Guy Leroy Hunner: A Urological Contribution of Gynaecological Proportions
BAUS ePoster online library. Anas A. 06/21/21; 319109; p7-10
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Mr. Abdel Basit Anas
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Born in Alma, Guy Leroy Hunner(1868-1957) graduated from the University of Wisconsin in 1893. He moved to Baltimore to study at John Hopkins and in 1897 was in the first graduating class at the School of Medicine. He served residency under Howard A.Kelly and soon achieved chief resident in the Gynaecology department. Charged with the department's urological division, Hunner held this position along with adjunct Professor until his retirement(1938).
Although Gross(1876), Skene(1878) and Nitze('cystitis parenchymatosa';1907) introduced the concept of interstitial cystitis, it was Hunner who described a distinct symptom complex of bladder pain associated with the cystoscopic finding of 'elusive ulcers'(1915). The term 'elusive' was coined due to the difficulty in locating the ulcer part of the lesions. Hunner appreciated that the ulcers differed from Fenwick's simple solitary ulcers and became synonymous with them(Hunner's ulcers). In addition, despite his detailed description of the ulcers Hunner acknowledged that he had failed'to describe adequately the widespread character of the chronic inflammatory involvement of the bladder walls'. Hunner also recognised that the symptom complex could occur with normal urinalysis and negative cystoscopic findings and termed this condition'neurosis of the bladder'(1930).
He also emphasized the need for drainage in the management of renal and lower urinary tract infection and described the radial method of cauterisation for chronic inflammation of the cervix. He had an interest in ureteral strictures(1924) and the management of ureteroceles(1935). In 1950, Hunner received the Southern Medical Association's Gold Research Medal; a fitting accolade to a gynaecologist who contributed so extensively.
Although Gross(1876), Skene(1878) and Nitze('cystitis parenchymatosa';1907) introduced the concept of interstitial cystitis, it was Hunner who described a distinct symptom complex of bladder pain associated with the cystoscopic finding of 'elusive ulcers'(1915). The term 'elusive' was coined due to the difficulty in locating the ulcer part of the lesions. Hunner appreciated that the ulcers differed from Fenwick's simple solitary ulcers and became synonymous with them(Hunner's ulcers). In addition, despite his detailed description of the ulcers Hunner acknowledged that he had failed'to describe adequately the widespread character of the chronic inflammatory involvement of the bladder walls'. Hunner also recognised that the symptom complex could occur with normal urinalysis and negative cystoscopic findings and termed this condition'neurosis of the bladder'(1930).
He also emphasized the need for drainage in the management of renal and lower urinary tract infection and described the radial method of cauterisation for chronic inflammation of the cervix. He had an interest in ureteral strictures(1924) and the management of ureteroceles(1935). In 1950, Hunner received the Southern Medical Association's Gold Research Medal; a fitting accolade to a gynaecologist who contributed so extensively.
Born in Alma, Guy Leroy Hunner(1868-1957) graduated from the University of Wisconsin in 1893. He moved to Baltimore to study at John Hopkins and in 1897 was in the first graduating class at the School of Medicine. He served residency under Howard A.Kelly and soon achieved chief resident in the Gynaecology department. Charged with the department's urological division, Hunner held this position along with adjunct Professor until his retirement(1938).
Although Gross(1876), Skene(1878) and Nitze('cystitis parenchymatosa';1907) introduced the concept of interstitial cystitis, it was Hunner who described a distinct symptom complex of bladder pain associated with the cystoscopic finding of 'elusive ulcers'(1915). The term 'elusive' was coined due to the difficulty in locating the ulcer part of the lesions. Hunner appreciated that the ulcers differed from Fenwick's simple solitary ulcers and became synonymous with them(Hunner's ulcers). In addition, despite his detailed description of the ulcers Hunner acknowledged that he had failed'to describe adequately the widespread character of the chronic inflammatory involvement of the bladder walls'. Hunner also recognised that the symptom complex could occur with normal urinalysis and negative cystoscopic findings and termed this condition'neurosis of the bladder'(1930).
He also emphasized the need for drainage in the management of renal and lower urinary tract infection and described the radial method of cauterisation for chronic inflammation of the cervix. He had an interest in ureteral strictures(1924) and the management of ureteroceles(1935). In 1950, Hunner received the Southern Medical Association's Gold Research Medal; a fitting accolade to a gynaecologist who contributed so extensively.
Although Gross(1876), Skene(1878) and Nitze('cystitis parenchymatosa';1907) introduced the concept of interstitial cystitis, it was Hunner who described a distinct symptom complex of bladder pain associated with the cystoscopic finding of 'elusive ulcers'(1915). The term 'elusive' was coined due to the difficulty in locating the ulcer part of the lesions. Hunner appreciated that the ulcers differed from Fenwick's simple solitary ulcers and became synonymous with them(Hunner's ulcers). In addition, despite his detailed description of the ulcers Hunner acknowledged that he had failed'to describe adequately the widespread character of the chronic inflammatory involvement of the bladder walls'. Hunner also recognised that the symptom complex could occur with normal urinalysis and negative cystoscopic findings and termed this condition'neurosis of the bladder'(1930).
He also emphasized the need for drainage in the management of renal and lower urinary tract infection and described the radial method of cauterisation for chronic inflammation of the cervix. He had an interest in ureteral strictures(1924) and the management of ureteroceles(1935). In 1950, Hunner received the Southern Medical Association's Gold Research Medal; a fitting accolade to a gynaecologist who contributed so extensively.
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