- NHS Medical & Dental: Specialty Trainee (ST3 +)
- Fixed term
- 40 hours per week
- Russells Hall Hospital
- £31,217 - £49,086 pa
- 08/07/2019 23:59
Post CCT Endoluminal Endourology Fellowship (upper & lower tract)
This post is designed to teach a senior urology trainee advanced upper and lower tract endoluminal endourology, specifically ultrasound/fluoroscopic guided percutaneous renal access for PCNL / nephrostomy / antegrade ureteric stent insertion and laser prostate enucleation & morcellation (HOLEP & ThuLEP).
Asad Abedin leads a well-established service and has been placing his own PCNL tracts over the last 6 years, with ultrasound and fluoroscopy guidance. The vast majority of cases are performed in the supine flank free Galdackao-modified Valdivia position, with a minority in the prone split leg position. We have been performing mini PCNL (Wolf mini kit) for the last 4 years. We have our own Hitachi Preirus ultrasound machine with a curvilinear probe with an integral biopsy guide used to facilitate accurate percutaneous puncture. We also have access to a Hitachi Avius ultrasound machine from endoscopy for this purpose. This fellowship will include a weekly ultrasound list with a senior sonographer, designed to augment training in renal ultrasound scanning. Asad Abedin also performs percutaneous renal punctures for rendezvous procedures and nephrostomies; these will be available as training cases.
Laser prostate enucleation/morcellation is the standard procedure in our department for patients with a prostate volume greater than 50 grams, requiring bladder outflow surgery. We have a well-established thulium laser enucleation and morcellation service set up 11 years ago and have been offering a HOLEP service since 2018. We currently have a 100 W (P100) Lumenis Holmium laser, Wolf Piranha morcellator, 50 W Boston Scientific Auriga XL Holmium laser and a 70 W Revolix thulium laser. Asad Abedin has successfully trained his current consultant colleague, previous interested specialty registrars in this procedure and our intention is for the successful candidate for this post to be fully trained by the end of the fellowship.
The timetable will include a minimum of 3 sessions in theatre per week, specialist clinics with exposure to medical stone management and a weekly ultrasound scanning list with a senior sonographer. There will be a service component and urology on call at registrar level.
Other opportunities include training in MRI fusion prostate biopsies on the Hitachi RVS platform. Pre-biopsy multiparamentric prostate MRI is standard practice in our department; patients with a PIRADS ≥3 lesion undergo MRI fusion biopsies. Asad Abedin runs a weekly fusion biopsy list which will be part of this fellowship.
The post would suit a post-CCT trainee or an overseas doctor with a good grounding in general urology to allow them to focus on advanced upper & lower tract endoluminal endourology. The length of the fellowship is envisaged to be 12 months to attain the ambitious operative training targets. However, we would consider trainees wishing to be in post for 6 months.
The annual numbers of training cases proposed are:
- Conventional/mini PCNL 30 cases
- Nephrostomies/antegrade stents/rendezvous procedures 10 cases
- HOLEP or ThuLEP & morcellation 30 cases
- Flexible/rigid uretero-renoscopy 35 cases
- Ultrasound guided suprapubic catheter insertion 10 cases
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
To print a document or save it to your computer, please click with your right mouse button on the document title and select "Save Target As...". You can then save the document in a suitable place on your computer ready to print it out. Clicking with the left mouse button will open the document in a new window (if your web browser can do so).