Вестник урологии (Jul 2018)
IN THE ORIGINS OF FORMATION OF DOMESTIC UROLOGY
Abstract
The article notes that the problems of urology of the first half of the XX century were worked out by joint efforts of surgeons and urologists who distinguished their discipline as a narrow specialty from clinical surgery. Domestic medicine, improving and developing narrow specialties in those years, created the best conditions for improving the skills of the relevant specialists, but at the same time considered it necessary to proceed from the principle that a sharp delimitation of diseases and treatment by organs can not always serve the benefit of science and the patient. Special mention should be made of special methods of research – cystoscopy, catheterization of the ureters, pyelography, etc. – have become generally accepted for urologists and surgeons. Domestic urologists developed methods of operative access to the kidney, methods of intracapsular removal of it, methods of plastic restoration of the urino-genital organs. The author analyzes significant achievements in the treatment of congenital malformations of the genitourinary system in children, especially in the transplantation of ureters into the gut with ectopia of the bladder. When injuring the pelvic bones, rational surgical treatment of the wound at the first stages of evacuation, taking into account the anatomical features of the cellular spaces of the pelvis and the functions of the pelvic organs, was the main method of preventing subsequent complications. It is shown that in those years one of the important sections of the work of the urological departments of surgical hospitals was the treatment of gunshot injuries of the urethra. To treat these injuries, we used all sorts of developed ones before the Second World War. Domestic surgery in the first half of the XX century conducted an in-depth study of the main issues of theoretical and practical surgeons and urology. Surgical disciplines, including urology, began to approach the study of pathogenesis and the entire picture of the disease, guided by the teachings of Academician I.P. Pavlov on the role and significance of the central nervous system in the life of a living organism.Disclosure: The study did not have sponsorship. The author declares no conflict of interest.
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