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1. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
1
Course Book
Of Urology
Fifth Stage
Department of
Surgery
College of Medicine
2010-2011

2. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
2
Course coordinator and list of teachers on
this course
Course: urology
Course coordinator: Dr. Ali Kamal
Department: surgery
College: Medicine
Course coordinator link: alikamal22@yahoo.com
Tel. +9647705449905
List of teachers on this course:
Dr. Ismaeel Hama Ameen
Dr. Aso Omer Rasheed
Dr. Sarwar Noore Mahmoud
Dr. Ali Kamal M.Sami
Dr. Ahmed Abdulhameed

3. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
3
Course Overview
The course of urology is dedicated to deal with
undergraduatelevel 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.
The subjects should enablethe students to understand the
proceduresof 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.

4. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
4
Course Objectives
At the end of the course of urology, the studentsshould 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:
1-Insertion of urethral Foley’s catheter.
2-Performing suprapubiccystostomy
3-Diagnosing urine retention with its management.
4-Suspecting urethral injury and urethral rupture.
5-Diagnosing and treatment of urological diseases.
6-Suspecting malignancy and differentiating from
benign lesions.

5. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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Course Reading List
1-Baily and Love, short practice of surgery
2-Smith’s urology
3-Journal of Urology. American Urological
Association .
4-Europeanassociation of urology, clinical
guidelines.

6. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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Syllabus
No. Title of subject
Lecturer/Tuttor’s
name
1 kidney and urinary symptoms Dr. Aso Omer Rasheed
2 Investigation in urology Dr. Aso Omer Rasheed
3 Congenital anomalies of UT Dr. Aso Omer Rasheed
4 infection Dr. Aso Omer Rasheed
5 Anuria Dr. Aso Omer Rasheed
6 hydronephrosis Dr. Aso Omer Rasheed
7 Urolithiasis Dr. Aso Omer Rasheed
8 renal truma Dr. Aso Omer Rasheed
9 renal tumor Dr. Aso Omer Rasheed
10 Prostate infections 1 Dr. Sarwar Noore
11 Prostate inferctions 2 Dr. Sarwar Noore
12
BPH 1
Dr. Sarwar Noore
13 BPH 2 Dr. Sarwar Noore
14 Carcinoma of prostate 1 Dr. Sarwar Noore
15 Carcinoma of prostate 2 Dr. Sarwar Noore

7. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
7
No. Title of subject
Lecturer/Tuttor’s
name
16 Urinary bladder anatomy, physiology and pathology Dr. Ali Kamal
17 Rupture of urinary bladder , urine retention Dr. Ali Kamal
18 Neuropathic bladder + urinary incontinence Dr. Ali Kamal
19
Urinary bladder stones ,vesical fistula, bladder
diverticulum
Dr. Ali Kamal
20 Bladder tumors Dr. Ali Kamal
21 Urinary bladder schistosomiasis, Dr. Ali Kamal
22 Urethra and penis ,anatomy and congenital anomalies Dr. Ahmed Abdulhamed
23 Hypospadias Dr. Ahmed Abdulhamed
24 Acquired urethral stricture Dr. Ahmed Abdulhamed
25 Disorders of female urethra Dr. Ahmed Abdulhamed
26
Ectopic testis and cryptorchidism
Dr.Ismaeel Hama amen
27 Hydrocele
Dr.Ismaeel Hama amen
28 Orchitis Dr.Ismaeel Hama amen
29 Torsion of the spermatic cord Dr.Ismaeel Hama amen
30 Tumors of the testis Dr.Ismaeel Hama amen

8. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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Lectures titles (the kidney)
Lecturer (dr. Aso Omer )
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:
1- The function of kidneys.
2- The investigations needed to diagnose and define renal
problems.
3- To differentiate between anuria and urine retention.
4- To be clinically capable of differentiation between renalcolic
and acute abdomen.
5- Management of renal colic.
6- The lines of treatment of renal colic and renal pain.
7- Surgical treatment of renal tumor.
The lectures include:
a- Introduction to kidney function and physiology of urine
formation.
b- Causes of renal colic, renal tumor ,hydronephrosis, anuria ,
renal trauma and their managment

9. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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Lectures titles (the Prostate)
Lecturer (dr. Sarwar Noore )
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:
1-To understand the function of prostate.
2-The investigations needed to diagnose and define prostate
infections and relation to LUTS.
3-To differentiate between benign prostatic hyperplasia and
prostatic carcinoma.
4-To be clinically capable of performing rectal examination .
5-Management of BPH.
6-Surgical treatment of prostatic carcinoma.
The lectures include:
a-Introduction to prostate anatomy and physiology.
b-Presentation ,diagnosis and treatment of prostatic problems.

10. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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Lectures title: (Urinary bladder)
Lecturer name: Dr. Ali kamal
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:
1-The causes of urinary retention, also the causes of urinary
bladder rupture.
2-The difference between the urinary retention and anuria
3-To differentiate between acute and chronic retention.
4-To be clinically capable of differentiate between intraperitoneal
and extraperitoneal rupture of bladder.
5-Management of retention.
6-The contraindications to catheterization in cases of urine
retention with urethral injury.
7-Surgical treatment of rupture of urinary bladder,, vesical fistula .
The lectures include:
a-Introduction to urinary bladder function and physiology of
micturition. and meaning of urine retention.
b-presentation and management of bladder stones, infections,
and malignancy, fistulas, congenital anomalies.

11. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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c- Causes of urine retention and classification of urine retention
acute and chronic , neurogenic and obstructive and
presentation of patients.
d- What is difference between intraperitoneal and
extraperitoneal bladder rupture, how to diagnose both and
treatment of both types.
References:
1-Baily and Love short practice of surgery
2- Journal of urology.

12. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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Lectures titles (the penis and urethra)
Lecturer (dr. Ahmed abdulhameed )
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.
the objectives are:
1-To understand the anatomy of penis and urethra .
2-The investigations needed to diagnose and treat urethral diseases.
3-To differentiate between hypospadias and epispadius.
4-To be clinically capable of catheterizing the urethra in female
and male.
5-Management of urethral injury.
6-The lines of diagnosing female urethral problems.
7-Surgical treatment of urethral strictures.
The lectures include:
a-Introduction to penis and urethral anatomy.
b-presentation and treatment of congenital and acquired urethral
problems in male and in females.

13. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
13
Lectures titles (the testis)
Lecturer (dr. Ismaeel Hama Ameen )
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.
the objectives are:
1-The function , anatomy and physiology of testes.
2-The investigations needed to diagnose and define testicular
problems .
3-To diagnose the emergency of testicular torsion and infection of
testes.
4-To be clinically capable of diagnosing hydrocele and varicocele.
5-Management of renal colic.
6-The lines of treatment of renal colic and renal pain.
7-Surgical treatment of renal tumor.
The lectures include:
a-Introduction to testis anatomy, function and physiology ,
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 .

14. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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Studentfeedback for the subject of a lecture
Date: course: year: lecturer: title:
No. Evaluation Questions Score
(1-5)
Subjective Remarks
1 The objectives and key messages of the
subject were clear
2 The contents of the subject were useful and
related to the main objectives of the course
3 The materials were prepared carefully as
needed
4 The lecturer/ tutor while lecturing tried to
analyze the principles, contents and the
important points of the subject simply and
properly.
5 The lecturer/ tutor while lecturing kept my
attention.
6 The lecturer/ tutor came into the classroom on
time and was committed to the duration of the
lecture.
7 The lecturer's behavior in the classroom was
calm and respectful
8 The slides used in the lecture were clear and
attractive.
9 At the end of the lecture, the lecturer gave the
students a chance for questions and
comments. His/ her answers were complete.
10 The reading sources are new and compatible
with the subject.
Total score
1-very bad 2–bad 3–medium 4- good 5-verygood

15. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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Examinations.
Types of questions:
1-short essay.
2-longessay.
3-multiplechoice questions.
Time of exam.
3 Three hours.
The number of questions and marks are divided as
follows:
30 Marks for long essays.
30 Marks for short essays.
60 Marks for MCQs.
The methods of correction of answers depend on
key answers and key for multiple choice questions
and correction and marks are given accordingly.

16. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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Advices and directions for all studentsbefore and
during exams.
1-Read the question twice before answering.
2-Think of the answer before writing.
3-Plan your answer in a separate page before
writing it down on the answer paper.
4-Arrange the answer in the form of introduction,
contentsand the final part so that the student
organizes his/her answe
Sample of MCQ and long and short essays
regarding the penis all are true except:
a- has a fixed root and a body that hangs free.
b- the bulb of the penis is traversed by the urethra and covered on its outer surface by
bulbospongiosus muscle.
c- the corpora cavernosa supplied by branches from the external femoral arteries.
d- the corpus spongiosum at its end expands to form the glans penis.
e- nerve supply is from the pudendal nerve and the pelvic plexus
the correct answer is ( c )

17. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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which of the following is correct regarding urethrorectal and vesicorectal fistula:
a- they are very common congenital abnormality .
b- they are almost always associated with imperforate anus.
c- urorectal septum has developed completely.
d- the fistula opens on the anterior abdominal wall.
e- cystoscopy and panendoscopy can not show the fistulous opening.
The correct answer is ( d )
classification of hypospadias according to location include all the following except:
a- perineal.
b- glandular.
c- suprapubic.
d- coronal.
e- penoscrotal.
The correct answer is ( c )
which of the following is not a clinical finding in Peyronie’s disease:
a- painful erection.
b- curvature of the penis.
c- poor erection distal to the involved area.
d- the patient has moderate to severe pain when the penis is in nonerect state.
e- Examination of the penile shaft reveals a palpable dense, fibrous plaque involving the
tunica albuginea.
The correct answer is ( d )
treatment of acquired urethral stricture and its complications, all are correct but one:
a- dilation of urethral stricture is not usually curative.
b- urethrotomy under endoscopic direct vision.

18. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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c- short strictures (≤2 cm) of the anterior urethra should be completely excised and
primary anastomosis done.
d- strictures >2 cm in length can be managed by patch graft urethroplasty.
e- periurethral abscess self-limited and will heal spontaneously.
The correct answer is ( e )
Question: Enumerate the causes ofpriapism
Answer:
- Idiopathic in 60% of cases.
- Secondaryin 40% of cases due to the following diseases:
1) Leukemia.
2) Sickle cell disease.
3) Pelvic tumors.
4) Pelvic infections.
5) Penile trauma.
6) Spinal cord trauma.
7) Medications (trazodone). Currently, intracavernous injection therapy for
impotence may be the most common cause
Question: write short assayon the diagnosis of urethral diverticulum.
Answer :
Diagnosis:
1) feeling a rounded cystic mass in the anterior wall of the vagina that leaks pus from the
urethral orifice when pressure is applied.
2) Endoscopy may reveal the urethral opening.
3) The postvoiding film of an IVU series may demonstrate the lesion.
4) Transvaginal ultrasonography .

19. Course Book ----Urology ---- department of Surgery----Fifth stage
2010-2011
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Student feedback on the course
Date : course: year lecturer:
no. Evaluation Questions Score
(1-5)
Subjective
Remarks
1 The objectives and key messages of the subject were clear
2 The contents of the subject were useful and were related to the
main objectives of the course
3 The coordinator teacher had worked hard to prepare the materials
4 The coordinator teacher had worked hard to cooperate and prepare
the course
5 The lecturers were carefully selected and were expert in their
fields
6 The coordinator teacher gave a good attention to the students'
criticisms and claims
7 Information on the Examination process was well provided
8 The questions of the exams were related to the contents of the
course
9 There is a potential to promote and develop the course in the
following areas:
10 Total of the levels
1-very bad 2- bad 3-medium 4-good 5-very good