Urology

Department profile: The Urology Department has 48 open beds, treats more than 1,300 patients annually, and performs more than 1,000 operations, including 600 Grade III and IV operations. The department has 9 physicians: 2 chief physicians, 1 deputy chief physician, 4 attending physicians, and 2 resident physicians. Its nursing team has 21 members: 2 nurse supervisors, 14 nurses, and 5 nursing assistants. The postdoctoral and graduate student team has 10 members, including 3 postdoctoral fellows in residence, 2 doctoral students, and 4 master's students. The department has established different work groups that divide responsibilities and collaborate. They cover urologic tumors, stones, pediatric urinary tract malformations, female urology, andrology, and chronic pelvic pain, and have formed a comprehensive discipline characterized by the application of laparoscopic plane-based surgical techniques, reconstruction of pediatric urinary tract malformations, and comprehensive treatment of urinary stones. Based on plane anatomy and plane surgery, the department promotes enhanced recovery after surgery (ERAS). With complex, highly difficult abdominopelvic and perineal surgery and the ERAS system as its academic direction, it has shortened patients' hospital stays and recovery times while steadily improving quality of care. The department now operates a joint multidisciplinary outpatient clinic (MDT) for difficult urologic diseases and malignant tumors and has accumulated extensive experience in malignant tumor diagnosis and treatment and consultation and treatment of difficult pathological conditions. Specialized diagnosis and treatment: (1) Comprehensive urologic tumor treatment group The urologic tumor comprehensive treatment group is mainly responsible for standardized diagnosis and treatment of malignant diseases involving the adrenal glands, kidneys, ureters, bladder, prostate, and male reproductive system. Based on the concept of plane-based surgery, it has improved the standard surgical treatment of urologic tumors, optimizing the surgical approach and overall workflow. It collaborates with Endocrinology to provide coordinated diagnosis and treatment of adrenal tumors, offering patients more efficient and standardized care. The group has introduced surgical innovations for urologic tumors, including laparoscopic nephron-sparing surgery for renal hilar cancer, one-position laparoscopic radical nephrectomy and ureterectomy, laparoscopic radical prostatectomy, laparoscopic radical cystectomy with orthotopic ileal/sigmoid neobladder construction, and other complex operations, as well as surgical treatment of malignant tumors of the penis and testis and complex procedures such as laparoscopic retroperitoneal lymph node dissection. (2) Complete urinary stone treatment group This group provides standardized diagnosis and treatment of urinary stones and builds an integrated urolithiasis care system, including prevention education and public science education, emergency treatment procedures for stone-related urosepsis, follow-up and monitoring after urinary stone treatment, and current surgical treatment of urolithiasis. It performs more than 200 operations each year, relieving the suffering caused by urolithiasis for the general public. When urinary obstruction is caused by benign urinary tract disease or non-urologic malignancy, our Urology Department also provides day-surgery services such as surgical treatment of benign prostatic disease, plasma enucleation of the prostate, and thulium laser enucleation of the prostate. (3) Pediatric urology treatment group This group provides standardized diagnosis and treatment of congenital malformations and tumor-related diseases of the pediatric urinary system. Applying ERAS to pediatric surgical patients, it performs laparoscopic day surgeries for pediatric hydrocele, cryptorchidism, and concealed penis correction. It provides complete treatment plans for pediatric hydronephrosis, including laparoscopic pyeloplasty in infants and young children for ureteropelvic junction obstruction; laparoscopic ureteral reimplantation for ureterovesical junction stenosis or reflux; laparoscopic removal of the upper or lower moiety of a duplicated kidney when it is nonfunctional; and surgery for kidney, ureteral, and bladder stones in children. In cooperation with pediatric chemotherapy, it provides comprehensive treatment for childhood tumors and performs radical nephroblastoma surgery, laparoscopic radical resection of bladder rhabdomyosarcoma, orthotopic neobladder construction, and other procedures. It has established a full-course management and treatment plan for disorders of sexual development. Correction of congenital malformations such as hypospadias ranks among the leading programs in China; nearly 100 pediatric hypospadias operations have been completed at Kashgar First Hospital in Xinjiang. (4) Total pelvic organ resection and pelvic floor reconstruction group This group focuses on difficult cases of locally advanced pelvic tumors with or without pelvic abscess, benign pelvic lesions, and complex fistulas. It develops individualized diagnostic and treatment plans, performs total pelvic organ resection, removes lesions, reconstructs diversion, closes the pelvic floor, drains the operative area, and provides subsequent rehabilitation and adjuvant treatment, thereby extending survival and significantly improving quality of life. Research strength and distinctive achievements: The ward has long been committed to building a research-oriented department. It conducts basic and applied basic research around its main clinical directions, while its core staff have created a research atmosphere of clear division of labor, complementary strengths, and mutual support. Over the past 3 years, the department has published more than 10 SCI papers, including in Cell Death & Disease, Urology, and Cancer Management Research. It has led 5 Guangdong Natural Science Foundation projects with total research funding of RMB 1.55 million. In recent years, the nursing team has developed a standardized ERAS rapid-recovery process consisting of 3 stages and 10 steps, now applied to diagnosis and treatment across all types of urological surgery. The department's ERAS rehabilitation program has been incorporated into the Guangdong urology specialist nurse training program and serves as a specialist nurse training base.