Assuntos
Procedimentos de Cirurgia Plástica , Terminologia como Assunto , Urologia , Humanos , Urologia/história , Feminino , História do Século XX , Procedimentos de Cirurgia Plástica/história , Ginecologia/história , História do Século XXI , Procedimentos Cirúrgicos em Ginecologia/história , Procedimentos Cirúrgicos Urológicos/história , História do Século XIXRESUMO
Throughout history, many innovations have contributed to the development of modern urological surgery, improving patient outcomes and expanding the range of treatment options available to patients. This article explores five key historical innovations that have shaped modern urological surgery: External shockwave lithotripsy, transurethral resection of prostate, cystoscope, perioperative prostate-specific antigen and robotic surgery. The selection of innovations for inclusion in this article was meticulously determined through expert consensus and an extensive literature review. We will review the development, impact and significance of each innovation, highlighting their contributions to the field of urological surgery and their ongoing relevance in contemporary and perioperative practice.
Assuntos
Procedimentos Cirúrgicos Urológicos , Humanos , Procedimentos Cirúrgicos Urológicos/história , História do Século XX , Procedimentos Cirúrgicos Robóticos/história , Procedimentos Cirúrgicos Robóticos/tendências , História do Século XXI , História do Século XIX , Masculino , Litotripsia/história , Litotripsia/métodos , Ressecção Transuretral da Próstata/históriaRESUMO
Among the various robotic devices that exist for urologic surgery, the most common are synergistic telemanipulator systems. Several have achieved clinical feasibility and have been licensed for use in humans: the standard da Vinci, Avatera, Hinotori, Revo-i, Senhance, Versius, and Surgenius. Handheld and hands-on synergistic systems are also clinically relevant for use in urologic surgeries, including minimally invasive and endoscopic approaches. Future trends of robotic innovation include an exploration of more robust haptic systems that offer kinesthetic and tactile feedback; miniaturization and microrobotics; enhanced visual feedback with greater magnification and higher fidelity detail; and autonomous robots.
Assuntos
Procedimentos Cirúrgicos Robóticos/instrumentação , Robótica/história , Procedimentos Cirúrgicos Urológicos/instrumentação , Retroalimentação , História do Século XX , História do Século XXI , Humanos , Laparoscopia , Procedimentos Cirúrgicos Robóticos/história , Terminologia como Assunto , Procedimentos Cirúrgicos Urológicos/história , Procedimentos Cirúrgicos Urológicos/métodosAssuntos
Procedimentos Cirúrgicos Minimamente Invasivos/tendências , Procedimentos Cirúrgicos Urológicos/tendências , Urologia/tendências , Endoscopia/história , Endoscopia/métodos , Endoscopia/tendências , História do Século XX , História do Século XXI , Humanos , Laparoscopia/história , Laparoscopia/métodos , Laparoscopia/tendências , Procedimentos Cirúrgicos Minimamente Invasivos/história , Prostatectomia/história , Prostatectomia/instrumentação , Prostatectomia/métodos , Prostatectomia/tendências , Procedimentos Cirúrgicos Urológicos/história , Urologistas/história , Urologistas/tendências , Urologia/históriaAssuntos
Procedimentos Cirúrgicos Minimamente Invasivos , Procedimentos Cirúrgicos Urológicos , Urologia , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Procedimentos Cirúrgicos Minimamente Invasivos/história , Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Procedimentos Cirúrgicos Minimamente Invasivos/tendências , Procedimentos Cirúrgicos Urológicos/história , Procedimentos Cirúrgicos Urológicos/instrumentação , Procedimentos Cirúrgicos Urológicos/métodos , Procedimentos Cirúrgicos Urológicos/tendências , Urologia/tendênciasRESUMO
Here, two papers are presented, which constitute the first reports of surgical procedures in Mexican children performed at the 19th century. The two publications refer to surgical operations for the extraction of bladder stones. At that time, there was no anesthesia, so part of the description alludes to the suffering of the patients and the operative difficulties. The first case, is referred to as a lithotomy in a 17-year-old girl, performed by surgeon José Victoriano Guerrero in Guadalajara in 1822. The publication is not an academic report, but a pamphlet written as a gift to Emperor Augustin I to celebrate his ascension to the throne. The second work, is a lateral lithotomy in a 5-year-old boy, published by Dr. Luis Jecker in the first issue of the Periódico de la Academia de Medicina de Mégico in 1836.
Se presentan dos trabajos que constituyen los primeros informes de procedimientos quirúrgicos en niños mexicanos en el siglo XIX. Las dos publicaciones se refieren a operaciones para la extracción de cálculos vesicales. En ese tiempo no existía anestesia, por lo que parte de la descripción incluye el sufrimiento de los pacientes y las dificultades operatorias. El primer caso está referido como una litotomía en una joven de 17 años, operada por el cirujano José Victoriano Guerrero en Guadalajara en 1822. La publicación no constituye un informe académico, sino un folleto escrito como un obsequio para el emperador Agustín I para celebrar su ascensión al trono. El segundo trabajo es una talla lateral en un niño de 5 años edad, publicado por el doctor Luis Jecker en el primer número del Periódico de la Academia de Medicina de Mégico en 1836.
Assuntos
Pediatria/história , Procedimentos Cirúrgicos Urológicos/história , Urologia/história , Criança , História do Século XIX , Humanos , México , Cálculos da Bexiga Urinária/história , Cálculos da Bexiga Urinária/cirurgiaRESUMO
Introduction and Objectives: The Moses effect (ME) was described >30 years ago during normal laser functioning in a fluid medium. Recently, a laser device equipped with a pulse-modulating system called Moses™ technology (MT; Lumenis®) was marketed for both stone lithotripsy and prostate endoscopic surgery. We aimed to perform a literature revision of ME from a historical perspective up until its present-day applications. Evidence Acquisition: A search of Medline, PubMed, and Scopus was performed to identify articles published in English within the past 30 years addressing both ME and MT in relation to their urologic applications. Relevant studies were then screened, and the data were extracted, analyzed, and summarized. The preferred reporting items for systematic reviews and meta-analysis criteria were applied. Results: ME was first described in 1986 during endovascular laser tissue ablation. During the late 1980s and the early 1990s, the interest raised around ME led to its characterization and better definition. Despite this initial interest, ME gradually disappeared from the focus of researchers and clinicians. In 2017, MT was launched on the market, although postmarketing comparative efficacy and safety data are lacking. Conclusions: Although ME had been described and characterized during normal laser functioning >30 years ago, only very recently it began to regain some consideration after the marketing of MT, whose clinical outcomes are still awaited.
Assuntos
Terapia a Laser/história , Litotripsia a Laser/história , Europa (Continente) , História do Século XX , História do Século XXI , Humanos , Terapia a Laser/instrumentação , Litotripsia a Laser/instrumentação , Procedimentos Cirúrgicos Urológicos/história , Procedimentos Cirúrgicos Urológicos/instrumentaçãoRESUMO
Cancer can be traced back to the Iron Age. Both the ancient Egyptians and Hippocrates dealt with the disease. Urological tumor treatment is an integral part of urology and has undergone interesting developments. Today, it comprises all possible forms of treatment-from radical surgery to the most modern radiological therapies, including antihormal therapy, chemotherapy, and modern targeted therapy.
Assuntos
Quimiorradioterapia/história , Oncologia/história , Terapia de Alvo Molecular/história , Neoplasias da Bexiga Urinária/história , Procedimentos Cirúrgicos Urológicos/história , Urologia/história , História do Século XV , História do Século XVI , História do Século XVII , História do Século XVIII , História do Século XIX , História do Século XX , História do Século XXI , História Antiga , História Medieval , HumanosAssuntos
Docentes de Medicina/história , Oncologia/história , Faculdades de Medicina/história , Procedimentos Cirúrgicos Urológicos/história , Urologia/história , Bolsas de Estudo , História do Século XX , História do Século XXI , Humanos , Liderança , Relatório de Pesquisa , Sociedades Médicas , Urologia/educaçãoRESUMO
Since 2005 when the da Vinci surgical system was approved as a medical device by the Korean Ministry of Health and Welfare, 51 systems have been installed in 40 institutions as of May 2015. Although robotic surgery is not covered by the national health insurance service in Korea, it has been used in several urologic fields as a less invasive surgery. Since the first robotic-assisted laparoscopic radical prostatectomy in 2005, partial nephrectomy, radical cystectomy, pyeloplasty, and other urologic surgeries have been performed. The following should be considered to extend the indications for robotic surgery: training systems including accreditation, operative outcomes from follow-up results, and cost-effectiveness. In this review, the history and current status of robotic surgeries in Korea are presented.
Assuntos
Procedimentos Cirúrgicos Robóticos/métodos , Procedimentos Cirúrgicos Urológicos/métodos , Cistectomia/métodos , História do Século XXI , Humanos , Nefrectomia/métodos , Prostatectomia/métodos , República da Coreia , Procedimentos Cirúrgicos Robóticos/história , Procedimentos Cirúrgicos Urológicos/históriaAssuntos
Procedimentos Cirúrgicos em Ginecologia/história , Slings Suburetrais/história , Feminino , Procedimentos Cirúrgicos em Ginecologia/educação , História do Século XX , Humanos , Incontinência Urinária por Estresse/história , Incontinência Urinária por Estresse/terapia , Procedimentos Cirúrgicos Urológicos/históriaRESUMO
Urologists and gynecologists manage most of the patients with female pelvic floor disorders. However, lack of a single focused approach among these two disciplines and other related fields may hinder advances in clinical care and research. Herein, along with describing the background of birth of the new subspeciality, we present a practical approach by which we established an integrated model of care and discovery for FPFD at our institution. With the recent approval of this subspeciality by the Accreditation Council for Graduate Medical Education (ACGME), it is plausible that other institutions would wish to initiate similar steps toward establishment of an integrated model of care for FPFD, and hence move this new subspecialty to its new frontiers.
Assuntos
Procedimentos Cirúrgicos em Ginecologia/história , Modelos Organizacionais , Distúrbios do Assoalho Pélvico/cirurgia , Procedimentos Cirúrgicos Urológicos/história , Feminino , História do Século XX , História do Século XXI , Humanos , Comunicação Interdisciplinar , Equipe de Assistência ao Paciente/história , Equipe de Assistência ao Paciente/organização & administraçãoRESUMO
The development of medicine in Breslau from the 14th century has been described and its famous physicians, above all Silesians, are introduced. The aim of the study is to present the development history of hospital services and the teaching of medicine, and also the development of urology in Breslau. Well known Breslau surgeons who were interested in surgery of the genitourinary system are also presented. The aim of the study is to present a brief history of Breslau medicine and surgery from its beginning to the end of World War II. The development of urology and its separation from surgery after World War II is also briefly described. Professor Florian Nowacki, Breslaus's first urologist, is also introduced. Extensive research was undertaken for the collection of literature and documents in German and Polish archives and libraries to prepare this study.
Assuntos
Educação Médica/história , Procedimentos Cirúrgicos Urológicos/história , Urologia/história , Centros Médicos Acadêmicos/história , Cirurgiões Barbeiros/história , História do Século XV , História do Século XVI , História do Século XVII , História do Século XVIII , História do Século XIX , História do Século XX , História do Século XXI , História Medieval , Polônia , Faculdades de Medicina/história , II Guerra MundialRESUMO
Modern science opens up new potentials for the effective treatment of complex diseases using minimally invasive techniques. One of the obvious achievements of recent years is cryoablation - technology of local freezing of tissues, allowing to create a precision zone of tumor cell death in renal cancer and prostate cancer. The literature review presents historical information, highlighting the main stages in the development of cryosurgery since the XIX century. The analysis of domestic and foreign literature has shown that in urological practice cryoablation has been widely used. Based on the literature data, indications, contraindications and complications of cryoablation in renal cancer and prostate cancer, as well as long-term results of treatment are discussed. Cryoablation has been used actively abroad; in the Russia, method is developing, but without a doubt, will be actively introduced in medical practice.
Assuntos
Criocirurgia/métodos , Neoplasias Renais/cirurgia , Neoplasias da Próstata/cirurgia , Procedimentos Cirúrgicos Urológicos/métodos , Criocirurgia/história , Feminino , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Masculino , Procedimentos Cirúrgicos Urológicos/históriaRESUMO
August Gottlieb Richter (1742-1812) was one of the most distinguished surgeons in the second half of the eighteenth century. In this article his life and scientific career during an age shaken by wars and radical changes are described. Particular attention is paid to his achievements as a doctor, teacher and scientific author. The latter activity finds its foremost expression in the"Chirurgische Bibliothek" ("Surgical library"), a practice-oriented scientific journal, as well as in his later work"Anfangsgründe der Wundarzneykunst" ("Elements of wound surgery"). This article concentrates on the urological aspects of his work and compares these aspects with contemporary publications. Particular emphasis is placed on Richter's dispute about fashionable medical trends typical for that era as well as his culture of criticism and self-criticism.
Assuntos
Ciência/história , Procedimentos Cirúrgicos Urológicos/história , Urologia/história , Alemanha , História do Século XVIII , História do Século XIX , HumanosRESUMO
The present study does not establish comparisons of the different techniques (open, laparoscopic and robotic surgery); rather, it analyzes the how, when and why of each of them from a historical perspective. This historical analysis begins in the late XIX century and extends up to the present time. The study examines the principles, the uncertainties regarding the feasibility of the techniques, the failures, the complications, the doubts about whether the right thing is being done, and the success of a surgical treatment which is presently beyond question. The historical account is summarized, since it covers a period of over one hundred years. It is the history written by innovating and inspired men and women who changed the course of the treatment of renal neoplastic disease.