Renoureteral Pathology — Surgical Specialization Treaty

Surgery · Clinical Specialties

How it begins

Un compendio científico detallado enfocado en la especialización de la cirugía urológica y del tracto urinario superior. Analiza exhaustivamente la dinámica miccional, la biología del carcinoma renal y urotelial, las técnicas de reconstrucción abierta y endourológica, el manejo del trauma de alta energía y los síndromes obstructivos complejos.

What it covers

1. Embryology of the Upper Urogenital System and Fusion Anomalies
2. · Physiological Renal Ascent and Rotation
3. Anatomy of the Renal Fossa, Compartments and Containing Fascias
4. · The Renal Fascias and Retroperitoneal Compartments
5. Macro and Microscopic Vascularization of the Kidney and Ureter
6. · Differences in Renal Venous Drainage
7. Urinary Flow Dynamics and Pressures in the Excretory Tract
8. Pathophysiology of Acute Obstruction vs. Chronic and Kidney Damage
9. · Acute Phase (First 2 to 5 Hours of Complete Obstruction)
10. · Subacute Phase (5 to 24 Hours of Obstruction)
11. · Chronic Phase (More than 24 Hours of Obstruction)
12. Histopathology, Classification and Molecular Biology of CRC
13. · 1. Clear Cell Renal Cell Carcinoma (75-80%)
14. · 2. Papillary Renal Carcinoma (10-15%)
15. · 3. Chromophobe Renal Carcinoma (5%)
16. TNM Staging, ISUP/Fuhrman Nuclear Grade and Prognosis
17. · The ISUP/WHO Nuclear Gradation Scale (Previous Fuhrman)
18. Partial Nephrectomy: Nephron-Sparing Surgery
19. · Indications for Nephron-Sparing Surgery
20. · Surgical Technique and Management of Renal Ischemia
21. · The Double Plane Renorrhaphy Technique
22. Radical Nephrectomy and Surgical Management of Tumor Thrombus in the Vena Cava
23. · Tumor thrombus in the Inferior Vena Cava (IVC)
24. Pathophysiology and Risk Factors of Upper Tract Urothelial Carcinoma (UTUC)
25. Radical Nephroureterectomy with Bladder Roll: The Gold Standard
26. · Surgical Techniques for the Management of the Distal Bladder Roller
27. Pyeloureteral Junction Stenosis (EUPU) and Anderson-Hynes Pyeloplasty
28. · Anderson-Hynes Dismembered Pyeloplasty Surgical Technique
29. Acquired and Iatrogenic Ureteral Strictures and Reconstruction Techniques
30. Pathophysiology of Urinary Stone Formation and Nephritic Colic
31. Endourological Surgery: Rigid and Flexible Ureteroscopy (RIRS)
32. · Flexible Ureterorenoscopy and Retrograde Intrarenal Surgery (RIRS)
33. Percutaneous Nephrolithotomy (PCNL): Indications and Technical Approach
34. · Percutaneous Access Technique Step by Step
35. Emphysematous Pyelonephritis
36. · Pathophysiology of Tissue Gas Genesis
37. · Huang and Tseng Prognostic Classification (Based on AngioTC)
38. Xanthogranulomatous pyelonephritis: The Great Simulator
39. Urogenital Tuberculosis: Fibrous Scarring and Autonephrectomy
40. Kidney Trauma (AAST Classification I-V) and Indications for Emergency Surgery
41. · Conservative Management vs. Urgent Surgical Exploration
42. Ureteral Trauma
43. · Late Diagnosis and its Clinical Consequences
44. Therapeutic Decision Algorithm in Suspicious Solid Renal Mass