FEBU Part 1 study plan

Explain glomerular filtration, the countercurrent multiplier, and renal acid-base handling, then apply each to a clinical scenario such as obstructive uropathy or post-obstructive diuresis.

Draw and label the retroperitoneal and pelvic anatomy from memory, covering fascial planes, renal and gonadal vasculature, and lymphatic drainage routes.

Trace the embryology of the kidney, ureter, bladder and testicular descent, and match each step to the adult anomaly it explains (duplex system, UPJ obstruction, maldescent).

Summarise the pharmacology of agents used daily in urology: antibacterials, alpha-blockers, antimuscarinics and beta-3 agonists, anticoagulants, and perioperative opioid-sparing analgesia.

Describe erectile and ejaculatory physiology plus the hypothalamic-pituitary-testicular axis, and interpret a full semen analysis against reference limits.

Stage prostate cancer with TNM and assign risk group, then justify active surveillance, radiotherapy or radical prostatectomy for each risk band.

Interpret PSA kinetics, free-to-total ratio, multiparametric MRI reporting categories and biopsy approaches, and explain when repeat biopsy is warranted.

Compare the main renal cell carcinoma histological subtypes and decide between partial and radical nephrectomy, ablation, and systemic therapy by stage.

Contrast non-muscle-invasive and muscle-invasive bladder cancer pathways, including intravesical therapy, re-resection timing and cystectomy indications.

Outline testicular germ cell tumour markers, staging, risk classification and the treatment split between seminoma and non-seminoma.

Classify urinary calculi by composition and link each to its metabolic cause, then select the correct serum and 24-hour urine workup.

Apply a size-and-location algorithm for renal colic, choosing observation, medical expulsive therapy, ureteroscopy, shockwave lithotripsy or percutaneous nephrolithotomy, and name the complications of each.

Describe endourological equipment and energy sources, including laser types and settings for stone hardness and location, and the principles of access and tract dilation.

Distinguish uncomplicated from complicated urinary tract infection, explain ascending pathogenesis and biofilm, and choose empirical and targeted antimicrobials with duration.

Recognise acute and chronic prostatitis, epididymo-orchitis, Fournier's gangrene, genitourinary tuberculosis and candidal infection, and state immediate management.

Interpret urodynamic traces from first principles: detrusor overactivity, compliance, bladder outlet obstruction index, Valsalva leak point pressure and detrusor underactivity.

Classify urinary incontinence and overactive bladder syndrome, and match each diagnosis to conservative, pharmacological, minimally invasive and surgical options with expected outcomes.

Explain the neuroanatomy and neurotransmitters of storage and voiding, then predict the urodynamic pattern in spinal cord injury, multiple sclerosis, Parkinson's disease and cauda equina syndrome.

Summarise benign prostatic enlargement assessment using symptom score, flow rate, post-void residual and prostate volume, and compare surgical techniques including their ejaculatory and continence consequences.

Grade antenatal hydronephrosis and select the timing of ultrasound, MAG3 renography and DMSA scanning, including when antibiotic prophylaxis is justified.

Explain the presentation and operative principles for vesicoureteric reflux, posterior urethral valves, hypospadias, undescended testis and inguinal hernia or hydrocele in children.

Recognise paediatric urological emergencies, including testicular torsion, obstructing valves with renal failure and disorders of sex development, and state the first 24-hour actions.

Classify urethral and bladder trauma by site and mechanism, and outline immediate urinary diversion plus delayed stricture management.

Compare reconstructive options for urethral stricture and urinary diversion, including graft versus flap urethroplasty and conduit versus orthotopic neobladder selection.

Outline recipient and donor workup, immunosuppressive regimens, the types and timing of rejection, and the urological complications of transplantation such as ureteric stenosis, lymphocele and vesicoureteric reflux.

Explain the indications, modalities and access options for renal replacement therapy, and adjust drug dosing and operative planning for the patient with chronic kidney disease.

Manage the obstructed infected kidney: recognise sepsis, choose drainage by nephrostomy or stent, and time definitive stone treatment.

Apply emergency algorithms to priapism, Fournier's gangrene, acute urinary retention, testicular torsion, gross haematuria with clot retention and renal trauma.

Practise triage under time pressure, deciding which of several simultaneous emergencies needs the next available theatre slot and why.

Re-attempt every previously missed question across all domains and convert each into a corrected fact written in your own words.

Interpret laboratory and physiological data without images: blood gas, urine microscopy and culture, PSA trends, stone composition and urodynamic values.

Review perioperative guideline essentials: antimicrobial prophylaxis, venous thromboembolism risk, enhanced recovery and consent for common urological procedures.

Complete mixed timed blocks that interleave domains so that topic switching mirrors the real exam format.

Sit two full-length mock examinations under strict timing and review every question, including those answered correctly by guesswork.

Recite from memory a one-page high-yield summary for each of the ten domains, focusing on thresholds, staging tables and first-line management.

Drill recurring weak points from the error log until each can be explained aloud without prompts.

Rehearse the formula sheet, anatomical landmarks and classification systems most likely to be tested in a single revision pass.