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Post CCT Upper & Lower Tract Endourology Fellow

NHS Medical & Dental: Specialty Trainee (ST3 +)

Main area
Urology
Grade
NHS Medical & Dental: Specialty Trainee (ST3 +)
Contract
Fixed term
Hours
40 hours per week
Job ref
253-0519-1707231
Site
Russells Hall Hospital
Town
Dudley
Salary
£31,217 - £49,086 pa
Closing
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

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Applicant requirements

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.

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Further details / informal visits contact

Mr Asad Abedin via email asad.abedin@nhs.net or direct message via Twitter @asad_abedin.

Miss Susannah La-Touche is happy for interested candidates to contact her directly to discuss this post. Please email her at Susannah.la-touche@nhs.net.