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Urology Fellowships

Approved Fellowships and Fellows' Gallery

This page includes a list of the Urology Fellowship programmes which have been approved under the RCS Senior Clinical Fellowship Scheme, and a gallery of recent Urology Fellows.

RCS Senior Clinical Fellowships in Urology

Addenbrooke’s Uro-oncology Fellowship, Cambridge

Based at: Addenbrooke’s Hospital, Cambridge University Hospitals NHS Trust

Surgical Specialty Association approving: BAUS

Approval period: January 2018 - December 2020

Supervisor / Lead Consultant: Mr Nimish Shah, Consultant Urologist

Fellowship duration: 12 months

Stated learning outcomes:

  • Safe understanding of the equipment
  • Safe and independent robotic prostatectomy surgeon ready for independent consultant practice
  • Active involvement in robotic prostatectomy audit and research, hopefully resulting in peer reviewed presentation and publication

Number of main operations the Fellow could expect to be involved in:

Supervisor (2017): “The Fellow will attend theatre on 3 days and be involved with 6 robotic prostatectomy cases per week. Over the course of the year they will be involved with >200 cases.”

Dublin Beaumont Kidney Transplantation Fellowship

Based at: Beaumont Hospital, Dublin

Surgical Specialty Association approving: BAUS

Approval period: Initially approved December 2014; reapproved October 2018 - September 2021

Supervisor / Lead Consultant: Ms Dilly Little, Consultant Urologist

Fellowship duration: 12-24 months

Stated learning outcomes:

  • Competent in performing deceased donor nephrectomies, primary transplants and management of related complications
    Competent in evaluation of patients to go on transplant waiting list
  • Competent in evaluating living kidney donors
  • Understand principles and knowledge outlined in the curriculum
  • Successfully pass the European Board of Transplant Surgery Examination Module 1-3

Number of main operations the Fellow could expect to be involved in:

The Learning Agreement will include:

  • Fully trained in organ procurement procedures and principles of organ preservation
  • Independently perform kidney graft procurement – DBD and DCD.   Index case number 20
  • Perform a primary kidney transplant, with consultant supervision. Index case number 10 – 20
  • The ability to do 20 transplants will depend on the surgical skill brought to the fellowship by the trainee

Frimley Park Renal Cancer Fellowship, Surrey 

Based at: Frimley Health NHS Foundation Trust

Surgical Specialty Association approving: BAUS

Approval period: January 2019 - December 2021

Supervisor / Lead Consultant: Mr Neil Barber, Consultant Urologist

Fellowship duration: 12 months

Stated learning outcomes:e

  • To formulate appropriate management plans for patients with complex upper tract conditions
  • To independently perform advanced minimally invasive renal surgery
  • To lead and support a multidisciplinary team managing renal cancer
  • To teach junior team members the basics of renal surgery

Number of main operations the Fellow could expect to be involved in:

  • To independently perform robotic partial nephrectomy (total: 22-25)
  • To independently perform laparoscopic nephrectomy and nephro-ureterectomy (total: 30)
  • To perform robotic pyeloplasty and nephro-ureterectomy under minimal supervision (total: 10)

Guy’s Bladder Cancer Fellowship Programme

Based at: Guy's & St Thomas' NHS Foundation Trust

Surgical Specialty Association approving: BAUS

Approval period: August 2015 - July 2018; currently applying for reapproval

Supervisor / Lead Consultant: Mr Ramesh Thurairaja, Consultant Urologist

Fellowship duration: 12 months

Stated learning outcomes:

  • Comprehensive knowledge of management principles and rational decision making.
  • Safe and independent dual accredited Open and Robotic surgeon ready for independent consultant practice
  • To be ready to become a national proctor
  • Ready for consultant bladder cancer urology posts
  • Understood and carried out open/robotic audit research and hopefully peer reviewed presentations and publications

Number of main operations the Fellow could expect to be involved in:

Supervisor (2018): The Fellow will certainly have exposure to approximately 80 cystectomy cases over a 12 month period with 60-70% of these cases being performed robotically (due to involvement with iROC trail reduction in percentage to 50-60%). In addition, there will also be opportunities to be involved with approximately 30 renal cancer cases and 20-25 exentoration cases over the 12 month period. We expect approximately 15-20 done cases independently at Level 4.”

Leeds Pelvic Uro-oncology Fellowship

Based at: Leeds Teaching Hospitals NHS Trust

Surgical Specialty Association approving: BAUS

Approval period: September 2014 - August 2017; currently applying for reapproval

Supervisor / Lead Consultant: Mr Sunjay Jain, Consultant Urologist

Fellowship duration: 12 months

Stated learning outcomes:

  • Able to perform/assist in minimum of 50 robotic radical prostatectomy, 25 robotic / open cystectomy, 10 nephro-ureterectomy and 5 retroperitoneal node dissection cases
  • Presentations at national and/or international meetings and peer-reviewed publications

Number of main operations the Fellow could expect to be involved in:

Supervisor (2018): These figures are for procedures the trainee will perform independently. They will also perform major parts of other procedures such as Robotic cystectomy, RPLND and open radical nephrectomy:

  • Robotic Prostatectomy 25
  • Open Cystectomy 15
  • Nephroureterectomy 5

Lister Urological Robotic Fellowship, Stevenage

Based at: Hertfordshire and South Bedfordshire Urological Cancer Centre

Surgical Specialty Association approving: BAUS

Approval period: April 2016 - March 2019

Supervisor / Lead Consultant: Mr J.M. Adshead, Consultant Urological and Robotic Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Safe understanding of the equipment
  • Safe and independent Robotic surgeon ready for independent consultant practice
  • To be ready to become a national proctor
  • Ready for consultant Robotic urology posts
  • Understood and carried out robotic audit research and hopefully peer reviewed presentation and publication

Number of main operations the Fellow could expect to be involved in:

Ralps:

169 total

Primary operator: 39 

Secondary: 95 with console time

assisting approx 40 (some crossover with secondary)


Partials

1 x primary (for off clamp AML)

11 x console/secondary

4 x assist 

 

Nephrectomy

1x  primary 

2 x assist


Pyeloplasty

3 cases primary

1 cases secondary but with console time

3 cases secondary


Open and robotic cystectomy

25 over half of fellowship

Approximately 10 as secondary (open rather than robotic)


 

Newcastle Female and Functional Urology Fellowship

Based at: Newcastle-upon-Tyne Hospitals NHS Foundation Trust

Surgical Specialty Association approving: BAUS

Approval period: July 2016 - June 2019

Supervisor / Lead Consultant: Mr Christopher K Harding, Consultant Urological Surgeon

Fellowship duration: 6-12 months

Stated learning outcomes:

•             Outpatient management of complex tertiary referrals

•             Independently perform Botulinum toxin A injections into the bladder

•             Independently perform female stress incontinence surgery

•             Independently perform sacral neuromodulation

•             Wide exposure to surgery for male stress urinary incontinence

•             Independently perform ileal conduit urinary diversion

•             Perform and intrepret video cystometry

•             Complete an audit

•             Submission of publication to a peer-reviewed journal

•             Participation in Departmental and National Research

 

Number of main operations the Fellow could expect to be involved in:

(Estimates are per 6 month block)

•             Video/ Simple Urodynamics – more than 25 cases

•             Cystoscopy and Botulinum Toxin – more than 25 cases

•             Sacral Nerve Stimulation Procedures – more than 25 cases

•             Artificial Urinary Sphincter Insertion – 6 -10 cases

•             Urethroplasty – 2 -6 cases

•             Periurethral Bulking Injection – 4-6 cases

•             Ileal Conduit Urinary Diversion – 3 – 6 cases

•             Cystectomy – 2-3 cases

•             Bladder Augmentation – 1-2 cases

•             Orthotopic Bladder Reconstruction – 1-2 cases

•             Penile prosthesis insertion – 2-4 cases

•             Colposuspension – 4-6 cases

•             Mesh removal cases – 3-5 cases

•             Urethral Diverticulum excision – 2-4 cases

•             Urogenital Fistula Surgery – 1 -3 cases

•             Autologous Fascial Sling – 1-3 cases

•             Penile Reconstruction (Nesbitts procedure) 2-4 cases

Royal Free Renal Cancer Fellowship, London

Based at: Royal Free London NHS Foundation Trust

Surgical Specialty Association approving: BAUS

Approval period: July 2018 - June 2021

Supervisor / Lead Consultant: Mr Faiz Mumtaz, Consultant Urological Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Comprehensive knowledge of management principles and rational decision making in renal cancer
  • Safe and independent dual accredited Open and Robotic/laparoscopic surgeon ready for independent consultant practice
  • Able to manage all aspects of both benign and malignant disease spectrum relating to upper urinary tract.
  • Able to manage acute renal oncological emergencies.
  • Understood and carried out audit of open/robotic surgery
  • Recognise future directions of research relating to renal cancer
  • Ready for consultant upper urinary tract urology posts
  • Presentations at national and internationally
  • Publish in peer reviewed journals

Number of main operations the Fellow could expect to be involved in:

  • Independent surgeon in open (25), laparoscopic (25) and robotic nephrectomy (25)
  • Independent surgeon in open (25) and robotic partial nephrectomy (30)
  • Independent surgeon in robotic nephrouretectomy (20)
  • Independent surgeon in robotic pyeloplasty (15)

St George's Urology Robotic Fellowship, London

Based at: St George’s University Hospitals NHS Foundation Trust, London

Surgical Specialty Association approving: BAUS

Approval period: January 2019 - December 2021

Supervisor / Lead Consultant: Mr Christopher J Anderson, Director of Robotic Urology and Fellowship Training

Fellowship duration: 12 months

Stated learning outcomes:

  • Pre-operative, Peri-operative and Post Operative care of Urological Robotic Cancer Cases
  • Competency by Modular training for Robotic Urology Surgery
  • Patient and Cancer outcomes during SURF by AUDIT
  • Trainee opinion on training and trainers to improve quality and trainee satisfaction of training

Number of main operations the Fellow could expect to be involved in:

Caseload for the fellow in 1 year (50 weeks):

  • Prostatectomy (n=65 supervised; 35 independent); Nephrectomy (n=35 supervised; 10 independent).
  • Gaining experience in Partial Nephrectomy (n=40), Radical Cystectomy (n=50) and Pyeloplasty (n=20).
  • All these competency will be measured and certified by using validated assessments agreed by the training agreement

RCS Senior Clinical Fellowships in Urology

The gallery below provides provides information about Urology Fellows under the Scheme.

Gallery of RCS Senior Clinical Fellows in Urology


Tan Teck Wei

The Guy's Bladder Cancer Fellowship Programme, Guy's and St Thomas' NHS Foundation Trust, London, October 2017 - October 2018

Current post (January 2019): Consultant Urologist, Tan Tock Seng Hospital, Singapore

"The Fellowship gave me the opportunity to learn from some of the best surgeons in the world and developed my ability to  comprehensively manage patients with bladder cancer. I had minimal console experience on the robot prior to starting the Fellowship, but after an initial period of observation and as the bedside assistant, I was put through a modular training programme to allow me to climb my learning curve progressively. Under the mentorship of Prof. Shamim Khan, Mr Ramesh Thurairaja and Mr Rajesh Nair, who are all accomplished surgeons and excellent trainers, and thanks to the high volume of cases, I was able to perform the whole procedure independently by about nine months into the Fellowship. As Guy’s Hospital is one of the participating sites in the iROC (intracorporeal robotic vs open cystectomy) phase III multicentre randomised trial, I also had plenty of hands-on training with open cystectomy from patients randomised to the open arm of the trial.

"In addition to training in both robotic and open cystectomy, I also benefited from learning about how to optimise cystectomy outcomes, thanks to an amazing multidisciplinary approach at Guy's, including the POPS (Proactive care of older people going to have surgery) service, pre-op Enhanced Recovery clinic, dedicated anaesthetists assigned to the cystectomy theatres, and Enhanced Recovery Pathway for cystectomy patients. Ample time is also provided for research and audit activities during the Fellowship, and I had the opportunity to present at international conferences, as well as publish in peer-reviewed journals. The location of the hospital right in the heart of central London provided me with the chance to experience and fall in love with this amazing city. Life outside of work is never dull with so much to explore, from world-class museums and theatres to delicious food from all over the world. I have since returned back to a Consultant post in Singapore and the Fellowship experience has allowed me to improve the quality of surgical as well as peri-operative care for my patients with urological cancers."

Andrew Harris

Newcastle Female and Functional Urology Fellowship, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, September 2016 - September 2017

Current post (January 2019): Consultant Urologist

"The Newcastle Fellowship provides superb experience for urologists with an interest in female, functional and reconstructive urology. I was able to gain extensive operative exposure to treatments for neuropathic and idiopathic detrusor overactivity including; sacral neuromodulation, bladder augmentation and urinary diversion. I also obtained an excellent operative experience of male and female stress incontinence. I had supervised advanced diagnostics with the use of video-urodynamics on a weekly basis. A friendly and close working relationship with the uro-gynaecology team and regular MDT meetings provided insight to complex cases and also exposure to surgical procedures less commonly done by urologists, such as the treatment of pelvic organ prolapse. The urology department in Newcastle is extremely research-active and involvement in large scale multi-centre research trials, as well as local research and audit projects, is possible and encouraged. There is also scope and support to publish on relevant topics in urology throughout the Fellowship. Attentive and enthusiastic guidance and supervision was provided throughout by the excellent trainers. The department itself is extremely friendly and welcoming, mirroring the city of Newcastle itself which lives up to its highly hospitable reputation. It is a great city to live in with superb restaurants and bars and easy access to the Northumbrian coast and national park. Overall the experience has provided invaluable operative and decision making skills in order to make the transition to independent consultant practice."

Dimitrios Deligiannis

Leeds Pelvic Uro-Oncology Fellowship, St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, June 2017 - June 2018

Current post (October 2018): Post-CCT Fellow at St James's University Hospital, Leeds

"I managed to achieve excellent progress during my Fellowship in Leeds, in terms of developing my clinical knowledge, outpatient management and surgical skills. My clinical knowledge and appreciation of the latest clinical evidence was demonstrated in the 2018 EAU Annual Congress in Copenhagen where I won 1st prize for knowledge of the EAU Guidelines. I am now able to perform independently a robotic radical prostatectomy and an open radical cystectomy. I also had the opportunity to participate in more than 30 robotic cystectomies and I have performed a few without assistance (excluding the conduit). I will soon return to Greece to the Naval and Veterans Hospital of Athens, as a consultant and I will be able to provide open and robotic pelvic surgery and high quality care for our patients and also the Greek population. I would not have managed this without the excellent training from my mentors in Leeds.''

Catalin Constandache

Kidney Transplantation Fellowship, Beaumont Hospital, Dublin, July 2017 - July 2018

Current post (October 2018): Consultant Urologist, Arcadia Private Hospital, Iasi, Romania

"The Kidney Transplantation Fellowship at Beaumont Hospital, Dublin, Ireland, is a great opportunity for Urologists and other surgical specialties with interest in solid organ transplantation. I undertook this Fellowship for one year, but this was enough for the excellent surgical team at Beaumont Hospital to train me in all aspects of renal transplantation: live donor nephrectomies pure laparoscopic and hand-assisted, renal transplantation, retrievals from both DBD and DCD, alone and in conjunction with the retrieval abdominal team. I was impressed by the organisation of the entire department and by everyone's involvement in the process of renal transplantation. The training left me at the end of the year with enough knowledge and surgical skills to work independently as a Transplant Surgeon. I highly recommend this programme at Beaumont Hospital, Dublin."

 

Brian Parsons

The Guy’s Bladder Cancer Fellowship Programme, Guy’s and St Thomas’ Hospital, London, September 2016 – June 2017
 
Current post (June 2017): Consultant Urological and Robotic Surgeon, Royal Devon and Exeter Hospital, Exeter

 

"The Guy’s Fellowship was an extraordinary learning experience and I cannot recommend it highly enough. Guy’s Hospital is a high volume pelvic cancer centre offering a structured robotic training programme with console experience from the outset. Theatre lists are set up to provide ample time for training, allowing Fellows to rapidly develop operative skills. Mr Thurairaja and Professor Khan are excellent trainers – close supervision is provided during the initial stages and Fellows progress rapidly as advice and guidance is given without them taking over.

 

The Fellowship also provides open surgical experience, including cystectomies, complex reconstructive procedures and pelvic exenterations. A significant proportion of the patients are high risk and surgically challenging, so operative skills and peri-operative patient care are optimised. A dedicated weekly bladder cancer MDT ensures that patient management and decision-making skills are developed concurrently with surgical technique.

There are ample opportunities for research and teaching with weekly educational meetings attended by all consultants, trainees and fellows. Time is provided in the Fellow’s work schedule to gain expertise in other subspecialties, and during my time at Guys I also gained experience in andrology and open and robotic upper tract surgery. Living in the centre of London was an equally amazing experience and during my time there I have fostered great friendships with my colleagues and mentors. This Fellowship has allowed me to make a seamless transition into an NHS consultant post offering open and robotic pelvic surgery. This would not have been possible without the excellent training I received."

 

 

George Mirmilstein

Lister Urological Robotic Fellowship, Hertfordshire and South Bedfordshire Urological Cancer Centre, August 2016 - August 2017

Current (November 2017) post: Consultant Urological and Robotic Surgeon, Geelong, Australia

"The robotic urology Fellowship at Lister has allowed me to gain all the necessary skills to become an independent robotic surgeon. There was very large exposure to Robotic Radical Prostatectomy, Robotic Partial Nephrectomy, Robotic Pyeloplasty and Robotic Nephrectomy. The skills and procedures I became proficient in were an invaluable adjunct to my training in Australia, and I am very grateful to be taking these back to improve the management of my patients. In addition to the vast operating experience the Fellowship offered ample opportunities for research and teaching. As a bonus, there was plenty of time during this year for my family and I to travel around the UK and Europe. However, most importantly, I managed to foster long-lasting relationships with my colleagues and mentors."

Bhavan Rai

Lister Urological Robotic Fellowship, Hertfordshire and South Bedfordshire Urological Cancer Centre, August 2015 - August 2016

Current (November 2017) post: Consultant Urological and Robotic Surgeon, James Cook University Hospital, Middlesbrough

"The Fellowship offers a structured training programme in robotic pelvic and upper tract surgery. Having observed and been part of robotic training programmes in USA and Europe, I can vouch for the unparalleled high quality training the Lister Fellowship has to offer. This experience has transformed me from a novice to a highly skilled robotic surgeon with international standards. Early console experience is encouraged. I have personally performed over 100 robotic cases as primary surgeon during the Fellowship. Additionally the Fellowship encourages high quality academic activity and also practices novel surgical strategies such as at the Neurosafe technique.The fellowship has facilitated my smooth transitioning to NHS consultancy and I now provide a high quality robotic service to our patient population at the South Tees.Finally I would like to cherish the many friendships that I have developed with a very affable group of people at the Lister hospital."

Greg Shaw

Lister Urological Robotic Fellowship, Hertfordshire and South Bedfordshire Urological Cancer Centre, August 2014 - July 2015

Current post: Consultant Urologist and Robotic Surgeon, University College London Hospital

"Through this fellowship I was able to take responsibility for all elements of a patients care with help and guidance available when needed. In this way I was able to transition from working under supervision to providing high quality care for my patients as their consultant."

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