Functional Reconstruction of the Female Urinary Tract and Gynaeco-Urology (eBook)

Christopher R. Chapple, Nadir I. Osman, Richard T. Turner-Warwick (Autoren)

eBook Download: EPUB

2025 | 2. Auflage
1440 Seiten
Wiley (Verlag)
9781119839897 (ISBN)

Infos

Overview of female urological reconstructive surgery with illustrations, photographs, and diagrams spanning all surgical procedures in the field

Functional Reconstruction of the Female Urinary Tract and Gynaeco-Urology is a comprehensive reference text encompassing the entire field of reconstructive female urology, delivering in-depth knowledge of structure, function, and dysfunction of the female urinary tract and imparting a thorough understanding of the principles of urodynamics related to lower urinary tract reconstruction.

In this Second Edition, authors Christopher Chapple and Nadir Osman have retained many of the original descriptions from the first edition in tribute to the work of Richard Turner-Warwick, who is considered the father of functional urological reconstruction in the United Kingdom. Where appropriate, the text and comments have been updated to reflect developments in the field.

In Functional Reconstruction of the Female Urinary Tract and Gynaeco-Urology, readers will find:

• Detailed descriptions of surgical principles and procedures with 1600 colour illustrations based on original drawings by Paul Richardson.
• 'Tricks of the trade', 'pearls of wisdom', and other original concepts related to the field.
• The principles, art, and philosophy of surgery, as well as details on instruments and surgical access to the urinary tract.
• Information on surgical management of conditions that a specialist surgeon working in this field will encounter in their clinical practice.

Functional Reconstruction of the Female Urinary Tract and Gynaeco-Urology is an essential one-of-a-kind reference for surgeons at any level of practice, regardless of training or experience. The text is also valuable for advanced students in related programmes of study.

Christopher R. Chapple is an Emeritus Consultant Urological Surgeon at Sheffield Teaching Hospitals NHS Foundation Trust, an Honorary Professor at the University of Sheffield, and Visiting Professor at Sheffield Hallam University.

Nadir I. Osman is a Consultant Urological Surgeon at Sheffield Teaching Hospitals NHS Foundation Trust and Honorary Senior Lecturer at the University of Sheffield.

The late Richard T. Turner-Warwick (1925-2020) was an Emeritus Consultant Urological Surgeon at The Middlesex Hospital and the Institute of Urology, was a prominent innovator in the field, and is considered the father of functional urological reconstruction in the United Kingdom.

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Richard T. Turner‐Warwick CBE (1925–2020)

MSc, MCh, DM (Oxon), DSc (Hon), FRCP, FRCS, FRCOG, FACS (Hon), FRACS (Hon)

A Long Journey Leading to Functional Reconstruction

Urologists have always been at the vanguard of surgical innovation and Richard was a prominent example of this. On Saturday 19 September 2020, Richard T. Turner‐Warwick, one of urology's most well‐known and highly regarded innovators, passed away at the great age of 95.

Richard Trevor Turner‐Warwick was born on 21 February 1925. His father, William, was a consultant surgeon at the Middlesex Hospital, with an interest in vascular surgery and indeed he was the first to report perforating veins as being instrumental in the development of varicose veins in his doctorate thesis. His mother, Joan (née Harris), also a doctor, was a Member of the Royal College of Physicians. She specialised in women and children's welfare clinics – additionally she had some quite exceptional mechanical and artistic skills; she taught young RTW how to strip down and reassemble a motor car engine before he was 10. His father, he said, had ‘an enquiring mind’, his grandfather, a dentist, was a skillful woodworker and silversmith. Under these influences Richard became fascinated in how things were made and how they functioned and developed mechanical skills that were to serve him well in the future.

While at school (Bedales in Petersfield) he built a small twin‐cylinder steam engine out of spare pieces of metal and brass and put it into a wooden boat. I have seen this small model, the engine is beautifully crafted and it clearly worked, the wooden frame, however, was unpainted and undecorated. RTW was interested in the practical functioning of his model, not how pretty it was! While still at school, albeit as a senior student, he managed to join the local Home Guard; this allowed him a valuable petrol allowance for his motorcycle. At school he persuaded his teachers that time spent maintaining the said motorcycle constituted ‘physics’, thus excusing him from attending more formal lessons centred on the school curriculum.

University Education

In 1942, he was offered one of the few medical places at Oriel College, Oxford – his tutor was K. J. Franklin, a pioneer of fetal circulation studies. The only male undergraduates during the war were reserved‐occupation physicists, chemists and medical students, no others whatsoever. His wife, Margaret, was a contemporary scholar at Lady Margaret Hall and became the ‘light of my life ever since’. Sporting activities were greatly restricted but, deprived of the pleasures of coastal sailing by the hostilities, he rowed with great enthusiasm, rowing in the Oriel Eight and the war‐time Oxford Crews of 1944 and 1945. Based upon the results of the first medical examination at the end of his second year, he was seconded to take the third year Final Honours School Degree in Natural Sciences which taught him how to think analytically – both Margaret and he were very much appreciated and enjoyed this. He had long since decided that he wished to be surgeon like his father, so he started to work for the Primary FRCS (Fellow of the Royal College of Surgeons) as a student‐demonstrator in anatomy; however, the regulations for this were so it could not be taken until he was qualified.

In 1945, Professor Le Gros Clarke invited him to stay up for a fourth research BSc year in neuro‐anatomy and employed him as a Demonstrator in the Department of Anatomy. He was elected President of the Oxford University Boat Club, compiling and rowing in the 1946 crew – an immense challenge ‘like no other in my life’, and they won the first Oxford and Cambridge Boat Race back on the tideway after the war. Captaining the Oxford crew and bringing the boat race back from Henley to the Thames tideway was something which he battled to achieve. The Varsity team were then the elite of the sport of eights rowing (albeit depleted and deconditioned through wartime rationing). The challenge involved in competitive rowing had a lasting impact on him – for the rest of his life, whenever a task required strength and endurance beyond his considerable boundaries, he would just grit his teeth and ‘think of Cambridge’.

In 1946, Margaret (then his fiancée) contracted TB and was sent away to the British Sanitorium in Montana, Switzerland. They both knew she had a less than 50% chance of returning alive. She was away for nine months in an era before phones or email, let alone WhatsApp or social media! It must have been a long and worrying time for him, and when she came back she had been allowed out of total bed‐rest for just two weeks and could barely walk.

Margaret and he both went to London for our clinical studies – she did hers at University College Hospital and he went to The Middlesex Hospital.

Medical Education

‘During the course of one's clinical training one counted one's many blessings.’

As a clinical student at the Middlesex in 1947, Mr Rex Lawrie was his tutor and it is to him that he attributed the direction of all of his subsequent surgical training. He noted: ‘I took every opportunity to spend additional hours operating with him and became devoted to reconstructive plastic surgery. Almost uniquely, he had obtained dual specialist qualification just before the war, both as a Surgeon (FRCS and MS) and as a Physician (MRCP and MD) – this became my guiding ambition, it took some time.’

Before the development of rotating training schemes in the 1980s, the breadth and the depth of a surgeon's training was entirely dependent upon the particular specialist house‐jobs and registrar appointments that they themselves had personally elected to apply and compete for. He was particularly fortunate to become apprenticed to a series of master‐craftsmen as a houseman or registrar – among them Sir Eric Riches and Cecil Murray in general and urological surgery, Sir Francis Avery‐Jones in medicine, Oswald Lloyd‐Davies in colo‐rectal surgery, Rainsford Mowlem in plastic surgery, Sir Thomas Holmes‐Sellors in cardio‐thoracic surgery and Phillip Newman (MC and DSO at Dunkirk) in orthopaedic surgery.

The unusually extended duration and extent of this training was the result of the return of the many senior and very experienced colleagues who had served in the Royal Army Medical Corp during the Second World War and were waiting, as registrars or supernumerary registrars, for a consultant appointment – the consequent waiting gave him time to acquire the additional qualifications that seemed likely to be required to obtain a consultant appointment on the staff of one of the major teaching hospitals in the UK. The Oxford BSc was upgraded to an MSc. Through hard work he was able to take the Primary FRCS immediately after he qualified – the Final FRCS was just a milestone two years later. He then worked hard for the MRCP (Membership of the Royal College of Physicians), which was much helped by his year as Registrar in the Professorial Bland Sutton Institute of Pathology with Robert Scarff and Alan Thackray, where he learnt a great deal assisting with the daily routines of histological reporting and post‐mortem examinations. His thesis for the Oxford DM on ‘Lymphatics of the Breast’ led to radical revision and rewriting of the anatomy of these, and represented a seminal work. It was based on new intra‐vital staining techniques developed during the course of many routine radical‐mastectomy operations.

Additional Overseas Urological Training

While he was Sir Eric Riches senior registrar for four years, in 1958 he obtained a Research Fellowship at the Columbia Presbyterian Delafield Hospital in New York. Shortly after he began this fellowship, his new chief, Perry Hudson, asked him to stand‐in as his Senior Urological Resident for five months – a wonderful introduction to American Urological Surgery – and in addition he was invited to present a paper on inlay urethroplasty to the annual meeting of the elite Genito‐Urinary Surgeons Association, although he was still only a Senior Resident. Perry greatly appreciated this help and, most generously, he not only arranged for him to visit a number of his urological colleagues but, because the UK currency allowance for overseas travel was lamentably insufficient, he arranged for him to stay with each of these in their homes for two weeks while he worked and operated with them. Among these outstanding colleagues on the East coast were Hartwell Harrison at the Peter Bent Brigham in Boston, Wyland Leadbetter at the Massachusetts General. W. W Scott at Johns Hopkins, James Glenn at Duke University and Bill Boyce in Winston Salem.

He subsequently completed his MCh (Master of Surgery) thesis and was appointed the RSO (Resident Surgical Officer) at the Institute of Urology working with Sir David Innes Williams in paediatric surgery and with Howard Hanley and Steve Stevenson on image‐intensification radiology.

Consultant Surgeon at Middlesex Hospital

In 1960, he was appointed a Consultant Surgeon at The Middlesex Hospital with charge of the thyroid clinic. In 1961, along with Dr Graham Whiteside – a senior radiologist, he set up a new diagnostic outpatient ‘urodynamic clinic’ in his department. This unique radiological clinic was based on the...

Produkt-Details

• Erscheint lt. Verlag: 28.5.2025
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Urologie
• Schlagworte: dysfunction urinary tract • function urinary tract • richard turner warwick • structure urinary tract • urodynamics assessment • urodynamics evaluation • urodynamics surgery • Urological reconstruction • Urology • urology surgery
• ISBN-13: 9781119839897 / 9781119839897