History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd...

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History of Saudi Urology Mohammed Abomelha Consultant Urologist, Founding Chairman of SUA, Riyadh, KSA

Transcript of History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd...

Page 1: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

History of Saudi Urology

Mohammed Abomelha

Consultant Urologist, Founding Chairman of SUA, Riyadh, KSA

Page 2: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

1975 King Faisal Specialist Hospital & RC

1978 Riyadh Military Hospital

1979 King Faisal International Prize

1982 King Khalid University Hospital

1982 King Khalid Eye Specialist Hospital

1984 National Kidney Foundation

Era of Specialized Hospitals 1975 in KSA

Page 3: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Common Urol. Diseases in 1975 in KSA

Urinary Schistosomiasis

Page 4: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Common Urol. Diseases in 1975 in KSA

Urinary Tuberculosis

Page 5: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Common Urol. Diseases in 1975 in KSA

Urolithiasis

Page 6: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

International Urologists, who participated in Saudi Urology

Dr. D. Wallace Dr. T. Arnold Dr. K. Hanash Dr. N. Bissada Dr. A. Cockett Dr. N. Blacklock Dr. A. Thompson

Dr. Th. Senge Dr.M. Elhilali Dr. R. Abdul-Halim Dr. M. Ghoneim Dr. F. Ayyat Dr. C. Chaussy Dr. D. Bagley

Page 7: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Founding members of Saudi Urology

1982-1983

Dr.M. Abomelha Dr.S. Elfaqih Dr.A. Yousef Dr.S. Alsharif

Dr.S. Almohalhil Dr.K. Alotaibi Dr.A. Fallatah Dr.N. Aljaweeni

Page 8: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

National Urological Committee

1985-2006

Dr.M. Abomelha Dr.S. Elfaqih Dr.A. Fallatah Dr.S. Alsharif

Dr.H. Mosli Dr.A. Aldayl Dr.A. Aljasser

Page 9: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

The Three Goals of Saudi Urology

1st Goal: Monthly regional club meetings

1981 Central: Riyadh

1983 Western: Jeddah

1984 Eastern: AL Khobar

1989 Southern: Abha

1990 Northern: Tabuk

Page 10: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

The Three Goals of Saudi Urology

2nd Goal: Annual national urological conferences

1st

12 may 1983

Riyadh Armed Forces Hospital

Dr. Mohammed Abomelha

2nd

26 April 1984

King Abdulaziz University

Hospital Jeddah

Dr.R.D.AbdulHalim

rd3

18 April 1985

King Fahad Hospital of the

University-AlKhobar

Dr. Saud Taha

th4

18 Sep 1986

Riyadh Center Hospital

Dr. Adil Yousef

th5

22-23 March1989

King Fahad Military Medical

Complex-Dharan

Dr. Adil Al-Dayel

6th

27-28 Nov1991

King Khalid National Guard

Hospital-Jeddah

Dr. Adil Jamal

th7

11-12 Nov 1992

Riyadh Armed Forces Hospital

Dr. Mohammed Abomelha

8th

9-10 Nov 1993

King Fahad Military Medical

Complex-Dharan

Dr. Adil Al-Dayel

9th

14-16 Nov 1995

King Fahad Hospital-Jeddah

Dr. Abdullah Fallatah

10th

26-28 Nov 1996

King Fahad National Guard

Hospital-Riyadh

Dr.Waleed Al-Khudair

11th

24-26 Feb 1998

King Fahad Military Medical

Complex-Dharan

Dr.Adil Al-Dayel

12th

23-25 Feb 1999 Al Hada Armed

Forces Hospital –Taif

Dr. Abdulmalik Tayib

13th

14-17 Feb 2000

Riyadh Armed Forces Hospital

Dr. Mohammed Abomelha

14th

13-15 Feb 2001

King Fahad Military Medical

Complex-Dharan

Dr.Adil Al-Dayel

15th

7-9May 2002

King Fahad Hospital Madinah

Al Munawarah

Dr.Hamzah Al-Sisi

16th

2-4 March 2004

King Faisal Specialist Hospital–

Riyadh

Dr. Kmal Hanash

17th

8-10March 2005

King Fahad Military Medical

Complex-Dharan

Dr.Ibrahim Al-Oraifi

18th

20-23 Feb 2006

King Abdulaziz University

Hospital –Jeddah

Dr.Hisham Mosli

19th

26Feb-1Mar2007

King Khalid University Hospital-

Riyadh

Dr.Khalid Fouda

20th

18-20 March 2008

King Fahad Hospital of the

University–AlKhobar

Dr.Baher Kamal

21st

14-16 April 2009

North West Armed Forces

Hospital –Tabuk

Dr.Zakaria Al-Ali

22nd

1518March2010

King Faisal Specialist Hospital -

Riyadh

Dr.Waleed AlKhudair

23rd

21-24 Feb 2011

King Fahad Specialist Hospiatl –

Dammam

Dr.Ibrahim AlOraifi

24th

6-9 Feb 2012

King Abdulaziz University

Hospital -Jeddah

Dr.Abdulmalik Tayib

25th

8-11 April 2013

Aseer Central Hospital –Abha

Dr.Ahmed Al-Mathami

26 th

17-20 Feb

2014

King Fahad Hospital

Al Madinah almunwarah

Dr.Hamzah Al-sissi

27th

2-5 March

2015

Prince Sultan Military Medical

City Riyadh

Dr.Amr Jad

28th

3-6 Feb 2016

King Faisal Convention Center,

KAU, Jeddah.

Dr.Waleed Al-Omair

29th

2-4 March 2017

Makkah Clock Royal Tower

Dr. Anmar Nassir

30th

21-23 Feb 2018

SUA30

Meridien Hotel

Al Khobar

Dr.Khalid Alotaibi

Dr. Osamah Alsowayan

With Participation of:

Page 11: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

The Three Goals of Saudi Urology

3rd Goal: Urological residency training program

1982: British Board*, 1991: Arab Board*, 1995: Saudi Board**

28

11

26

38

45

52

0

10

20

30

40

50

60

2000-2003 2004-2006 2007-2009 2010-2012 2013-2015 2016-2018

N=200

* Joint Board for Postgraduate Medical Education ** Saudi Commission for Health Specialties (SCFHS)

Saudi Board Gradates

Over the Years

Page 12: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Saudi Urology Dissemination

SIU-Saudi Chapter:

Saudi Prostate Health

Council (SPHC)

Subspecialty Groups: Pediatric-, Oncology-, Laparoscopy-, Andrology-,

Voiding Dysfunction- group.

Conference Proceedings:

Page 13: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Time table of introducing ADVANCED urol.

procedures in KSA

1979 Renal Transplant

1979: Riyadh Military Hospital, 1984: National Kidney Foundation, 1992: Saudi Center for Organ Transplant

0

10

20

30

40

50

60

70

79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 '00 '01'02'03 '04

1114

19

12

25

34

23

4446

68

47

2022

37

29

35

25

15

35

40

28

20 18

8

1418

No

. o

f P

ati

en

ts

Year

Number of Renal Transplant at

the Riyadh Military Hospital

Page 14: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Time table of introducing ADVANCED urol.

procedures in KSA

1981 Endourology

Instruments Size Energy Elasticity

Endoscopes: diagnostic, operative

Neonate

Pediatric

Adult

Manual

Hydraulic

Laser

Rigid

Malleable

FlexiblePercutaneous nephrolithotomy (PCNL)

Uretrerorenoscopy (URS)

Page 15: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Time table of introducing ADVANCED urol.

procedures in KSA

1985 Extracorporeal Shockwave Lithotripsy (ESWL)

0

100

200

300

400

500

600

700

800

85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 '00 '01 '02 '03 '04

396

540

713

655

537

401

340

263255 245

297

358

281

229249

229

279250

226216

No

. o

f P

ati

en

ts

Year

* Department of Urology, Riyadh Military Hospital

ESWL Treatments

Over two Decides*

Page 16: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Time table of introducing ADVANCED urol.

procedures in KSA

1990 Laparoscopy

* Al-Otaibi K: Complications of 411 laparoscopic urologic procedures: A single surgeon experience. Urol Ann 2018, 10: 308-312.

2004-2008 (19.8) 2008-2012 (14.5%) 2012-2016 (8.8%)

Total laparoscopic procedures*

Total complications

Page 17: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Time table of introducing ADVANCED urol.

procedures in KSA

2003 Robotic Surgery

*Danny M Rabah, Osama Zin Al-Abdin: The development of robotic surgery in the middle East.Arab J Urol. 2012:10:10-16.

The Total Number of Robotic Surgery

Procedures in KSA 2003-2010*

Page 18: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Saudi Urological Association (SUA) 2005

Presidents:

Sections: Pediatric-, Uro-Oncology, Laparoscopy-, Andrology-,

Voiding Dysfunction-, Reconstruction-.

SUA-Journal:

The journal is indexed with, or included in, the following:

DOAJ, Emerging Sources Citation Index,

EMR Index Medicus, Index Copernicus, PubMed Central,

Scimago Journal Ranking, SCOPUS

Saudi Fellowship in

Pediatric Urology:

2006: Start of Program Total Graduation up to 2018:

2009: Start of Graduation 11 Pediatric Urologists

Prof. Hisham Mosli Prof. Abdulmalik Tayeb Dr. Raed Azhar

2006-2012 2012-2016 2016-2019

Dr. Khalid

Fouda

Dr. Ahmed

AlSammari

Dr. Ziad

Nakshabandi

Page 19: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Common Urological diseases in 2018 in KSA

Urolithiasis

Stone size Pre ESWL era (1980-1984)* Post ESWL era (1985-1989)*

Bulky stones 28% 15%

Solitary stones 14% 50%

Noninvasive Trt. 36% 95%

*Abomelha M, Assari S, Kourah M, AL-Otaibi K. Size of renal calculi in the era of ESWL.6TH

Saudi urological conference 27-28 Nov. 1991, Jeddah KSA.

Page 20: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Common Urological diseases in 2018 in KSA

Prostatic Diseases

Urological Cases at a private practice* n= 476

Benign Prostatic Hyperplasia 25.6%

Andrology cases 17.2%

Prostatitis 15.5%

Urolithiasis 12.6%

Overactive bladder 4.8%

Urinary tract infection 4.2%

Renal failure 2.1%

Genito-urinary cancer 1.7%

Miscellaneous 16.2%

*Urology clinic, Advanced Medicine Center for Subspecialties, Riyadh, 1.10.2007-30.3.2009

Page 21: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Common Urological diseases in 2018 in KSA

* Cancer incidence report Saudi Arabia 2014, Saudi Cancer Registry, Issued Sept. 2017

Genito-Urinary Cancer (GUC)

Trends of GUC in Saudis over two decades*

Metrics 1994 2014 Change %

Population 13.3 Mil. 19.6 Mil. 47 %

Pop. < 15 yrs. 49 % 30 % 63 %

Pop. > 64 yrs. 2.9 % 4.1 % 41 %

ASR 81/100.000 84/100.000 3.7 %

All Cancer/yr. 5044 11663 131 %

Bladder Ca. 193 275 24%

Prostate Ca. 150 324 116%

Kidney Ca. 129 309 139%

Testis Ca. 32 98 206 %

Page 22: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital

Conclusion

The national urological activities would not have

been achieved without the genuine interest and

continuous hard work of the national committee

members and the involvement of numerous of

collogues in the different regions of the country.

This accomplishment initiated the establishment of

the SUA in 2005.

Page 23: History of Saudi Urology - King Faisal International …...The Three Goals of Saudi Urology 2nd Goal: Annual national urological conferences 1st 12 may 1983 Riyadh Armed Forces Hospital