Information for Exchange Students
Name of the department: Department of Urology, Faculty of Medicine, University of Miyazaki
Name of the project: study by observation of urology
Head of the department: Professor Toshiyuki Kamoto, MD, PhD
Tutor: Syoichiro Mukai, Hiromasa Tsukino, Chie Oniduka, and other Assistant Professor
Duration of the project: one day-three months
Period of year: all year except from Dec.29th to Jan. 3rd
Acceptable number of students (per period/per year) 1-2 students/ per period
Description of the project
Our medical center focuses on community health care in Miyazaki Prefecture while actively providing advanced medical care. Being the central medical institution in Miyazaki Prefecture, we treat general as well as rare cases. Therefore, we assure you that your visit to our center would be a productive one. Some of our areas of expertise have been listed below.
Surgeries: In 2010, we performed 255 surgeries at our institution. Among them, 66 were laparoscopic surgeries, including 9 adrenalectomies, 27 nephrectomies, 3 partial nephrectomies, 14 total nephroureterectomies, and 11 prostatectomies. Our hospital was designated a certified treatment facility for prostate cancer in 2010 and has been making a transition from laparotomy to laparoscopic surgeries.
Renal Cell Carcinoma: Besides laparoscopic surgeries, we also focus on molecular-targeted drugs in order to develop the most effective treatment combinations. We also frequently perform partial nephrectomies to preserve kidney function.
Pediatric Urology: Our pediatric urology department has a long established history in southern Kyushu and has been receiving referrals from both within and outside the prefecture. We also have considerable experience in pediatric surgeries such as pyeloplasty, vesicoureteric reflux, orchidopexy, and reconstructive surgery of the lower urinary tract.
Female Urology: We actively perform the mesh surgery for female patients with urinary incontinency or pelvic organ prolapse. For the mesh surgery, we have developed and patented our own needle that can be safely and easily used to achieve controlled punctures with effective results.
We are also proficient in other techniques such as holmium laser enucleation of the prostate (HoLEP), hydrodistension for management of interstitial cystitis, pressure-flow study, video urodynamics, and chain cystography.
Being a community healthcare center with advanced medical technologies, we focus on a broad range of diagnostic and therapeutic strategies, satisfying your expectations. We welcome visitors who wish to know about Japanese urology care at our center.
A letter from an exchange student
Dear Prof. Kamoto
Time passes very quickly, and a new year is already approaching. At this special occasion, I remember the time I spent at the Miyazaki University Hospital. It was an exciting experience and has left an unforgettable impressing on my mind. I thank you and your colleagues for your help. I take this opportunity to convey my warmest greetings and deepest gratitude to you for the New Year.
I feel Japanese doctors are lucky to have a friendly working environment. At my hospital, all doctors remain very busy and hence find very less time to communicate with other doctors or nurses. Because of the severe work stress from clinical practice and clinical research, our doctors always feel tired. In 2010, we treated about 1,100 inpatients and 42,000 outpatients at our urological department. I think this number is very large. After returning from your hospital, I started practicing laparoscopic radical nephrectomy, adrenalectomy (via the peritoneal approach), and hydrodistension for the management of interstitial cystitis and obturator nerve blockade during transurethral resection of a bladder tumor (TUR-Bt). This clinical progress has been possible because of the knowledge I acquired at your department.
In Mar 2010, we purchased a new equipment for percutaneous nephrolithotripsy (PCNL)—Swiss Lithoclast Master. This equipment allows the clearance of fragments during lithotripsy. We have performed PCNL in about 100 patients at our department. In our country, the standard of living is unbalanced. There are few cases of renal staghorn stone in poor districts. I think fiberoptic transurethral nephrolithotripsy (f-TUL) is not the best choice of treatment for such patients. This treatment method is suitable for renal stone cases that are not very complex, such as those that I detected in associated hospitals in Japan or those discussed at the annual meeting of the Japanese society of Urology.
The annual meeting of the WCE ( World Congress on Endourology and ESWL) is going to be held in Kyoto in 2011and SIU(Société Internationale d’Urologie) in Fukuoka in 2012. I wish to attend these meetings and look forward to meet you and your colleagues at that time.
I particularly remember one of the doctors who had a good sense of humor and made us happy. I often visit your hospital’s website and am aware that some new young doctors have joined your department. In addition, it has come to my knowledge that since few months, holmium laser enucleation of the prostate (Holep) is being performed at your department. I hope to visit your department again and invite you or your doctors to visit our hospital, which is very different from yours. I hope we continue to interact.
Finally, please convey my warm greetings to your family!
Happy New Year!
Requirements: No special knowledge is needed, but students who are interested in the urology are highly recommended.