The William P. Didusch Center for Urologic History is a museum and the headquarters of the American Urological Association in Linthicum, Maryland. It is described as encompassing "a rich and varied collection of drawings, photographs, and instruments of historical importance to urology, many displayed in the urological exhibits during the American Urological Association (AUA) conventions." [1]
The center is named in honor of William Didusch, the museum's founder and first curator. Didusch was a notable scientific illustrator, [2] and Executive Secretary of the AUA. [3] Didusch had begun working at Johns Hopkins University in 1915 as an illustrator and eventually a lecturer. [4] Didusch was an artist but more committed to the drawing of illustrations, rather than paintings, of anatomy. As result he became a legend during his time after his work in Johns Hopkins Hospital. Some of his many illustrations were those of the anatomy of the urinary tract and instruments used to treat the urinary diseases. [4] The museum was formally established in 1971 as the William P. Didusch Museum, following Didusch's gift to the American Urological Association of his many original urological drawings. It was accommodated within the headquarters buildings of the AUA, then on Charles Street in Baltimore. [1] Didusch curated the museum until his death in 1981, when he was succeeded by Herbert Brendler. After Brendler's death in 1986, William W. Scott (a colleague of Nobel Laureate Charles Huggins at the University of Chicago) became curator of the museum. When Scott retired in 1993, the post of curator went to Rainer Engel of Johns Hopkins. [5] In 2003 – when the AUA moved to Linthicum, Maryland – the museum also moved. Its scope was extended to relate to the topic of research in urologic history. [1] Engel remained curator until 2011, when Michael Moran took over the position. [5]
The museum provides 300 years of the history of urology, beginning from early and extremely dangerous kidney stone surgeries to modern ultra sound treatments that "pulverizes these jagged mineral clumps without any need to enter the body". [2] It includes illustrations, urological tools such as catheters, cystoscopes (includes Nitze cystoscopes made in 1890 with platinum loops for illumination and rotating cystoscopes), operating resectoscopes, laparoscopes, lithotriptors, and resectoscopes; some of this urologic equipment was sterilized using formaldehyde or cyanide. All was donated by urologists, [2] including Ernest F. Hock of Binghamton, New York, Hans Reuter of Stuttgart, Germany and Adolf A. Kutzmann of Los Angeles. [6]
The Center also aids research in all fields of urologic history in the United States. It contains an extensive urological library, with early urological and medical texts, and the AUA archives. [1]
Current AUA Historian Engel considers the museum to show how medical history in urology evolved, and notes that the implements on display frequently scare visitors. [7] Amongst its items are "long, thick metal tubes that once opened the floodgates between some unfortunate soul's bladder and the outside world", lassoes and nutcrackers on the end of steel tubes to break bladder stones, and Hugh Hampton Young's "Prostate Punch", which resembles a "massively enlarged and curved hypodermic needle designed for the blind resection of prostate tissues", used in prostate surgery (to ream out the tube of prostate tissue blindly); this last implement was used on the wealthy railway magnate Diamond Jim Brady, who—cured of a prostate problem—gave a generous donation to Johns Hopkins which enabled the establishment of the Brady Urological Institute and also the museum. [4] [8]
A number of very large mineral samples of kidney stones are also on display. [4] The collection in the museum also includes more than 30 microscopes dating as far back as the 18th century, along with operating manuals; this acquisition on loan from a German urology family. [9]
A popular display is the "spermatorrhea ring", a device from the early 20th century used to prevent ejaculations while sleeping. It is made of a double ring of metal, with the inner ring clipped over the penis and the outer ring, which is lined on the inside with an armature of blunt metal teeth, on the shaft. These teeth constitute what could be called the "medically active ingredient". In the event of voluntary unknowing erection while sleeping, "the sensitive skin of the engorged part expands against the spiky outer ring, and the sleeper is pricked into consciousness in time to prevent nature from committing an unspeakable crime against itself". [2]
Interstitial cystitis (IC), a type of bladder pain syndrome (BPS), is chronic pain in the bladder and pelvic floor of unknown cause. It is the urologic chronic pelvic pain syndrome of women. Symptoms include feeling the need to urinate right away, needing to urinate often, and pain with sex. IC/BPS is associated with depression and lower quality of life. Many of those affected also have irritable bowel syndrome and fibromyalgia.
Urology, also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary-tract system and the reproductive organs. Organs under the domain of urology include the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs.
Transurethral resection of the prostate is a urological operation. It is used to treat benign prostatic hyperplasia (BPH). As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. It has been the standard treatment for BPH for many years, but recently alternative, minimally invasive techniques have become available. This procedure is done with spinal or general anaesthetic. A triple lumen catheter is inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete.The outcome is considered excellent for 80–90% of BPH patients. The procedure carries minimal risk for erectile dysfunction, moderate risk for bleeding, and a large risk for retrograde ejaculation.
Hugh Hampton Young was an American surgeon, urologist, and medical researcher.
Transurethral needle ablation is a technique that uses low energy radio frequency delivered through two needles to ablate excess prostate tissue. A cystoscope/catheter deploys the needles toward the obstructing prostate tissue and is inserted into the urethra directly through the penis under local anesthetic before the procedure begins. The energy from the probe heats the abnormal prostate tissue without damaging the urethra. The resulting scar tissue later atrophies, reducing the size of the prostate which in turn reduces the constriction of the urethra. It can be done with a local anesthetic on an outpatient basis. It takes about an hour to perform the procedure. It takes about 30 days for the ablated prostate tissue to resorb.
Alexander Gershman is a Russian American surgeon He is considered one of the first surgeons in the world to apply the method of laparoscopic surgery and robotic-assisted surgery to urological surgery and is considered one of the world’s leading experts on minimally invasive surgery. After many years teaching, researching and conducting clinical studies on laparoscopic surgery throughout the world, Gershman is in private practice in Beverly Hills, California. His client list includes numerous Hollywood celebrities and professional athletes.
Leo Buerger was an Austrian American pathologist, surgeon and urologist. Buerger's disease is named for him.
Mani Menon, born 9 July 1948 in Trichur, India, is an American surgeon whose pioneering work has helped to lay the foundation for modern Robotic Cancer Surgery. He is the founding director and the Raj and Padma Vattikuti Distinguished Chair of the Vattikuti Urology Institute at the Henry Ford Hospital in Detroit, MI, where he established the first cancer-oriented robotics program in the world. Menon is widely regarded for his role in the development of robotic surgery techniques for the treatment of patients with prostate, kidney, and bladder cancers, as well as for the development of robotic kidney transplantation.
Menon is the recipient of the Gold Cystoscope award, Hugh Hampton Young award, the Keyes Medal, the prestigious B.C. Roy award.
Ashutosh K. Tewari is the chairman of urology at the Icahn School of Medicine at Mount Sinai Hospital in New York City. He is a board certified American urologist, oncologist, and principal investigator. Before moving to the Icahn School of Medicine in 2013, he was the founding director of both the Center for Prostate Cancer at Weill Cornell Medical College and the LeFrak Center for Robotic Surgery at NewYork–Presbyterian Hospital. Dr. Tewari was the Ronald P. Lynch endowed Chair of Urologic Oncology and the hospital's Director of Robotic Prostatectomy, treating patients with prostate, urinary bladder and other urological cancers. He is the current President of the Society for Urologic Robotic Surgeons (SURS) and the Committee Chair of the Prostate Program. Dr. Tewari is a world leading urological surgeon, and has performed over 10,000 robotically assisted procedures using the da Vinci Surgical System. Academically, he is recognized as a world-renowned expert on urologic oncology with over 250 peer reviewed published papers to his credit; he is on such lists as America's Top Doctors, New York Magazine's Best Doctors, and Who's Who in the World. In 2012, he was given the American Urological Association Gold Cystoscope Award for "outstanding contributions to the field of urologic oncology, most notably the treatment of prostate cancer and the development of novel techniques to improve the outcomes of robotic prostatectomy."
The American Urological Association (AUA) is a professional association in the United States for urology professionals. It has its headquarters at the William P. Didusch Center for Urologic History in Maryland.
William P. Didusch (1895-1981) was a scientific illustrator known for his work for the American Urological Association.
Dr. Michael A. Palese, is an American urologist specializing in robotic, laparoscopic and endoscopic surgery, with a special emphasis on robotic surgeries relating to kidney cancer and kidney stone disease.
Mark S. Soloway is a leading authority in urologic cancer, researcher, former departmental Chair, medical professor and invitational lecturer. He served as Chairman of the University of Miami Miller School of Medicine Department of Urology and is currently a professor at the Miller School of Medicine. Born in Cleveland, Soloway received his B.Sc. from Northwestern University in Chicago (1961–1964). He completed his M.D. and residency at Case Western Reserve University School of Medicine in Cleveland, Ohio (1964–1970). He completed a fellowship at the National Cancer Institute of the National Institute of Health in Bethesda, MD (1970–1972). Soloway has received numerous awards for his work as a researcher and teacher, These awards are American Urological Association's Gold Cystoscope award, Mosby Scholarship for Scholastic Excellence award (1967), North Central Section of American Urological Association Traveling Fellowship award (1972) and many others. These are outstanding achievements for an individual who has contributed most to the field of urology within ten years of completion of his residency program” (1984).
William D. Steers was a Paul Mellon professor and chair of the Department of Urology at the University of Virginia School of Medicine. He was a president of the American Board of Urology (ABU) and editor of The Journal of Urology. In 2003, the University of Virginia awarded Steers the Hovey Dabney Professorship. In 2004, Dr. Steers initiated the Charlottesville Men's Four Miler road race to raise funds for men's health. Steers was a viticulturist, and co-owned Well Hung Vineyard in Charlottesville. He developed YOURometer, an iPhone app used to record urological related symptoms.
Prokar Dasgupta is an Indian-born British surgeon and academic who is professor of surgery at the surgical academy at King's Health Partners, London, UK. Since 2002, he has been consultant urologist to Guy's Hospital, and in 2009 became the first professor of robotic surgery and urology at King's, and subsequently the chairman of the King's College-Vattikuti Institute of Robotic Surgery.
Jerry G. Blaivas is an American urologist and senior faculty at the Icahn School of Medicine at Mount Sinai in New York City and adjunct professor of Urology at SUNY Downstate Medical School in Brooklyn, as well as professor of clinical urology at College of Physicians and Surgeons, Columbia University and clinical professor of Urology at Weill Medical College of Cornell University. He has four patents pending, has received four research grants for which he served as the principal investigator, and served as a major in the United States Army assigned to the Walson Army Hospital. He additionally served as president for the Urodynamic Society.
If medical treatment is not effective, surgery may need to be performed for benign prostatic hyperplasia.
Donald Straley Coffey was the Catherine Iola and J. Smith Michael distinguished professor of urology at Johns Hopkins University School of Medicine and subsequently professor emeritus. He had a primary appointment in urology and secondary appointments in oncology, pharmacology and pathology.
Ramon Guiteras was a pioneering surgeon who specialized in urology and founded the American Urological Association.
Dr. Alvaro Morales, MD, FRCSC is a Colombian-Canadian urologist, surgeon and Member of the Order of Canada who is noted for his work in the fields of cancer research and testosterone deficiency. He is particularly known for his pioneering work using Bacillus Calmette–Guérin (BCG) to treat bladder cancer, the first proven immunotherapy for cancer. A 2018 article in the Canadian Urological Association Journal said Morales' cancer research "changed the course of urology" and described him as a "living legend."