History of Saudi

Mohammed Abomelha Consultant Urologist, Founding Chairman of SUA, , KSA Era of Specialized 1975 in KSA

1975 King Faisal Specialist & RC

1978 Riyadh Military Hospital

1979 King Faisal International Prize

1982 King Khalid University Hospital

1982 King Khalid Eye Specialist Hospital

1984 National Kidney Foundation Common Urol. Diseases in 1975 in KSA

Urinary Schistosomiasis Common Urol. Diseases in 1975 in KSA

Urinary Tuberculosis Common Urol. Diseases in 1975 in KSA

Urolithiasis International Urologists, who participated in Saudi Urology

Dr. D. Wallace Dr. T. Arnold Dr. K. Hanash Dr. N. Bissada Dr. A. Cockett Dr. N. Blacklock Dr. A. Thompson

Dr. Th. Senge Dr.M. Elhilali Dr. R. Abdul-Halim Dr. M. Ghoneim Dr. F. Ayyat Dr. C. Chaussy Dr. D. Bagley Founding members of Saudi Urology 1982-1983

Dr.M. Abomelha Dr.S. Elfaqih Dr.A. Yousef Dr.S. Alsharif

Dr.S. Almohalhil Dr.K. Alotaibi Dr.A. Fallatah Dr.N. Aljaweeni National Urological Committee 1985-2006

Dr.M. Abomelha Dr.S. Elfaqih Dr.A. Fallatah Dr.S. Alsharif

Dr.H. Mosli Dr.A. Aldayl Dr.A. Aljasser The Three Goals of Saudi Urology

 1st Goal: Monthly regional club meetings

1981 Central: Riyadh

1983 Western: Jeddah

1984 Eastern: AL Khobar

1989 Southern: Abha

1990 Northern: Tabuk The Three Goals of Saudi Urology

 2nd Goal: Annual national urological conferences

1st 2nd 3rd 4th 5th 12 may 1983 26 April 1984 18 April 1985 18 Sep 1986 22-23 March1989 Riyadh Armed Forces Hospital King Abdulaziz University King Fahad Hospital of the Riyadh Center Hospital King Fahad Military Medical Dr. Mohammed Abomelha Hospital Jeddah University-AlKhobar Dr. Adil Yousef Complex-Dharan Dr.R.D.AbdulHalim Dr. Saud Taha Dr. Adil Al-Dayel 6th 7th 8th 9th 10th 27-28 Nov1991 11-12 Nov 1992 9-10 Nov 1993 14-16 Nov 1995 26-28 Nov 1996 King Khalid National Guard Riyadh Armed Forces Hospital King Fahad Military Medical King Fahad Hospital-Jeddah King Fahad National Guard Hospital-Jeddah Dr. Mohammed Abomelha Complex-Dharan Dr. Abdullah Fallatah Hospital-Riyadh Dr. Adil Jamal Dr. Adil Al-Dayel Dr.Waleed Al-Khudair 11th 12th 13th 14th 15th 24-26 Feb 1998 23-25 Feb 1999 Al Hada Armed 14-17 Feb 2000 13-15 Feb 2001 May 2002 7-9 King Fahad Military Medical Forces Hospital –Taif Riyadh Armed Forces Hospital King Fahad Military Medical King Fahad Hospital Madinah Complex-Dharan Dr. Abdulmalik Tayib Dr. Mohammed Abomelha Complex-Dharan Al Munawarah Dr.Adil Al-Dayel Dr.Adil Al-Dayel Dr.Hamzah Al-Sisi

16th 17th 18th 19th 20th 2-4 March 2004 8-10March 2005 20-23 Feb 2006 26Feb-1Mar2007 18-20 March 2008 King Faisal Specialist Hospital– King Fahad Military Medical King Abdulaziz University King Khalid University Hospital- King Fahad Hospital of the Riyadh Complex-Dharan Hospital –Jeddah Riyadh University–AlKhobar Dr. Kmal Hanash Dr.Ibrahim Al-Oraifi Dr.Hisham Mosli Dr.Khalid Fouda Dr.Baher Kamal

21st 22nd 23rd 24th 25th 14-16 April 2009 1518March2010 21-24 Feb 2011 6-9 Feb 2012 8-11 April 2013 North West Armed Forces King Faisal Specialist Hospital - King Fahad Specialist Hospiatl – King Abdulaziz University Aseer Central Hospital –Abha Hospital –Tabuk Riyadh Dammam Hospital -Jeddah Dr.Ahmed Al-Mathami Dr.Zakaria Al-Ali Dr.Waleed AlKhudair Dr.Ibrahim AlOraifi Dr.Abdulmalik Tayib 26 th 27th 28th 29th 30th 17-20 Feb 2-5 March 3-6 Feb 2016 2-4 March 2017 21-23 Feb 2018 2014 2015 King Faisal Convention Center, Makkah Clock Royal Tower SUA30 King Fahad Hospital Prince Sultan Military Medical KAU, Jeddah. Dr. Anmar Nassir Meridien Hotel Al Madinah almunwarah City Riyadh Dr.Waleed Al-Omair Al Khobar Dr.Hamzah Al-sissi Dr.Amr Jad Dr.Khalid Alotaibi Dr. Osamah Alsowayan

With Participation of: The Three Goals of Saudi Urology

 3rd Goal: Urological residency training program

1982: British Board*, 1991: Arab Board*, 1995: Saudi Board**

60 Saudi Board Gradates 52 Over the Years 50 N=200 45

40 38

28 30 26

20 11 10

0 2000-2003 2004-2006 2007-2009 2010-2012 2013-2015 2016-2018

* Joint Board for Postgraduate Medical Education ** Saudi Commission for Health Specialties (SCFHS) Saudi Urology Dissemination

 SIU-Saudi Chapter:

 Saudi Prostate Health Council (SPHC)

 Subspecialty Groups: Pediatric-, Oncology-, Laparoscopy-, Andrology-, Voiding Dysfunction- group.

 Conference Proceedings: Time table of introducing ADVANCED urol. procedures in KSA

 1979 Renal Transplant 1979: Riyadh Military Hospital, 1984: National Kidney Foundation, 1992: Saudi Center for Organ Transplant

68 70

60

46 47 50 44 40 37 Number of Renal Transplant at 40 34 35 35 the Riyadh Military Hospital 29 28 30 25 25 23 22 20 20 19 18 18 20 15 14

No. of of Patients No. 14 11 12 8 10

0 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 '00'01'02'03'04 Year Time table of introducing ADVANCED urol. procedures in KSA

 1981 Endourology

Instruments Size Energy Elasticity

Endoscopes: diagnostic, operative Neonate Manual Rigid Pediatric Hydraulic Malleable Percutaneous nephrolithotomy (PCNL) Adult Laser Flexible

Uretrerorenoscopy (URS) Time table of introducing ADVANCED urol. procedures in KSA

1985 Extracorporeal Shockwave Lithotripsy (ESWL)

800 713 700 655 ESWL Treatments Over two Decides* 600 540 537 500 396 401 358 400 340 297 281 279 263 250 300 255 245 249 226 229 229 216

No. Patients No. of 200 100 0 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 '00 '01 '02 '03 '04 Year

* Department of Urology, Riyadh Military Hospital Time table of introducing ADVANCED urol. procedures in KSA

 1990 Laparoscopy

Total laparoscopic procedures*

Total complications

2004-2008 (19.8) 2008-2012 (14.5%) 2012-2016 (8.8%)

* Al-Otaibi K: Complications of 411 laparoscopic urologic procedures: A single surgeon experience. Urol Ann 2018, 10: 308-312. Time table of introducing ADVANCED urol. procedures in KSA

 2003 Robotic

The Total Number of Robotic Surgery Procedures in KSA 2003-2010*

*Danny M Rabah, Osama Zin Al-Abdin: The development of robotic surgery in the .Arab J Urol. 2012:10:10-16. Saudi Urological Association (SUA) 2005

Presidents:

Prof. Hisham Mosli Prof. Abdulmalik Tayeb Dr. Raed Azhar 2006-2012 2012-2016 2016-2019 Sections: Pediatric-, Uro-Oncology, Laparoscopy-, Andrology-, Voiding Dysfunction-, Reconstruction-.

The journal is indexed with, or included in, the following: SUA-Journal: DOAJ, Emerging Sources Citation Index, EMR Index Medicus, Index Copernicus, PubMed Central, Scimago Journal Ranking, SCOPUS Saudi Fellowship in 2006: Start of Program Total Graduation up to 2018: Pediatric Urology: 2009: Start of Graduation 11 Pediatric Urologists

Dr. Khalid Dr. Ahmed Dr. Ziad Fouda AlSammari Nakshabandi Common Urological diseases in 2018 in KSA

 Urolithiasis

Stone size Pre ESWL era (1980-1984)* Post ESWL era (1985-1989)*

Bulky stones 28% 15%

Solitary stones 14% 50%

Noninvasive Trt. 36% 95%

*Abomelha M, Assari S, Kourah M, AL-Otaibi K. Size of renal calculi in the era of ESWL.6TH Saudi urological conference 27-28 Nov. 1991, Jeddah KSA. Common Urological diseases in 2018 in KSA

 Prostatic Diseases

Urological Cases at a private practice* n= 476  Benign Prostatic Hyperplasia 25.6% Andrology cases 17.2%  Prostatitis 15.5% Urolithiasis 12.6% Overactive bladder 4.8% Urinary tract infection 4.2% Renal failure 2.1%  Genito-urinary cancer 1.7% Miscellaneous 16.2%

*Urology clinic, Advanced Center for Subspecialties, Riyadh, 1.10.2007-30.3.2009 Common Urological diseases in 2018 in KSA

 Genito-Urinary Cancer (GUC) Trends of GUC in Saudis over two decades* Metrics 1994 2014 Change % Population 13.3 Mil. 19.6 Mil. 47 % Pop. < 15 yrs. 49 % 30 % 63 % Pop. > 64 yrs. 2.9 % 4.1 % 41 % ASR 81/100.000 84/100.000 3.7 % All Cancer/yr. 5044 11663 131 % Bladder Ca. 193 275 24% Prostate Ca. 150 324 116% Kidney Ca. 129 309 139% Testis Ca. 32 98 206 %

* Cancer incidence report 2014, Saudi Cancer Registry, Issued Sept. 2017 Conclusion

The national urological activities would not have been achieved without the genuine interest and continuous hard work of the national committee members and the involvement of numerous of collogues in the different regions of the country. This accomplishment initiated the establishment of the SUA in 2005.