Robotic urologic surgery, added to the toolkit of the surgeon and urologist in the early 2000s, has an enormously wide area of application, ranging across all diseases of interest to this specialty: from radical prostate cancer surgery to reconstruction of the primitive and iatrogenic pathologies of the ureter. Use of robots makes this surgical area unusual inasmuch as it is a discipline in continual evolution, which in recent years has seen an increase in interest due to the social and economic effects of the issues it deals with as well as the creation of a new professional figure with specialised technical and operational skills. Urologists dedicating themselves to robotic surgery are currently seen as both experts and a point of reference, and urologists’ professional skill set must therefore include robotic surgery knowledge and skills such as to enable them to adequately meet the new clinical requirements of the 21st century.

The Professional Postgraduate Master’s Degree Course in Robotic Urologic Surgery – level 2 (Italian system) aims to supply specialists in urology and general surgery with the skills necessary for a modern and complete approach to patients with urological issues requiring surgical treatment which, starting by completing their cultural baggage in the area, goes on to cover all treatment options which may require the use of a robot in specialty surgery. Since the beginning of this century, urologists have seen a progressive improvement in technical methods, with a good level of differentiation and which are still in continuous evolution.

This Master’s degree course therefore aims, primarily, to provide in-depth technical/cultural analysis of topics of physiopathology, endoscopic surgical anatomy, clinical matters and robotic surgery treatment, and secondly to offer an up-to-date and complete review both of the techniques and technologies applied to the wide range of urologic surgical procedures.

The theoretical and practical content of the topics covered require the in-depth coverage and the personal and active participation which only a full-immersion course with a limited number of participants allows.

Direttore del Master
Prof. Francesco Montorsi

Course Organisation

This 1500-hour course includes lectures, tutoring or lab work, placement and internship, a final exam and individual study guided by lecturers and tutors, for a total of 60 ECTS-credits.

The course credits are structured as follows:

  • Lectures, tutoring and lab teaching and individual study: 44 credits
  • Placement and internship: 11 credits
  • Final exam: 5 credits

Attendance is mandatory.

Each week, one or more topics will be covered through lectures, the use of audiovisual aids and interactive teaching methods. The students will participate in operations related to the topics covered in the operating theatre, and will actively attend urology outpatient clinics, radiological diagnostics, ultrasound and endoscopy departments. Significant practical training will be given via the use of “dry” and “wet” Labs and simulators, including at the ORSI experimental surgery centre (Aalst – Belgium).

The theoretical and practical teaching activities will take place in the San Raffaele Turro and related locations, as described above, dedicated to: defining the anatomical/physiological and physiopathological framework of urological conditions; diagnostics, with lectures and seminars, as well as practical activities at all diagnostic laboratories and departments mentioned above to allow students to learn the relevant techniques.

All the main types of operations for the main urological conditions will be performed. The surgical activities will see surgeons from different Italian and foreign groups involved, bringing their specific experience in the area of robotic surgery. All the most innovative techniques and new materials in use will be covered by these experts in the field. The Master’s degree course students will gradually develop the individual ability to perform these operations.

All learning activities, including the hours dedicated to individual study, will be performed under the guidance of the teachers and tutors, with one tutor being assigned to each student.

The order of the topics is subject to change depending on the availability of clinical and operational cases.

Lectures/Teacher-led activities (44 credits): The teacher-led learning is divided into classroom lectures and theoretical/practical teaching alongside the tutor in the operating theatre, where the operating times for each procedure will be explained and analysed. The teaching activities in the operating theatre also provide for active participation of the candidate in the surgical procedures, always with the assistance of their tutor.

The main topics and procedures, with the corresponding number of ECTS-credits, are given below:

LEARNING ACTIVITIES
ECTS-creditsH-ECTS-credits Subject Area Course type
General area: L. lectures/teacher-led activitiesI.S. individual study
Surgical/topographic/endoscopic surgical anatomy of the genitourinary systemSurgical/topographic/endoscopic surgical anatomy of the genitourinary system 5H -0.2

20H- 0.8

MED/24

MED/24

L.

I.S.

Standardisation of technical terminology and knowledge of the machines. 25H -1 MED/50 L.
Prevention of urological/andrology problemsPrevention of urological/andrology problems 5H- 0.2

20H-0.8

MED/24

MED/24

L.

I.S.

Diagnostic ImagingDiagnostic Imaging 5H-0.220H-0.8 MED/36MED/36 L.I.S.
Psychological aspects 5H- 0.2 MED/25 L.
Anaesthesiology issues in robotic surgery proceduresAnaesthesiology issues in robotic surgery procedures 10H- 0.4

10H-0.4

MED/41

MED/41

L.

I.S.

Preparation for surgery 20H- 0.8 MED/45 I.S.
Post-operative progress: observations and tips 5H- 0.2 MED/45 I.S.
Prostate pathology: Physiopathology 5H-0.2 MED/24 L.
Prostate pathology: Etiopathogenesis 5H-0.2 MED/24 L.
Prostate pathology: Clinical picture 5H-0.2 MED/24 L.
Prostate pathology: Diagnostic methodology 5H-0.2 MED/24 L.
Prostate pathology: Surgical techniques and indications 5H-0.2 MED/24 L.
Prostate pathology: Traditional surgery 50H- 2 MED/24 P.E.
Prostate pathology: Robotic surgery 250H- 10 MED/24 P.E.
Prostate pathology: New surgical proposals 5H- 0.2 MED/24 L.
Prostate pathology: Treating complications and relapses 20H- 0.8 MED/24 L.
Renal pathology: Physiopathology 5H- 0.2 MED/24 L.
Renal pathology: Etiopathogenesis 5H- 0.2 MED/24 L.
Renal pathology: Clinical picture 5H- 0.2 MED/24 L.
Renal pathology: Diagnostic methodology 5H- 0.2 MED/24 L.
Renal pathology: Indications and surgical techniques 5H- 0.2 MED/24 L.
Renal pathology: Traditional surgery 25H- 1 MED/24 P.E.
Renal pathology: Robotic surgery 175H- 7 MED/24 P.E.
Renal pathology: New surgical proposals 5H- 0.2 MED/24 L.
Renal pathology: Treating complications and relapses 20H- 0.8 MED/24 L.
Ureter surgeryUreter surgery 25H- 1125H- 5 MED/24MED/24 L.P.E.
Bladder pathology: Physiopathology 5H- 0.2 MED/24 L.
Bladder pathology: Etiopathogenesis 5H- 0.2 MED/24 L.
Bladder pathology: Clinical picture 5H- 0.2 MED/24 L.
Bladder pathology: Diagnostic methodology 5H- 0.2 MED/24 L.
Bladder pathology: Indications and surgical techniques 5H- 0.2 MED/24 L.
Bladder pathology: Traditional surgery 25H- 1 MED/24 P.E.
Bladder pathology: Robotic surgery 50H- 2 MED/24 P.E.
Bladder pathology: New surgical proposals 5H- 0.2 MED/24 L.
Bladder pathology: Treating complications and relapses 20H- 0.8 MED/24 L.
Retroperitoneal surgery 25H- 1 MED/18 P.E.
UrogynaecologyUrogynaecology 5H- 0.245H- 1.8 MED/40MED/40 L.P.E.
Dry Lab: robotic surgery simulator exercises 50-2 MED/50 Exercises
Web Lab: animal laboratory exercises 25-1 MED/50 Exercises
Educational internship activities 200H- 8 MED/24 E.I.
Dissertation 125-5 MED/24
Total 60

Dry lab (2 credits): Each candidate may practise on a robotic surgery simulator for an annual total of 50 hours

Wet lab: (1 credit): Each candidate will have the possibility to perform practice in an animal laboratory for an overall total of 25 hours

Educational internship activities (8 credits): Outpatient activities totalling 200 hours over the year are to be performed by each candidate.

Master’s Degree Course Dissertation: (5 credits)

  • E.I. = educational internship
  • P.E. = practical exercises
  • L. = lectures

I.S. = individual study

Method of admission

In the event that there are more than 4 applications, a selection process will take place, consisting of a written test which will contain topics concerning urology conditions where treatment with robotic surgery is indicated (not to exceed 70% of the points available to the commission), and an evaluation of qualifications (not to exceed 30% of the points available to the commission), broken down as follows:

A maximum of 5 points for the degree marks/GPA (0.30 points per mark over 100 in the Italian system, 4 points for full marks, 5 for graduating summa cum laude) Evaluation of the CV and degree marks will be performed according

to the following criteria:

  • For marks below 100 in the Italian system, 0 points
  • For each point between 100 and 109 in the Italian system, 0.3 points
  • For full marks, 4 points
  • For graduating summa cum laude, 5 points

 

For medical specialty grades expressed as scores out of 50:

A maximum of 8 points for the medical specialty grade (1 point per mark over 50, 7 points for full marks, 8 for graduating summa cum laude)

  • For marks below 40, 0 points
  • For each mark between 40 and 49, 4.5 points
  • For full marks, 7 points
  • For graduating summa cum laude, 8 points

 

For medical specialty grades expressed as scores out of 70:

A maximum of 8 points for the medical specialty grade (1 point per mark over 70, 7 points for full marks, 8 for graduating summa cum laude)

  • For marks below 60, 0 points
  • For each mark between 60 and 69, 4.5 points
  • For full marks, 7 points
  • For graduating summa cum laude, 8 points

 

A maximum of 8 points for work at public care facilities; 2 points for each year of service or part thereof greater than 6 months

A maximum of 9 points for publication of materials related to the Master’s degree course subject.

 

The commission assessing applications to the Master’s degree course program, as well as the written test, shall be composed of:

  • The Course Director
  • Two course lecturers nominated by the co-ordinator

Upon conclusion of the course, participants who, in the judgement of the Scientific Committee have performed the activities and fulfilled the obligations required of them shall be issued a Master’s Degree Course Diploma by the Course Director.

Direttore del corso

Nome e cognome

Facoltà di appartenenza

Qualifica

Settore scientifico disciplinare

Francesco Montorsi

Medicina e Chirurgia

Professore Ordinario

MED 24 Urologia

Commissione Didattica per Master composta dai docenti componenti il comitato di progetto

Nome e cognome

Università di appartenenza

Facoltà di appartenenza

Ente di appartenenza

Qualifica

Settore scientifico disciplinare

Francesco Montorsi

UniSR

Medicina e Chirurgia

Ospedale San Raffaele

Professore Ordinario

MED 24 Urologia

Riccardo Rosati

UniSR

Medicina e Chirurgia

Ospedale San Raffaele

Professore Ordinario

MED 18 Chirurgia

Giorgio Guazzoni

Humanitas University

Medicina e Chirurgia

Istituto Clinico Humanitas

Professore Ordinario

MED 24 Urologia

Nazareno Suardi

UniSR

Medicina e Chirurgia

Ospedale San Raffaele

Professore A contratto

MED 24 Urologia

Andrea Salonia

UniSR

Medicina e Chirurgia

Ospedale San Raffaele

Professore A contratto

MED 24 Urologia

Alberto Briganti

UniSR

Medicina e Chirurgia

Ospedale San Raffaele

Professore A contratto

MED 24 Urologia

COMPOSIZIONE DEL CORPO DOCENTE
Elenco docenti interni, collaboratori esterni e tutori con le relative competenze

Docenti interni: 1. Urologia

Francesco Montorsi, Nazareno Suardi, Alberto Briganti 2. Anestesia

Antonella Crescenti
3. Endocrinologia‐Medicina Interna

Roberto Lanzi 4. Ginecologia

Massimo Candiani 5. Radiologia

Francesco De Cobelli, Antonio Esposito, Giampiero Cardone 6. Chirurgia Generale

Riccardo Rosati 7. Infermieri

Giulia Villa, Angela Bonini, Paola Caressa

Tutori:

Andrea Gallina, Umberto Capitanio, Federico Dehò, Rayan Matloob

Docenti esterni italiani:

Walter Artibani (Università di Verona), Aldo Bocciardi (Ospedale Niguarda, Milano), Vincenzo Ficarra (Università di Udine), Michele Gallucci (Roma), Giorgio Guazzoni (Istituto Humanitas, Milano), Vincenzo Mirone (Università Federico II, Napoli), Giacomo Novara (Università di Padova), Francesco Porpiglia (Università di Torino), Carlo Terrone (Università di Novara).

Docenti stranieri:

Prokar Dasgupta (London. U.K.), Markus Graefen (Hamburg, Germany), Bertrand Guillonneau (Paris, France), Agostino Mattei (Luzern, Switzerland), Alexander Mottrie (Aalst, Belgium), Juan Palou (Barcelona, Spain), Rafael Sanchez‐Salas (Paris, France).

Location of the Activity
The European University second level Master Course in Robotic Urologic Surgery is based at the Urology Department of the Ospedale San Raffaele hospital and from an administrative and accounting point of view is part of the Università “Vita-Salute” Ospedale San Raffaele.