Evolution of Pediatric Urology at Sindh Institute of Urology and Transplantation

Abstract

Sindh Institute of Urology and Transplantation was started in 1972 as an eight bedded department of genitourinary surgery in a government hospital by its pioneer and present director Syed Adib ul Hassan Rizvi. Responding to the socioeconomic dynamics and the needs of the patient population the facility grew into the largest tertiary care Urology, Nephrology, and Transplant center of south Asia. One of the salient components has been the evolution of the Department of Pediatric Urology, which in itself has shown a tremendous growth into an internationally recognized center for pediatric urology services taking care of all aspects including center of excellence for pediatric stone disease. The guiding mission of this institute remains to provide free medical services at zero cost without any discrimination to all who come to its doorstep and matching with high standard of care without compromising their dignity and self-respect. This institute highlights the fact that lack of resources is no excuse and is a role model for developing countries, where national and international support, motivation, and cooperation can offer more advanced and better quality medical services to our children.

Surgical outcomes of percutaneous nephrolithotomy in 3402 patients and results of stone analysis in 1559 patients

“…Stone disease is highly prevalent in Pakistan, located as it is in the middle of Afro‐Asian stone belt. As mentioned above, stone disease constitutes 50% of the urological workload in the adults and 60% in the children presenting to our institution. The management of stone disease, with its associated complications, constitutes the bulk of the clinical activity in our institution, which offers free treatment to nearly one million patients annually, with access to the facilities round the clock.…”

“…Stone disease is highly prevalent in Pakistan, located as it is in the middle of Afro-Asian stone belt. As mentioned above, stone disease constitutes 50% of the urological workload in the adults and 60% in the children [2] presenting to our institution. The management of stone disease, with its Table 2 Comparison of stone-free rates and complications in the two eras studied (N = 3402).…”

“…Pakistan is located in the middle of the Afro‐Asian stone belt, with stone prevalence in the range of 12–15% . Stone disease constitutes 50% of the urological workload in the adults and 60% of the workload in the children presenting to our institution, which treats nearly one million patients annually, free of cost. Although percutaneous nephrolithotomy (PCNL) under image guidance was first described by Fernstrom and Johansson in 1976 , PCNL for treating renal stone disease at the Sindh Institute of Urology and Transplantation was established in 1997.…”

Evolution of Urology Services in Pakistan

“…There are only three paediatric urology centres in the country. 6 There are 6-7 centres offering laparoscopy in urology. At one centre, SIUT, robotic surgery is currently being offered.…”