History of Urology Forum
Presentation Authors: Wesley R Pate*, Egor Parkhomenko, Linda Ng, Richard K Babayan, Ricardo M Munarriz, Boston, MA
Introduction: Prior to the 1970s, medicine and sexuality were considered separate entities and erectile dysfunction (ED) was thought to be a psychological disease. Throughout the past decades, urologists and the scientific community have expanded our understanding and ability to accurately diagnose and treat diseases of sexual health. Boston University (BU) played an integral role in this development. This review highlights the BU faculty and their role in medical and surgical therapy, research, and extensive history of training urologists in sexual medicine.
Methods: This is a historical review of sexual medicine at Boston University. Information was obtained through review of scholarly articles, medical textbooks, and interviews with BU staff and faculty.
Results: In the 1970s, Dr. Robert Krane pioneered sexual medicine at BU. He was the first urologist in Boston to perform both semi-rigid and inflatable penile prosthesis surgeries. In 1979, Dr. Krane and Dr. Ralph deVere White, along with the expertise of clinical psychologist Stan Ducharme PhD, established the first multidisciplinary center for treatment of ED in the Northeast: The New England Male Reproductive Center. Dr. Krane and Dr. Irwin Goldstein spurred collaboration in ED research in the 1980s between the BU campuses. Inigo Saenz de Tejada PhD paved the way for targeted medical therapies through research into smooth muscle and endothelial cell physiology in the corpus cavernosum. Daniel Udelson PhD of the BU Department of Aerospace and Mechanical Engineering developed an important fluid dynamics model for ED. This focus continues under the direction of Abdul Traish PhD, director of the BU Laboratory for Sexual Medicine Research.
BU places high importance on education as BU School of Medicine was the first medical school to have a formal sexual medicine curriculum. Additionally, BU has trained 24 national and international fellows in sexual medicine, 6 of which were AUA research scholars. The current Center for Sexual Medicine at BU is led by Dr. Ricardo Munarriz.
Conclusions: BU Urology is rooted in a strong background in sexual medicine with contributions historically to sexual medicine with respect to clinical care, research, and medical education and training.
Source of Funding: none