Many aspects
of urologic surgery have been practiced, established and developed in
UNC. Most old standing activities were radical cystectomy and urinary
diversion, which represented the core of clinical activities. The number
of cases and the diversity of techniques first described by Mohamed
A. Ghoneim and associates paved the way to many other surgical adventures.
Kidney transplantation, started in 1977, was the subsequent renowned
activity. At the present time, almost all fields of urology are being
covered in the today's Urology and Nephrology Canter.
- Urologic
Oncology:
Since 1969, radical cystectomy was contemplated.
The technique was the subject matter of many modifications; many of
them were developed here, in UNC. By 2002, over 7000 cases of radical
surgery for urologic tumors were carried out (more than half radical
cystectomy, where kidney tumors come next and then ureteric and prostatic
tumors come last). Over 3000 cystectomies and 2000 TURBTs have been
performed in the center. Over 3500 diversion have been performed, less
than half in the form of orthotopic reservoirs, while ileal conduits
and rectal diversion represent the other half.
- Kidney
transplantation:
Starting in 1976, kidney transplantation in Mansoura
passed into phases. Between 1976 and 1983, only 43 cases were carried
out. Since 1983 and until the end of 2002, 1458 cases of live donor
kidney transplantations were performed.
Kidney transplantation is a prototype of team work. While nephrologic
service is indispensable for proper hemodialysis and preparation of
the patients as well as for postoperative immuno suppression, urologists;
as the operating surgeons; cooperate with nephrologists, laboratory
doctors and radiologists.
- Endourology:
The use of endoscopy in urology started as early
as the turn of the last century. Effective endoscopic procedures were
contemplated in the 1970's. UNC was not away from what was going on
in the United States or Europe. 1st PCNL was performed in Mansoura in
1983. Since then, 38,247 cases were treated endoscopically including
lower and upper urinary tract endoscopies. Laparoscopic surgery started
in 1992, by laparoscopic nephrectomy. Currently, laparoscopic ureterolithotomy,
prostatectomy, pyeloplasty and most recently, radical cystectomy have
been all performed.
- ESWL:
After its installation in February, 1989, ESWL
unit performed more than 14,888 cases of renal and ureteric stones by
the end of 2002. Three generations, MFL 5000, Toshiba and Lithotripter
(s) were used. A twin-head SWL machine was designed by one of UNC urologist
and will soon be commercially available.
- Pediatric
urology:
Starting from mid-80's, the subspecialty of pediatric
urology was introduced in UNC. In 1998, a new ward was dedicated for
pediatric surgery. Hypospadias repair, ureterovesical reimplents, management
of posterior urethral valves and extrophy repair are examples of the
activities in this ward.
- Voiding
dysfunction and female urology:
As early as 1976, urodynamics have been performed
in the urology department. Since October 1998, urodynamic unit was established.
The unit serves research in prostate management and incontinence. Since
1998, 2800 cases had invasive urodynamics, including more than 120 children
less than 6 years. Over 100 injection procedures for reflux or incontinence
were also performed. Over 140 female stress incontinence surgery, including
complex cases and over 200 genito-urinary fistulas were performed. A
new yet promising field is the treatment of post-prostatectomy incontinence,
using male sling technique is on-going.
- Animal
house:
The activities going as in the animal house are
subdivided into 2 types. Laboratory activities, with immunology and
chemistry labs, involved in research projects entailing special immunologic
or quantitative measurement, as well as animal Lab., in which experimental
surgical techniques are being contemplated.
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