It is an honour to edit a special issue on urology of this prestigious Bombay Hospital Journal. At the turn of the millennium if you look back, there has been tremendous changes in medical science and urology, more so in the last two decades. There is a vast difference in Urology I learnt, and Urology - that is practised today.
The era of surgical skill is taking a back seat and technological advances are taking over. Two decades ago removal of kidney stones without operation was considered a fairy tale but today with ESWL and Endourology it is a reality. With increase in longevity, management of benign prostatic hyperplasia has acquired new dimensions. Medical treatment of BPH and endoscopic advances have reduced morbidity and mortality significantly in this group of elderly patients. Cancer and cure would not go hand in hand but today testicular cancer and localised cancer of prostate if detected in time can be cured. Viagara has become a wonder drug of the century but still unconsummated marriage is a reality in our land.
Experts in different specialities have covered some of these subjects in this issue. They have done a wonderful job and I am thankful to them. Initially I had planned to cover Urology/Nephrology in this issue but the advances are far too many in both fields to be covered in a single issue. So I thought it will be better to cover Transplantation and Nephrology in a different issue to give justice to the subject. However Dr. Ashok Kirpalani my teacher in nephrology and transplantation has penned down his views on Nephrology at the turn of the melleninum.
I must thank Dr. OP Kapoor for his guidance and Dr. RJ Mehta and Bombay Hospital Journal Office staff for their help in bringing out this issue.
But there cannot be any urology writing for me without mentioning Dr. Ajit Phadke, my mentor, teacher, guide and philosopher. He is a man with multiple facets, a great visionary and a great human being. I have learnt more than urology from him — patient-care, patient-doctor relationship and most important human values in life. I am singularly fortunate to have a teacher like him. There has been a tremendous advancement in technology but somewhere down the line human touch is fast disappearing.
New modalities have definitely helped patient live longer with better quality life but it is at a price. Hi Tech medicine is becoming prohibitively expensive.
I hope in the next millennium with tremendous surge in hitech, Robotic surgery and increasing cost and competition, we do not forget the human values. Let us not allow machines to become our masters. I hope this issue will be appreciated by one and all.
DR. UMESH GOZA