Hf02-11 Interventional Urology—a Journey in Innovation

You have accessJournal of UrologyHistory of Urology Forum II (HF02)1 May 2024HF02-11 INTERVENTIONAL UROLOGY—A JOURNEY IN INNOVATION Emeka Udedibia, Thomas Williams, Timothy D. McClure, and Art Rastinehead Emeka UdedibiaEmeka Udedibia , Thomas WilliamsThomas Williams , Timothy D. McClureTimothy D. McClure , and Art RastineheadArt Rastinehead View All Author Informationhttps://doi.org/10.1097/01.JU.0001008760.25751.09.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The foundation of 'Interventional Urology (IU)' was adapted from a narrative of cutting-edge discoveries that transformed contemporary practice patterns. This study investigated the key milestones and individuals involved in advancing the paradigm for urological diagnostics and treatment. METHODS: A comprehensive literature review was performed to describe relevant historical and clinical information. RESULTS: In 1877, Max Nitze's invention of the cystoscope marked the first direct visualization of the urinary system and helped to pioneer more advanced diagnostics. Similarly, Wilhelm Röntgen's discovery of X-rays in 1895 ushered in a new era of radiological imaging. Less than a year later, John Macintyre used X-ray to image a kidney stone and demonstrated the potential for non-invasive visualization of urological conditions. In 1912, Joaquin Albarran introduced radiolucent catheters, earning him a Nobel prize nomination. In 1939, Archie Dean executed the first percutaneous renal puncture, opening doors to minimally invasive (MIS) interventions. The 1960s saw Dr. Charles T. Dotter pioneering interventional radiology, followed by Drs. Reynard and Ritchey's groundbreaking work on image-guided targeting in the 1970s. Dr. Howard M. Pollack founded 'Uroradiology' in 1974, solidifying the importance of radiological expertise in Urology. The late 20th century witnessed additional pushes for MIS, exemplified by Fernström's publication on percutaneous stone removal in 1976. These principles were further adopted by Dr. Arthur Smith to establish what we now know as 'Endourology.' The 1990s to 2000s further pushed the boundaries of MIS with laparoscopic and robotic surgery. Initially criticized, these advancements have since become standard, though they were revolutionary when introduced. In the early 2000s, prostate artery embolization and MRI-US fusion made their debut, exemplifying the application of image-guided treatment and the field of IU. By the 2010s, MRI had become central to prostate cancer surveillance/diagnosis and remains standard of care. Drs. Rastinehad and Siegel published the first "Interventional Urology" textbook in 2016. Fast forward to 2023, advances in image-guided targeting have afforded exciting advancements in IU to supplement MIS treatment options (ablation, embolization, biopsy, etc.), all championed by past innovators. CONCLUSIONS: The establishment of Interventional Urology is a testament to its pioneers. The future of urologic care heralds a paradigm shift of targeted, patient-centric treatment model that aims to benefit patient care with contemporary advancements. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e277 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Emeka Udedibia More articles by this author Thomas Williams More articles by this author Timothy D. McClure More articles by this author Art Rastinehead More articles by this author Expand All Advertisement PDF downloadLoading ...