Thomas Jefferson UniversitySidney Kimmel Medical College

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Jefferson Urology Firsts

"Urological Jeffersonisms"

  • First report of renal pedicle tourniquet applied around renal artery and vein while closing after partial nephrectomy by Dr. T. C. Stellwagen.
  • Careful staging of bladder cancer by depth of invasion. Dr. George Strong coauthored the historic “Jewett-Strong” classification with Dr. Jewett in 1946.
  • Female urethras were dilated for a variety of indications including bladder emptying, irritable bladder syndrome with or without incontinence, and urethral discomfort investigated and widely promoted by Dr. T.R. Fetter.
  • Controlled decompression of chronically distended bladders by slowly lowering the pressure over intervals up to 24 hrs pioneered by Dr David M. Davis.
  • “Intubated ureterotomy: Experimental work and clinical results” won the first prize at the AUA and was published in the May 1948 Journal of Urology. It was co-authored by Drs. D.M. Davis and Willard Drake.
  • The modern uroflowmeter was invented by Willard M. Drake, Jr., MD, in 1946. The original manuscript, entitled "The Uroflometer: an aid to the study of the lower urinary tract," appeared in Journal of Urology in 1948. Drake obtained a US patent for the device, entitled "Uroflometer" in 1953. Dr. Willard Drake was the first to use the word “urodynamics”.
  • Development and use of Lewis Cystometer to measure bladder pressure rising during bladder filling, as a diagnostic tool of incontinence or retention.
  • First report of ureteroscopic ultrasonic lithotripsy, by Dr. Bagley in 1983.
  • First report of endoscopic recanalization of the obliterated upper urinary tract, by Dr. Bagley in 1985.
  • First report of ureteroscopy performed under local anesthesia, by Dr. Bagley in 1987.
  • First report of electroejaculatory stimulation of a quadriplegic man resulting in pregnancy by Dr. Hirsch in 1990.
  • First formal Urological Laparoscopy Programs in Philadelphia in 1991.
  • First use of RT-PCR to identify circulating cells in prostate cancer patients, 1992 Dr. Moreno, Mulholland and Gomella. Three U.S. Patents were awarded to Jefferson for this discovery.
  • Board of Trustees appointed Dr. L. G. Gomella the first Bernard W. Godwin Associate Professor in Prostate Cancer in 1994, the first prostate cancer specific chair in the U.S.
  • First report of endoluminal ultrasound of the ureter, by Dr. Bagley in 1995.
  • First applications of ureteroscopic holmium laser lithotripsy of upper ureteral calculi (1995) and renal calculi (1998) by Dr. Bagley
  • First Multi-Disciplinary GU Cancer Center, Kimmel Cancer Center established in 1996 by Dr. Gomella and Associates.
  • First Microwave Thermotherapy Unit in the Delaware Valley at the Pennsylvania Prostate Center at Jefferson in 1997.
  • First Laparoscopic Radical Prostatectomy in Delaware Valley by Drs. McGinnis and Strup in 2000.