The past few years have seen unprecedented changes in the way we manage and approach both male and female patients with urological problems. Some trends are surprises, others expected – but all the advancements that have come about are definitely heartening.
Studies have shown that the incidence of kidney stones has increased over the past 10 years. This is likely due to the way we consume our food nowadays, which increases the incidence of medical conditions such as gout, diabetes and obesity. Having personally experienced the painful colic of stones, I am glad to see the technological advances that have been made in this field. Improvements include:
As co-chairman of the World Health Organization international consultation on stone disease, i am committed to being involved academically in this important area. We have already drawn up guidelines on how best to manage stone disease worldwide.
There are more couples realising the need for the male partner to be assessed when the emotional issue of infertility occurs. From an academic standpoint, the male infertility factor is present in more than half of all infertile couples, so it makes sense to have the man assessed in-depth before embarking on the long and difficult journey of assisted reproduction.
Among the trends I’ve witnessed in the past couple of years are:
In the pursuit of managing male bladder issues, newer drugs have been formulated over the past eight years, while the female bladder has been left behind in more ways than one. Today, the understanding and management of the female bladder – with better-funded research – has resulted in the most obvious observation: that the female bladder is not the same as the male bladder! Urologist need to be updated to better deliver care to the female bladder; and some of the interesting trends are as follows:
The management of prostate and male ageing has been turned on its head over the past eight years with several important trends:
The need to be at the forefront of cutting-edge research in urology is paramount as we aim to deliver better and better urology outcomes.
Medical Director & Senior Consultant Urologist
FAMS (Urology), FICS (USA), FRCS (Edinburgh),
M Med (Surgery), MBBS (S’pore)
Dr Michael Wong is a Senior Consultant Urologist who is internationally recognized for his surgical expertise and academic contribution to the field of Urology, in particular the subspecialized field of minimally invasive Endourology.
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