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Volume XV "Urology in Childhood" was written in 1956/57 and was the
first in the series of the Encyclopedia of Urology to appear. This
present volume has been constructed as a supplement and the
original intention was to deal only with those subjects in which
there have been significant advances during the intervening sixteen
years. As the work has proceeded, however, it has become evident
that there is no aspect of paediatric urology which has not been
developed, and no topic which has not been illuminated by many
contributions to the literature. Indeed, there has been such a
copious flow of publications devoted to children's urinary tract
disease that a full review is no longer possible within the compass
of a volume of this size: the decision as to what should be left
out has therefore been a matter of the greatest difficulty. The
choice has been inevit ably arbitrary and many omissions are
regretted. The attempt has been made, however, to report the most
notable developments of the subject, and perhaps the greatest
change in the practice of paediatric urology has been the full
integra tion with paediatric nephrology. The team approach to
infant disease in particular has led to greatly improved results. I
have been fortunate to have Dr. T. M."
Stone in the urinary tract has fascinated the medical profession
from the earliest times and has played an important part in the
development of surgery. The earliest major planned operations were
for the removal of vesical calculus; renal and ureteric calculi
provided the first stimulus for the radiological investigation of
the viscera, and the biochemical investigation of the causes of
calculus formation has been the training ground for surgeons
interested in metabolic disorders. It is therefore no surprise that
stone has been the subject of a number of monographs by eminent
urologists, but the rapid development of knowledge has made it
possible for each one of these authors to produce something new.
There is still a technical challenge to the surgeon in the removal
of renal calculi, and on this topic we are always glad to have the
advice of a master craftsman; but inevitably much of the interest
centres on the elucidation of the causes of stone formation and its
prevention. Professor Pyrah has had a long and wide experience of
the surgery of calculous disease and gives us in this volume
something of the wisdom that he has gained thereby, but he has also
been a pioneer in the setting up of a research department largely
concerned with the investigation of this complex group of
disorders, so that he is able to present in terms readily
intelligible to the general medical reader the results of extensive
biochemical investigation in this area.
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