The Urology and Nephrology Center
 in Mansoura
History 

    In the heart of the ancient Egyptian civilization, the profession of medicine always occupied a legendary position. Healers, as superpowers and source of inspiration, were accredited by wisdom and art.

    In modern Egypt, the profession of medical care started to recover after a period of weakness and fragility with the turn of the 19th century. Mohamed Ali, the founder of modern Egypt sponsored the establishment of Kasr Al Ainy, the first formal medical school in modern Egypt. For over a century. Cairo; the homeland of Kasr Al Ainy; was regarded as the city of medicine. In mid 80's, an event has changed this time-honored rule. A hospital; specialized in the treatment of urological disease; was founded in a small town north to Cairo; Mansoura.

     Herein, the story of Urology and Nephrology Center of Mansoura together with the story of its founder; Professor Dr. Mohamed A. Ghoneim are portrayed. A story that would declare a simple fact: devotion and persistence may bring to reality thoughts which are otherwise dreams. This is the story of a dream.

UNC just before the final completion
Prof.Ghoneim showing the project plan
to the late president Sadat

    Mansoura was chosen as a site for this project since it is located in the center of the Delta region, where most of the population work as farmers and a high risk of infestation with Bilharziasis is expected. Furthermore, Faculty of Medicine and a university hospital are available in the same city for any required support.

The Urology and Nephrology Center was officially opened by the president Mohamed Hosney Mubark in May, 1983. Its main objective was to provide comprehensive management of disorders of the urinary system: from the surgical (Urology) and medical (Nephrology) points of view.

Main Building
    Its whole area is 13000 m2, the building area (6 floors) is 5760 m2 and the remaining part is a garden. The in-patient service includes, 4 wards for Urology and 2 for Nephrology, each ward contains 22 beds. In addition, there are 12 beds for haemodialysis and 8 for intensive care
Main Building
    In the main building, there is an operating room suite that consists of 3 separate rooms for open surgery and one suit for endoscopy. The endoscopy suite has 2 tables; one for regular endoscopy and resection, the second incorporates an image intensifier and is used for ureteroscopy and percutaneous techniques. The operating hall is provided by a recovery room that contains 4 beds. The main building contains also a library, well equipped auditorium, meeting room, pharmacy, kitchen, cafeteria, boiler and laundry.
Auditorium
Teaching Room
Library
Operating Theatre(Endourology)
Operating Theatre(Open)
Dialysis Unit
Kitchen
Cafeteria

    The clinical services are provided free of charge for the majority of patients (82%). The rest of patients are either private or covered by an insurance programe.


Radiology Unit
    Facilities for conventional, ultrasonography, CT, MRI and nuclear imaging are     available in the unit of radiology. Furthermore facilities for interventional radiology such as fixation of percutaneous nephrostomy tubes, angiography and renal biopsies are also available.
CT
Interventional Radiology
Laboratory Unit

    Clinical laboratories are equipped to provide services for histo-pathology, cytology, microbiology, hematology, biochemistry and immunology including drug level assayes DNA studies and tissue compitability.

Microbiology and Virology Lab
Clinical Pathology Lab
Anesthesiology Unit
    A dedicated unit of anesthesia has been established. It provides anesthetic service for operative procedures. In-addition, it provides supervision for the recovery and general intensive care units.
Out-patient Clinics
    An outpatient clinic of 6 consultation rooms is also available in the main building. Each room is provided with an ultrasonography machine and a computer terminal linked to the main network of the hospital. In-addition a suite for outpatient endoscopy, pharmacy, clinical laboratory and ESWL machine completes the urologic armamentarium.
Out-patient Clinic
ESWL
Patients Information System (PIS)
    All patients' information (text and images) is digitally processed and stored in central computer. A network of peripherals covering the whole center serves as an access for entry to or acquisition of data from the main frame. A special programe was designed by local and international expertise to achieve this purpose. This system enabled us to make rapid retrival of patient data as well as processing of results for the sake of clinical research.
Electronic Mediacl Records (EMR)
Screen showing the archieved X-Ray images
Experimental animal facility
    An experimental animal lab. facility is also available within the hospital complex. It provides an opportunity for experimental surgery and relevant basic research as well as training of national and international trainees.
Open surgery suite for animal expermints
Hands-on training session
    In view of all of these achievements, the WHO had decided in 1993 to choose the hospita1 as a collaborating center in the fields of Urology and Nephrology. In 2004, the Socité International d’Urologie (SIU) has recognized the center as an international accredited training institute.
The new extensions
    To overcome the problem of increasing number of patients served in O.P. clinic every year, a new clinic was opened in 1996 in Gehan Street 200m away from the main building. Over a 2500 m2, a building of 6 outpatient clinics was held to serve the follow-up of renal transplant and radical cystectomy patients. In-addition to this a hemodialysis unit and specialized follow-up clinics for ESWL, pediatric and superficial bladder tumors are present. In the mean time, we are planning now to construct a larger out-patient clinic of 16 rooms with the basic investigation facilities that can serve 800 patients/day.
    In September, 1998, a 40-million LE worth extension (F building) which is physically linked to the main hospital has been completed and currently is in full operation. It provides a floor for specialized investigations; MRI, Urodynamics, andrology, ESWL and a unit for the study of prostatic disorders. Two floors of 20 beds each are available; one of them is dedicated for pediatric urology patients and the second for convalescence.
F Building
    Recently (May 2003) a new branch of the main hospital has been opened in a small city 22 Km from Mansoura called Minyet Samanoud.  This hospital has been designed and highly equipped in a similar way to the main building. It consists of 4 floors, with an area of 850 m2. It contains an operating theater that consists of 2 rooms  (one for open surgery and one for endoscopic procedures) and a recovery room containing 4 beds. In-addition to the inpatients service which contains 30 beds, there are 9 beds for haemodialysis. Furthermore an O.P. clinic of 4 rooms, laboratory, pharmacy and a radiology department are also available. Noteworthy, people and businessmen from Mansoura and neighboring towns have provided land and money for the construction of this hospital.