Russian urology 2019: striving forward

The 2019 has ended. Summing up the professional life of urologists, we must note the vivid desire of Russian urologists to move forward, lead their comrades and keep up with the world urology. The report traditionally reflects almost all aspects of the urologists life and analyzes their attitude to the specialty future. Also there is made an attempt to understand preferences in the diagnostics and treatment of certain diseases. Organizational changes in the specialty will affect each of the urologists, that is why the report for 2019 starts with them.

1. National Medical Research Centers (NMRC) of urology

A meeting of the Scientific Council Presidium was held on 26 November, 2019 at the Ministry of Health of the Russian Federation, during which the activities of national medical research centers were examined. There was made a comprehensive assessment of the institutions work, taking into account the scientific and clinical components, their educational and international activities.

As a result, the Minister of Health V.I. Skvortsova recommended the inclusion of some institutions in the NMRC network that are likely to become the leading institutions in their field.

According to the “urology” profile, there were created 2 national medical research centers (NMRC) in Russia:

  1. Federal State Autonomous Educational Institution of Higher Education n.a. I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University);
  2. Federal State Budgetary Institution National Medical Research Radiological Center of the Ministry of Health of the Russian Federation .

The status of parent institutions is likely to give a new meaning to all the activities carried out by these organizations.

According to Order №125 of March 13 2019, which was signed by the Minister of Health, a separate structural unit of 20 rates will be created on the basis of the NMRC, 5 of which are full-time.

Great importance in future activities is attached to the use of information and telemedicine technologies in the regional, republican and other medical organizations of the Russian constituent entities. The work will be carried out by traveling to the regions and/or remotely. It is planned to hold consultations and educational programs, to analyze the provision of medical care in the Russian constituent entities, to develop standards and clinical recommendations.

The NMRC will report on its activities only to the Ministry of Health of the Russian Federation.

2. National clinical guidelines for urology

On 20 December, 2019 the Scientific and Practical Council of the Ministry of Health of Russia approved 5 clinical recommendations for urology (urolithiasis, renal colic, urinary incontinence, neurogenic bladder dysfunction, benign prostatic hyperplasia).

Urologists also have federal clinical guidelines for antibiotic therapy and urinary tract infections which are updated annually and the current version will be available at the beginning of 2020.

3. Awards

  1. European Association of Urology

Chairman of the Russian Society of Urology, Corresponding Member of the Russian Academy of Sciences, MD, professor Yuri Gennadievich Alyaev became an Honorary Member of the European Association of Urology (EAU).

  1. The Russian Academy of Sciences

The elections to the Russian Academy of Sciences in 2019 will be remembered for a long time. For the first time, scientometric indicators of all candidates for corresponding members and academicians of the RAS were published (they are available on the Scientific Electronic Library website). It was the first time when all the candidates without exception were considered by two ethical commissions designed to combat pseudoscience and falsification of scientific research. The RAS branches did not allow 52 out of 56 candidates to be included in the lists of the ethical commission on falsification.

The general competition for the status of academician was 4 people per place. For the status of a corresponding member 9 people per place.

So, there were selected 71 people for 76 vacancies of academicians, 158 scientists – for 171 vacancies of a corresponding member. At the same time 18 vacancies remained unused: 5 academicians and 13 corresponding members.

Thus, today there are 898 academicians and 1144 corresponding members in the RAS (total – 2042 people). The average age of the elected academicians is 64 years old; of the corresponding members – 58 years old that will slightly lower the average age of the academy members. Before the elections, the average age of academics was 75 years old; of the corresponding members – 68 years.

The public will not find out all the details of the vote because it was and still remains secret.

There is a piece of very good news for the urological community: the chief urologist of the Ministry of Health of the Russian Federation, the chief urologist of Moscow, MD, professor Dmitry Yuryevich Pushkar became the RAS academician

A number of corresponding members among urologists did not increase – perhaps, this is due to the lack of vacancies in the RAS.

New appointments

In Ryazan, MD Viktor Borisovich Filimonov was appointed the chief doctor of "City Clinical Emergency Hospital". The order of the Ministry of Health of the Ryazan Region №195-l was signed on December 03, 2019.

Denis Aleksandrovich Mazurenko, a “stone-wrestler”, was appointed the chief urologist of the Republic of Kalmykia. He is a recognized leader in the surgical treatment of urolithiasis, a person with an active lifestyle, a true friend and a father of many children.

The team wholeheartedly rejoices for their colleagues, congratulates them on their achievements and wishes to apply their knowledge and experience to the benefit of Russian urology and Russian medicine in general!

4. Activities

During 2019 the urological events maintained their stability, regularity and quality. Traditionally there was a Rational Pharmacotherapy in Urology (Russian Society of Urology, Research Institute of Urology and Interventional Radiology n.a. N.A. Lopatkin), All-Russian School of Pediatric Urology-andrology (Internet Forum of Urologists), “Men's Health”, “Congress of the professional association of andrologists of Russia”, “High Technologies in Urology” (Sechenov University), Moscow School of Urology (Ch. Urologist of Moscow), Congress of Urology “Russian Railways” and “FMBA” and many others.

Regional trips of urological public organizations “Aspect” and “Rational pharmacotherapy in urology” are also regularly conducted.

According to the calendar of events published on in 2019, 173 events were held. Also there were the monthly meetings of the urologists regional societies in almost all of the regions.

So, considering that many events last during 2 or even 3 days, it turns out that urological events are held in Russia every day.

Therefore, planning a meeting at the department or in your institution, check the dates on the Uroweb calendar to avoid overlays or minimize them!

Among the most interesting and new events two can be distinguished.

  1. Russian-American school on penile prosthesis

In the period of November 11-12, 2019, the Russian-American school of penile prosthesis was held at the University Clinic of Moscow State University of Medicine and Dentistry in Kuskovo.

MD, Professor Nika Dzhumberovich Akhvledianibecame the author of the idea, organizer and ideological inspiration of the School. The personal contacts formed long before with Professor Robert Valenzuela from Mount Sinai Hospital (New York, USA) and Professor Ricardo Munarris (University of Boston) made it possible to plan and carry out an event of this magnitude.

The school was personally visited by 74 urologists from Russia, Ukraine, Belarus, Azerbaijan, and 411 urologists watched the online broadcast on Uro.TV.

Penile prosthetics is a field of urology in which there cannot be many specialists of the highest level. Therefore, it is so important to find out from the first specialists in the field, the features of surgical technique, pre- and postoperative management of patients acquired during lectures and speeches, but also – on the example of specific clinical cases.

Undoubtedly, the Russian urological community needs such unique events that differ not only in the presence of top world leaders, but also in an absolutely working and friendly atmosphere.

  1. Prostate cancer treatment: change is inevitable

For the first time in our country, an international conference was held on the treatment of prostate cancer, the most common cancer among men. The forum titled “Prostate Cancer Treatment: Change Is Inevitable” was organized by Sechenov University in collaboration with the European Society for Urological Technology (ESUT). The organizers tried to highlight the main thing: any of the most advanced technology in the modern world quickly becomes the past.

The conference was attended by over 60 urologists from various Russian cities, including St. Petersburg, Rostov-on-Don, Kazan, Surgut, Belgorod, Kursk, Krasnodar.

Event organizers under the leadership of MD Dmitry Viktorovich Enikeev (Sechenov University) hopes for the involvement of a larger number of specialists who are able to take part in professional events at the international level in English.

5. News of urology of regions

A reproductive health department for children and adolescents opened in the Orenburg medical center. Doctors of three specialties (urologist-andrologist, gynecologist and endocrinologist) will take care of the child health.

‘Health trains’ continue in the Nizhny Novgorod Region: the Northern and the Southern ones. Thus, the initiative of Governor Gleb Nikitin "Accessible medicine" is implemented. Doctors working on these ‘trains’ examine patients as part of mobile laboratories and also conduct consultations. For example, out of a total of 42,000 consultations, 1,615 are urologists (3.8%). Is it a lot or a little? What is the necessity of such consultations of narrow specialists? Can this type be called mobile? It would be interesting to know the cost-effectiveness of this project.

Yamal, Noyabrsk city: the Central City Hospital is 40 years old, and our urologist colleagues also work in it. Among them there are Nina Oborotova – the first children's urologist, Yuri Tkachenko – head of urological department.

The Department of Urology-Andrology of Children's Hospital № 9 n.a. Speransky in Moscow turned 45 years old and during this time our colleagues had treated more than 100,000 children. According to the Moscow Department of Health, annually 1,500 children receive urological care at the department, and 40% of them come from regions of the Russian Federation.

The Scientific Research Institute of Urology, one of the pillars of modern urology, turned 40 years old. Now the name has changed a little: Research Institute of Urology and Interventional Radiology n.a. N.A. Lopatkin – branch of FSBI NMRRC of the Ministry of Health of Russia.

Not so good news comes from Murmansk. Our colleagues from the Murmansk Regional Clinical Hospital n.a. P. A. Bayandin reported an upcoming reduction in the Department of Urology from 40 to 10 beds. The staff fears reduction, the head of department Victor Sugar was dismissed and reinstated. However, urologists continue to develop their specialty – the principles of the Murmansk urologists under the leadership of the chief urologist and head of the oncourology department of the Murmansk region Dmitry Borisovich Temkin, is: "We help even when others give up." 92%-surgical activities and a huge number of grateful cured patients confirm this. Urological operations are performed in operating rooms with modern endoscopic, laparoscopic, laser equipment and the use of 3D-technologies. One can only be glad for such activity of our colleagues.

6. New technologies

The Russian Direct Investment Fund (RDIF) announced the completion of its first investment in Assisted Surgical Technologies (AST), a Russian developer and manufacturer of innovative surgical robots.

The initiator of the development of the domestic robot surgeon is the chief urologist of the Ministry of Health of Russia – D.Yu. Pushkar, and Director of the Institute for Design and Technological Informatics RAS – S.A. Sheptunov. The prototype of the robot was first announced in 2016.

In September 2017, the Minister of Health of the Russian Federation V.I. Skvortsova, said that a robot surgeon developed in Russia could already be produced on an industrial basis.

Production was planned at Russian enterprises. AST expects to occupy up to 50% of the robotic surgery sector in abdominal surgery, gynecology and urology.

Also in 2017 press published information that the first Russian robots would appear in domestic clinics in 2 years, i.e. in 2019. Looking back, we see that these were somewhat bold statements. It is clear that the development of such projects is fraught with a lot of problems – organizational, technical, financial, but still Russian urologists do not lose hope of seeing and operating patients on domestic equipment. The robot was already tested on a living object (experimental animal) in 2018. You can believe that the day will come when the Russian robot will dominate the domestic operating rooms, not inferior in effectiveness and precision to the intervention and surpassing foreign counterparts in equipment mobility and budget costs.

7. Opinions of urologists

In 2019 the team launched the project “Urology Survey” – we are interested in the opinion of urologists on any issues and topics.

Here are the results of some of them:

From the end of August to September 11, 2019, on Uroweb a survey of urologists was conducted on the topic “Which of the following areas do you see as trends in the development of domestic and world urology in the next decade”. 971 urologists answered questions. What seems most important and promising for urologists, and what urologists still doubt, you can see in the survey results. It would be fair to say that the initiators of the survey were Professor Andrei Zinovievich Vinarov and Professor Mikhail Iosifovich Kogan. The answers of urologists were analyzed and voiced at a plenary report of the Congress of the Russian Society of Urology.

Another survey was devoted to obtaining a second opinion of a pathomorphological conclusion (540 people answered) - as it turned out, only 10% of urologists do not seek to double-check the results of the study, 35% of them – always check and the other 35% - periodically check. Obtaining more than one conclusion is connected with insufficient trust and the habit of double-checking.

Surveys of clinical situations were associated with methods of treating female urinary incontinence, conservative treatment of BPH, the practice of prescribing anticholinergics for LUTS/OAB, treatment methods for premature ejaculation and telemedicine.

Much interest a survey of urologists' preferences on the sources of obtaining professional information attracts. There were analyzed the specialized domestic print media, professional Internet resources (including the foreign ones), additional ways of promotion – social networks and various Internet channels. The number of urologists who completed the survey and its results are presented in the figures below.

Survey results may be used for preparing reports, presentations, articles or any other materials with the preservation of a mandatory link to

8. Library of the urologist and audiobooks

In 2019 the Uroweb continued its work on the “Urologist Library” and “Audiobooks” sections. Now the library has 47 books in formats suitable for both reading and downloading. More than 30 publications were kindly provided by the main urologist of the Russian Federation Dmitry Pushkar.

Given the exceptional busyness of urologists and at the same time – their desire to the constant learning, the Uroweb team has developed a new format for the provision of urological news and information – audio books on urology. A large number of reports from events, lectures and speeches can now be downloaded and heard in any audio format: at home, on the road, in public transport, etc.

9. Further education courses

Another new section of is designed to inform urologists about continuing education courses for the next year. Currently, information is posted on the courses at the Department of Urology of the Voronezh State Medical University (responsible for courses in urology, MD O.V. Zolotukhin), the Altai State Medical University (head of the department, Professor A.I. Neymark), the First St. Petersburg Medical University n.a. I.P. Pavlov (head of the department, professor S.Kh. Al-Shukri), the Omsk State Medical University (head of the department, professor A.Yu. Tsukanov), the Central State Medical Academy Office of the President of the Russian Federation (head of department, professor S.P. Darenkov), the Kuban State Medical University (head of the department prof. V.L. Medvedev).

The number of views under each course indicates the highest interest of urologists in this information – this allows you to plan your training in advance, especially if they are associated with trips from the regions or, conversely, to the regions.

In general, the year for urologists turned out to be stable and fruitful. Young urologists were preoccupied with finding a place to go through residency and a job. Experienced urologists faced a difficult choice of work between private and public clinics, and each of them made this choice. Many of our colleagues have had changes in their personal lives such as creating a young family and having children. Some of doctors have changed their place of work and place of residence. So, life goes on and we hope for stability in 2020.

Author Shaderkina Viktoria
Translator Kastrikin Yuriy