2. Development of Pediatric Urology in Anatolia
S.N. Cenk Buyukunal
Cerrrahpasa Medical Faculty,Section of Pediatric Urology,Department of Pediatric Surgery,
AIM: The aim of this presentation is to give a brief information to the audiance ,about the development of pediatric urology in this historical area called:Anatolia
MATERIAL AND METHOD: Various materials on medical history such as translation of Sumerian Clay tablets,an old surgical textbook from 15th century: Cerrahiye-i Ilhaniye,Annals of Sisli Children’s Hospital (Hamidiye-i Etfal),informed concent texts for pediatric operations from 15th and 16 th century, documents and materials related with 19 th and 20th century are investigated
RESULT AND DISCUSSION: Translation of a clay tablet from Sumerian period(a scientific work of Prof Mrs Canan Agartan) mentions us the first pediatric urological abnormalities such as :urinary incontinance and sexual development disorders.
Galen was the first phsician in this part of the world who mentioned the name “hypospadias” and gave description of the abnormality.Sabuncuoglu Serafeddin (mid 15th Century from North Anatolia) was the first surgeon who has given the detailed operative pictures of pediatric urological and surgical procedures : hypospadias, circumcision, intersex,inguinal hernia,fused labia minora.This manuscript written by Sabuncuoglu(3 volumes,1460,Amasya)can be accepted as the first pediatric surgical and urological atlas with its informative and descriptive pictures.
The children rights was very important in Ottoman Empire and since 15th century,before every pediatric operation, an informed concents has been prepared and signed by the judge,surgeon and parents as well. During the presentation some examples from informed concents, related with bladder stone extraction operations will be shown.In these concents ,the type and risk of operation,surgeon’s skills,parent’s rights and surgeon’s fee were all mentioned in detail.
First Children’s Hospital called Hamidiye-i Etfal in Istanbul founded in late 1890s and this was one of the most modern and well equipped children hospitals of Europe.Many pediatric urological operations mainly urinary stone exstractions ,hydroceles and hernias has been performed with successful results.
In this study the names and efforts of leading persons as well as the names of some unknown heros will be mentioned. Turkish Pediatric Urologists are grateful for leading surgeons, from both sides, pediatric surgery and adult urology background , for the foundation and development of this specific branch .