will extend
to individuals sitting the Fellow of the European Board of Urology (FEBU) and equivalent
postgraduate urological examinations in the United States, Australia and Asian countries.
Established consultants may also find the text useful as a ‘refresher’ in areas outside their
subspecialist interest.
This book is unique in that it is the first revision book to be published specifically for
candidates sitting the FRCS(Urol) examination. This second edition has been published due to
continual changes in practice and significant demand. Additionally, the chapters on urological
cancers including prostate cancer, bladder cancer and renal cancer have seen important
updates due to the emergence of new evidence and changes in National Institute for Health and
Care Excellence (NICE), European Association of Urology (EAU) and American Urological
Association (AUA) guidelines. Substantial revisions have also been made to other sections such as
paediatric urology, female urology, urinary stone disease, benign prostatic hyperplasia and uro-
technology to meet standards of current best practice. An extra chapter on the tumour, node and
metastasis (TNM) classification of urological cancers has been added. We have made every effort
to ensure the information in this book is as accurate as possible and we would like to apologize
for any errors contained – please use this book in conjunction with other materials and texts.
The journey from the initial conception of the idea to the final publication involved hard work,
frustration and significant time commitment but nonetheless was both exciting and challenging.
We would like to thank all the authors and contributors for their time and hard work.
To the candidates – ‘Good luck!’
ix