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The Journal of Urology V0l.

lJ,

�:0.

4,

Anr� 1, 1950 .. v,\..£.S DENISON � e,V.r I ,rr_ (, <., UNIVERSITY Of • o Si;HOOL Of COLORADO \ MEDICIME � Af[MOR' .' L l \'3\\.r,..� /

ADVANCES

rn·

UROLO,}Y ... .'..\D:S POS:HELE BY ANil.J-\.L ::::VER.I:·:�l·TTATION D. F. :.lcDONALD

Fro;n the Depart.nent of Surgery of the University of V,ashington, Seattle, 1'!ash5·,.,_:;ton

It is the aL1 of all rec:earch to describe and explain natural phenomena and then to formulate and predi�t thei� occurrence. It is �1e special aim

of ,neJical research to :Jetter the lot of the human race.

Animal

experi;nenta tion srn�ves :nanl:ind rell by saving the lives of humans who would otherwise be

subjected to untried :ned:..cation or surgical practices, anc. furthers a necessarily cold al)i.rcach to unsolved problems which, were hur,1ans the only subjects, would be entirely unwarranted.

Animal experimentation provides several avem1es of benefit to man, the development of nc,, sur�ical techni::i_ues, the testing of new drugs, the biological assay for standardization of drugs and for diagnosis, an:1 the training of

st:1dent8 and surieo.1.s. And to the ani:rrals themselves, certain benefits t-ave accruel, notable, vaccines -"or the nrevention of disease and seruLs, sulfonamides and penicillin for their treat�:i.ent.

In uroloGY the tre,11endous :i:-r:_)rovem::mt i.n pre- an1 postoperative care has

rr.ale it possible to extend the benefits of i:aprm.rcd urological diagnosis and

SUJ',;er--.t to increasin�� munbers of patients. But upon what does this improYed care and su.r:;ory ,:epend? It depends upon a vast number of individual

proble_ns, each one of 1'/hich involved the use of animal experimentation. We

no,1 are able to t:rec..,t the diabetic with insulin and the patient with pernidous

an<;�r..j a with liver extract thanks to the researches of Dantin::; and Best and

·.1.ni�ple and Robschei t-H.obbins ( 1925) on doe;s. We are able to treat existing

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Page Two

A.dvances in Urology - Ani'!lal Exper:L:1entation

indicated, thanks to hTu.'ldreds of animal exper:L111ents by Domagk, .?lemL"lg, and

-�."aksman. No loneer must surgical blood loss be feared. Adequate replacement

tLer:i.py with citrated whole blood is now an established pract.:.ce based on. the

smmd +-·ooting of competent animal researches of Rueck in rabbits and Batch

and Little in humans.

:i:t is indeed inspirin:-:: to follow the course o.f animal experimentation. • I Aristotle knev; and described eunuchoidism but no nrogress was ma.de in an

understand:..ng of endocrine relationships unt: 1 controll,ed animal exper:L11entation vm.:o arrjlied to

the

problem. Boyin and Ancel discovered that the masculinizing activity of U�3 ma1:t:1alian testis was independent of its spermatogcnic function by exp::ril:,ental studies o:' surgical cryptorchidism in animals. Ivioore and

�uick vre�:e able to show that SPrr.-iniferous atrophy was c1J1.e to the increased ternperat'1re in the cr;yptorchi::i testis. Snith and Engel demonstr:i.ted that the seminiferous tubules were also und.�r hypophyseal control by their work

-,,-ith pituitary extracts in hypophysectomized rats. Until Gal1a:::;her and Koch

,...

perfected their technique of quantitative assay of androgens in the capon, no real pro;.;ress in isolati ·n of andro:;ens vras nade. Just

4

years later,

:Sutenandt vras able to isolate, crystallize and determine the structural forr:mla of 1.c1drosterone. fruzika ·vas then able to synthesize androsterone and later

testosterone.

Our understanding of the formation of urine and renal physiology has

rested almost er.tirely upon a�imal studies, notably those of Richards,

Smith, Addis, and True ta. v;e ha.re come to know :nore about the neurophysiology

of micturation through the animal researches of De0s and LangiNorthy, Barrington,

Denny-Brovm and Robertson. One form of calculus disease has been clarified

and prophylactic therapy discovered by the researches of Osborne and Mendel on vitamin A deficient rats.

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Page Three

Advances in Urology - Animal Experimentation

Diagnosis has been facilitated by the development of excretion urography

with organic iodides which were first proved in animals by Binz and Von Lich

t

en­

ber

g

.

Braasch and Morse have shown that animals still play an important

part in diagnosis as in the guinea pig inoculation for tuberculosis and in the

Aschheim reaction for testicu

l

ar tumor

.

Exper:Lnental surgery has given us the important answer to how much kidney

tissue dare we remove and to what extent will remaining tissue hypertrop

hy

.

Aithout animals Allen and Hinman would have been unable to solve this

prob

l

em

.

Experimental surgery

has

helped to perfect new surgical techniques

before trying them on patients such as the study by Verrnoote

n,

Spies and

Neuswanger on transplantation of the ure

t

e

r

,

and critically evaluate older

practices

,

such as the Fenger pyeloplasty in the study py Herbst and Polkey

.

ExperL�ental researches on the dog

,

the only laboratory animal which

spontaneously develops prostatic hypertrophy

,

has resulted in an understanding

of the endocrine relationships in this condition. It was in great part the

result of experimentations with the dog which led Husgins and Hodges to their

discovery that carcinor.ia of the prostate gland was susceptible of endocrine

control.

There is every reason to believe that animal experL�entation will

continue to be a most valuable tool ·in the solution of biological problems

and that progress in medicine and surgery will depend upon a free and

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