Nonvascular Intervention in Urology and Transplantology (RIR_004)
About Study Course
Objective
Acquisition of theoretical knowledge and practical skills in non-vascular interventions in urology and transplantology to prepare for the subspecialty of interventional radiology.
Learning outcomes
1.At the end of this course, residents are familiar with the classifications of solid and cystic lesions of the kidneys. Will know what the Whitaker test is, will be able to interpret it. Residents are familiar with the materials used to perform urinary tract percutaneous procedures. Will be able to apply iodine contrast, air and CO2 for optimal renal pelvis puncture. Residents will know the basic principles of urinary and vascular anastomoses and their impact on minimally invasive manipulations. The difference between a living and deceased donor kidney transplant, its effect on the formation of anastomosis. Knows the potential risks of intervention.
1.During the course, residents will learn to correctly position of the patient before the percutaneous procedure, choose the safest approach, perform the following manipulations:
• Percutaneous nephrostomy administration – US, fluoroscopy, computed tomography control, puncture without visual control, nephrostomy fixation, incl. patients with anatomical variants of the kidney (rotation, horseshoe kidney), pregnant women, patients in the intensive care unit, kidney transplant, ileum conduit, etc., as well as administration of chemotherapeutic agents, access to antero- and retrograde endourological manipulations (ablation, resection, etc.).
• Sclerotherapy of cystic lesions.
• Stent implantation in the urethra (anterograde/retrograde).
• Urethral balloon dilation.
• Therapeutic urethral occlusions.
• Evacuation of foreign bodies.
• Percutaneous nephrolithotomy.
• Diagnostic aspiration.
• Collection drainage (including perirenals, prostate abscesses, etc.) under US, CT control.
• Measurement of renal transplant intraarterial pressure, angioplasty, stenting.
In-depth acquisition of manipulations that are within the competence of the radiologist's main specialty is planned.
1.At the end of the course, residents will be able to apply the acquired theoretical knowledge and practical skills to perform invasive manipulations in the kidneys, kidney transplants and urinary system, will be aware of possible complications, will be able to diagnose and treat them.
