FR-22 FROM "END OF UROLOGY" TO ENDOUROLOGY: UROLOGIC LEGACY OF THE THE MINNEAPOLIS VA

Abstract

You have accessJournal of UrologyHistory Forum1 Apr 2018FR-22 FROM "END OF UROLOGY" TO ENDOUROLOGY: UROLOGIC LEGACY OF THE THE MINNEAPOLIS VA Giulia Lane, Maria Uloko, Vikram Narayan, and Cesar Ercole Giulia LaneGiulia Lane More articles by this author , Maria UlokoMaria Uloko More articles by this author , Vikram NarayanVikram Narayan More articles by this author , and Cesar ErcoleCesar Ercole More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.3042AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The Minneapolis VA Section of Urology has contributed to Urologic research and trained leaders in Urology since its affiliation with the University of Minnesota in 1946. It is the birthplace to the Gleason score, the Fuhrman grading system and Endourology. Herein we recount the Urologic contributions of the Minneapolis VAMC. METHODS A review of Urologic literature from the Minneapolis VAMC from 1946 to present. RESULTS Researchers at the Minneapolis VAMC helped shaped early innovations in Urologic Oncology. The VA Cooperative Urologic Research Group (VACURG) was developed by Dr. George Mellinger, Chief of Urology, in 1959. Dr. Mellinger enlisted Dr. Donald Gleason's aid in the development of a grading system for prostate cancer for the VACURG. Dr. Gleason's Grading system, first presented in 1965, has become the sole recommended grading system for prostate cancer. In the realm of renal tumors, Dr. Susan Fuhrman devised the Fuhrman Grading system in 1982 at the Minneapolis VAMC pathology department. The Fuhrman grading system gained popularity and has been found to be a prognostic factor for renal carcinoma. Dr. Paul Lange (VAMC Urology Chief 1977-86) alongside Dr. Thomas Hakala and Dr. Elwin Fraley (Chairman of Urology at the University of Minnesota 1969-93), studied the tumor markers for testicular cancer at the Minneapolis VAMC, providing evidence for the benefit of their clinical use.Dr. Fraley trained and recruited the Urologists that created the field of Endourology. In 1978, Dr. Arthur Smith and Dr. Lange published the first account of antegrade ureteral stent placement through a percutaneous nephrostomy tract, which was performed at the Minneapolis VAMC. Dr. Fraley coined the term Endo-Urology in 1979 and helped popularize the techniques through training courses in Minneapolis. Today, the Minneapolis VAMC is a lead institution for evidence based Urology through the work of Dr. Timothy Wilt and Dr. Philip Dahm. Dr. Wilt served as lead investigator in the the Prostate Cancer Intervention versus Observation Trial (PIVOT) and member of the United States Preventative Task Force (USPSTF) on prostate specific antigen. Dr. Dahm currenlty leads the the Cochrane Urology Collaborative Review Group from the Minneapolis VAMC. The VAMC also serves as a lead institution U.S. Grading Recommendations Assessment, Develop and Evaluation (GRADE) network. CONCLUSIONS The Minneapolis VA Section of Urology has produced leaders in Urology who contributed to the field of Urologic Oncology, founded the field of Endourology and continue to promote evidence based Urology. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1249 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Giulia Lane More articles by this author Maria Uloko More articles by this author Vikram Narayan More articles by this author Cesar Ercole More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...