The urological training programme aims to provide very high quality training in all aspects of urology.
Initial training is in core urology but, later, there are opportunities to get exposure and experience in more specialised areas. All urological sub-specialties are offered within the training posts.
Details of all placements can be found on the North West Deanery School of Surgery website. Contact details for educational supervisors at the various units in the North West are shown below.
East Lancashire Hospitals NHS Trust
The East Lancashire Hospitals NHS Trust is one of the busiest district hospital trusts in the North West, serving a local population of over 500,000 and providing services from two main hospitals: Royal Blackburn Hospital and Burnley General Hospital. We are a tertiary referral centre for urological cancers and complex urinary stones and have long enjoyed an admirable reputation for high-quality urological training. The North West Endourology Ureteroscopy Course held at Royal Blackburn Hospital in September 2009 was a particular highlight.
The department in Blackburn is a fully integrated urology outpatient, ward and office block, contained in a dedicated unit with facilities for flexible cystoscopies, laser ablation of bladder tumours and TRUS biopsies. Burnley General Hospital contains the Urology Investigation Unit and undertakes daycase procedures at this site.
The unit comprises five full-time Consultant Urological Surgeons, one part-time Consultant, six specialist nurse practitioners, a urology ward manager and team of dedicated urology nurses; a sixth, full-time Consultant post is awaiting recruitment. The Consultants are:
- Mr Donald Neilson: endourology, upper tract laparoscopy and Clinical Director
- Mr Shahid Islam: functional, reconstruction and educational lead
- Mr Andrew Jones ( part-time ): general, functional and Associate Dean for the North West Deanery
- Mr Mohan Pillai: oncology, upper tract and pelvic laparoscopy
- Mr Shalom Srirangam: endourology
- Mr Guy Wemyss-Holden: oncology, laparoscopy, paediatrics
The department trains four specialist registrars from the Manchester Deanery who participate in a 1:6 non-resident on-call rota. In addition, the junior urology staff include a speciality doctor, one CT1, two FY2s and one FY1 (soon to become four FY1s). Trainees have excellent exposure to an extensive variety of urological specialities including uro-oncology, endourology, laparoscopy and functional/female urology.
The department is well equipped with a urology library and excellent postgraduate educational facilities including electronic access to the main urology journals. The timetable contains a weekly urology teaching slot and protected periods to attend the bi-monthly regional teaching sessions. All trainees are expected to complete and present at least one audit during their placement. There is a research meeting every two months, to co-ordinate and stimulate active clinical research within the department.
Lancashire Teaching Hospitals NHS Trust
The Urology Department at Lancashire Teaching Hospitals NHS Trust is based mainly at the Royal Preston Hospital with some services at Chorley District Hospital.
The trust is well supported by all the major specialities including renal medicine, interventional uroradiology and a comprehensive oncology service (the Rosemere Cancer Centre) represented on a single site. This allows the department to offer extensive secondary and tertiary care services as a Cancer centre to the local and regional population and a wide range of training opportunities. The Trust also has close links to the University of Manchester and has around 150 medical students.
There are six established Consultants:
- Mr Shyam Matanhelia: laparoscopic oncology
- Miss Rosie Blades: oncology
- Mr Ahsan Haq: female urology and andrology
- Mr Max Mokete: upper tract laparoscopy and stone disease
- Mr Pradip Javle: pelvic laparoscopic oncology
- Miss Lynsey McHugh: endourology
The department is well supported by junior staff with two North West Deanery Specialist Trainees, three clinical fellows (including a laparoscopic clinical fellow), two core trainees and four FY1 doctors; we also have four urology Specialist Nurses.
Click here to see recent publications from the Preston unit.
Manchester Royal Infirmary
Manchester Royal Infirmary is one of four individual hospitals now occupying a single site in central Manchester under the auspices of Central Manchester University Hospitals NHS Foundation Trust. An ambitious 10-year building program under the PFI scheme, now nearing completion, has resulted in a state-of-the-art Hospital Trust fulfilling the needs of the local population as well as serving as a tertiary referral centre for the North of England. In addition to MRI, the Manchester Royal Eye Hospital, St Mary's Women's Hospital and the Manchester Royal Children's Hospital are on-site and are all directly connected.
The urology unit comprises seven established consultants covering all aspects of urological care.
- Mr Dan Burke: laparoscopic oncology
- Mr Douglas Barnes: oncology
- Mr Iain McIntyre : endourology
- Mr Richard Napier-Hemy: endourology
- Mr Stephen Payne: reconstruction and andrology
- Mr Ian Pearce: female urology and andrology
- Mr Neeraj Sharma: oncology
The department has a full compliment of middle grade staff with two Specialist Registrars from the NW deanery. In addition there are three clinical fellows, one of whom takes part in the on-call rota at Registrar level, whilst the remaining two take part in the SHO rota (full shift). There are two FY1 doctors attached to the firm. The Registrar rota is EWTD compliant with a 1 in 5 rota involving the two SpRs, the senior clinical fellow and two middle grade urologists from a neighbouring trust.
All registrars are released from clinical duties for the region-wide educational program and are expected to attend these sessions.
The department has a strong record of audit and clinically based research and, in addition to departmental meetings, trust-wide audit and research meetings are held on a regular basis: attendance at the regional audit meeting twice yearly is highly encouraged.
Click here for publications from the Manchester Royal Infirmary.
Royal Bolton Hospital NHS Foundation Trust
Bolton Hospital serves a population of approximately 320,000 people. To these patients we provide a comprehensive, core urology service, as well as stone surgery (PCNL and flexible URS) and laparoscopic surgery. Level 2 urological cancers are operated on at Hope Hospital (Salford). We have a monthly journal club and education morning.
All junior staff are actively encouraged to take part in audit within the department, and we have opportunities for research projects.
We are a self-contained unit with a urology theatre and day ward; diagnostics (including flexible cystoscopy, TRUS biopsy & urodynamics) are all performed within the unit. Some outpatient clinics are held at the Royal Bolton Hospital whilst the remainder are held in Bolton One, a purpose-built, outpatient facility in the centre of Bolton.
The current staff are:
- Miss A Crump: stone surgery & diagnostic urology
- Mrs Z Gall: stone surgery & laparoscopy
- Miss A Lee: functional urology & laparoscopy
- Mr M Pantelides: cancer & educational supervisor
- One Specialist Registrar (SpR)
- One specialty doctor
- 3 Clinical Nurse Specialists, a dedicated urology theatre team and urology nurses
Salford Royal NHS Foundation Trust
Salford Royal is a large teaching Foundation trust which works collaboratively with a number of surrounding hospitals including Christie, but also Bolton & Wigan in particular. Salford Royal (SRFT) provides a wide range of general services to local people and also a number of specialist services offering care to people from all over the UK who need expert help with brain, neuroscience, kidney, bone, intestine or skin conditions. SRFT works closely with the Universities of Manchester and Salford to train hundreds of new doctors, nurses, midwives and other health professionals every year.
From a urology perspective, seven consultants work at SRFT, with 3 of these consultants also working in other centres.
The urology specialist trainees work in a consultant-led team and are closely involved with the day-to-day management of patients. There is a balanced mixture of core and specialist urology on offer for the trainees, with exposure to complex endo-urological procedures, ESWL (on-site), laparoscopic surgery / complex pelvic oncological and reconstructive surgery, along with the centre being the regional lead for neuro-urology.
There is a huge emphasis on research within the unit, led by Professor Noel Clarke, and there are usually 1-2 trainees, at any one time, studying for a doctorate degree. Similarly, education is a strong point to the unit and the last two urology programme directors of the region (two members of the urological SAC, including the chair Kieran O’Flynn, and two members of the FRCS (Urol) intercollegiate examining panel), all work at SRFT.
Stockport NHS Foundation Trust
Stockport is a very busy unit, providing urology services not only to Stockport itself but also at Tameside Hospital, Ashton-under-Lyne and Macclesfield District General Hospital, necessitating split-site working.
The trainees generally lead the day-to-day management of patients with Consultant support. High patient throughput, sigificant numbers of outliers and multiple-site working mean that ward rounds are busy and, at times, complex requiring efficiency and careful supervision.
Exposure to operative surgery is excellent, both in core services and sub-specialist areas. There is excellent training and experience in core urology, stone management, open pelvic oncology, upper tract laparoscopy and pelvic laparoscopy. With recent appointments, sub-specialty interests have now broadened to include female urology and reconstruction, providing trainees with an even more comprehensive portfolio.
University Hospital of South Manchester (Wythenshawe)
Urology at the University Hospital is split between inpatient care at Wythenshawe Hospital and outpatient care, including day surgery, at Withington Community Hospital; these hospitals are only a short journey apart.
Trainees are based predominantly at Wythenshawe and work for either Mr RJ Montague or Mr NR George. There are a further ST1 trainee, two FY1 doctors and a Clinical Fellow who work for the team.
Mr V Ramani and Mr VK Sangar (who specialise in uro-oncology) operate once a week at Wythenshawe, although they are based at Christie Hospital. Mr PM Javle also operates once a week, usually bringing a trainee from his base hospital, Leighton Hospital Crewe, with him.
Mr JG Young and Mr T Gunendran work on split sites, between Wythenshawe & Trafford Hospital; their junior staff at Wythenshawe comprise one Staff Grade Doctor and two junior Clinical Fellows. Trafford Hospital was, in 1948, the first hospital in the UK to treat an NHS patient.
Click here to see recent publications from the Christie Hospital.
Aintree NHS Foundation Trust
University Hospital Aintree is a foundation trust incorporating the Walton and Fazakerley hospitals on one site close to Aintree Racecourse. We serve a population of 330,000 in north Liverpool and provide a comprehensive urological service, with the exception of complex pelvic and renal cancer surgery which is undertaken at the cancer centre.
There are three consultants, Mr DG Machin, Mr EPM Williamson and Mr A Baird. Mr Machin has interests in andrology, urodynamics and female continence surgery. Mr Williamson carries out PCNL and is supported by a large interventional radiology department; he also has an interest in renal surgery. Mr Baird is one of very few adolescent urologists in the country; he also has sessions at Alder Hey Children's Hospital.
Aintree is the regional centre for reconstructive urology with excellent opportunities to train in bladder augmentation techniques, bladder neck reconstruction, the formation of continent stomas, insertion of sphincters/prostheses and urethroplasty.
Supporting staff include two SpRs, two Associate Specialists, one CST and two FY1s.
Alder Hey Hospital
Alder Hey Children's Hospital is the largest children's hospitals in Europe and a major teaching hospital of the University of Liverpool. It serves not only the local population of children but is also the tertiary referral centre for children from Merseyside, Cheshire, parts of Lancashire, Staffordshire, Shropshire and North Wales for many sub-specialties of paediatrics and paediatric surgery. The Trust provides a range of community services including school nursing, home carers and a child development centre. A child and adolescent mental health service is also provided with an inpatient unit based at the Trust. The hospital has approximately 270 beds, including day beds for surgery. The services and expertise within the hospital are considerable and include paediatric ophthalmology, cardiology, cardiothoracic surgery, neonatology, neurology, neurosurgery, audiology, nephrology, respiratory, oncology, trauma, neonatal surgery, general surgery and general medicine. The radiology department provides both a CT and MRI scanning service.
The Regional Department of Paediatric Urology has close links with other departments within the hospital as well as with the University of Liverpool. There are two full-time Consultant Paediatric Urologists, one Consultant Paediatric Surgeon/Honorary Senior Lecturer (partly in urology & partly in general surgery) and one part-time Consultant Adolescent Urologist.
We are a nationally recognised specialist paediatric service for Urology. Our patients come both from across the country and from around the world for treatment. Each year, our team is involved in more than 4000 outpatient visits and more than 1000 operations and day case admissions. We treat all genitourinary problems of childhood with the exception of exstrophy. We care for children with anomalies of the external genitalia including disorders of sexual differentiation, hypospadias, hydroceles, undescended testes and other penile and scrotal problems. We treat all renal, ureteric and bladder disorders including antenatal uropathy, neuropathy, trauma and malignancy. We offer laparoscopic surgery for many conditions.
Our urology treatment centre team (TCT) provides care to young people with functional bladder problems. We offer a range of assessment and treatments options, including urodynamics, flow studies, biofeedback, pelvic floor training and percutaneous tibial nerve stimulation. We have access to psychological support and have a play specialist as a part of our team. We offer a unique model of transition care through our adolescent urologist at Alder Hey and our partner adult hospital in Liverpool.In addition to the urology trainee there are two SpRs in Paediatric surgery, one FY2 and ward-based FY1s. The trainee is allocated to theatres and clinics throughout the week; in addition to weekly urodynamics, radiology and teaching sessions, trainees attend some region clinics. There is no paediatric on-call, but the trainee participates in the adult on-call rota at The Royal Liverpool Hospital.
There are two surgical inpatient wards, one surgical day case ward, a Neonatal Surgical Unit, an ITU and an HDU. The wards are well staffed with full-time and part-time paediatric nurses. In addition, the department has a Nurse Consultant in Urogynaecology, one full-time ANP in Urology and two part-time CNSs in Urology. There is a range of outpatient clinics and with 11 operating theatres (currently under expansion).
A purpose-built Education Centre is situated on the hospital site and is available for all postgraduate educational activity. Research is a very important part of our service: ongoing studies range from kidney stem-cell work to electronic patient feedback.
Countess of Chester NHS Foundation Trust
Awaiting information from this unit. No details have been supplied by the local urologists.
Please click on the hospital link below if you require further information about the hospital or if you wish to contact the department through its website.
This unit has not provided any information about recent publications.
Glan Clwyd Hospital, Rhyl
Glan Clwyd Hospital is one of the teaching hospitals of the Betsi Cadawaldr University Health Board in Rhyl which brings together the NHS Trusts and Local Health Boards of North Wales into a new, integrated, healthcare organisation for the region. The urology department is a fully-functioning laparoscopic uro-oncology unit which forms part of the North Wales Cancer Centre.
There are two substantive Consultants with an interest in urolo-oncology and a locum with interest in endourology. Uro-oncology has been centralised at Glan Clwyd with visiting surgeons from Wrexham Maelor Hospital and Ysbyty Gwynedd, Bangor. The department has a dedicated urology ward with 25 beds and a separate Diagnostic Urology Centre including a lithotripter. We also have a state-of-the-art OR1 theatre dedicated to laparoscopic urology and another theater for day care surgery.
Two SpRs, one based at Glan Clwyd and another at Wrexham Maelor Hospital are part of the Mersey Training Programme. The trainees have exposure to core urology, uro-oncology, laparoscopy, endourology and stone management.
The hospital is situated very close to the A55 with good road and rail connections. The nearest international airport is at Manchester. The unit is ideally situated for a wide variety of marine and nature activities, including the beautiful landscape of Snowdonia, only a short drive away.
Leighton Hospital, Crewe
Mid Cheshire Hospitals NHS Foundation Trust provides urological services to a population of 280,000 in rural Cheshire from Leighton Hospital, Crewe and the Victoria Infirmary, Northwich. Leighton Hospital is a 600-bedded DGH with a large, state-of-the-art, day-case Treatment Centre where over 80% of our operating takes place. The Michael Heal Unit is a self-contained, dedicated suite for outpatient clinics, urodynamics, prostate biopsy, ESWL and intravesical treatment. Pelvic cancer services are provided in partnership with our colleagues at Stepping Hill Hospital Stockport where inpatient pelvic cancer surgery is performed by Mr Maddineni.
Our team consists of four Consultant Urological Surgeons (each with a subspecialist interest), four urology nurse specialists, two specialist trainees and two core trainees. Trainees are given the responsiblity for day-to-day management of inpatients and internal ward referrals, with Consultant support. Two weekly, specialist meetings allow for complex cases to be discussed and the monthly audit meeting is a popular forum for teaching.
We provide extensive, supervised operating experience both in core urology and in specialised areas (endourology, female urology & pelvic oncology). Original research is actively encouraged.
Click here for publications from Leighton Hospital.
Royal Liverpool & Broadgreen University Hospitals
Liverpool is an attractive city with a world-famous waterfront that has world heritage status.
The unit consists of 8 full-time Consultant Urologists, two of whom are dedicated to diagnostic urology. In addition, 2 ‘in-reach’ surgeons attend from other units to perform pelvic cancer surgery. There are five specialist nurses catering to both benign and malignant disease. The Department also contains an associate specialist, four SpRs, three research fellows, two ST1/2 trainees and three FY1 doctors. Consultants and registrars work a ‘Urologist of the Week’ rota with all elective workload cancelled on this week.
The workload is divided between two sites, the Royal Liverpool - in the city centre - and Broadgreen Hospital, approximately three miles away. The Broadgreen site contains a purpose-built urology centre, opened in 2006, catering for all the diagnostic urology, day-case surgery and most outpatient clinics. It houses the fixed-site lithotripter and a videourodynamics suite. Approximately 20,000 patients per year are seen here. Short-stay operating is also carried out at this site, including much of the endourology.
The Royal site carries out most of the inpatient surgery, including regional pelvic cancer and complex renal surgery. It contains the A&E department, the ITU/HDU and all of the emergency admissions. In 2010, a Da Vinci Si robot was purchased and radical prostatectomy, nephron-sparing surgery and pyeloplasty are now carried out. It has a virtual reality trainer which is a useful training tool.
The Unit offers a broad range of training and has a strong track record in both core urology and in subspecialties. There is a strong academic tradition with links to the University of Liverpool.
Click here to see recent publications from the Royal Liverpool & Broadgreen unit.
Southport & Ormskirk Hospital NHS Trust
The attractive Victorian seaside town of Southport, with its wide streets and excellent tourist and golf facilities, also has a progressive modern urology department. Based across our two hospital sites at Southport and Ormskirk, eight miles apart, we serve a population of 217,000. The department is served by three Consultants, two Associate Specialists, one SpR (Mersey rotation), one core surgical trainee and one foundation trainee; the department is also supported by three Nurse Practitioners.
All acute work and major inpatient urology is done at Southport. Outpatient clinics are run at both sites. Day case urology, flexible cystoscopy, prostate biopsy, and urodynamics are performed in a purpose-built treatment centre on the Ormskirk site. Our unit serves the regional spinal injuries unit and Mr Singh is the urologist responsible for this. Mr Vesey started laparoscopic surgery in the region and provides excellent training in it. He has sessions at the Royal Liverpool Hospitals, where all major IOG-specified cancer surgery is done. Mr Gammal has a subspecialty interest in endourology and erectile dysfunction.
Training facilities are excellent at both sites. Each has a modern library and, at Southport, there is a state-of-the-art skills and simulation lab, including a laparascopic training simulator. Historically, our unit has been a favoured choice for registrars within the region.
The unit supports clinical research and, in the last year, there were 10 presentations and peer-reviewed publications from within our unit. The SpR is well supported with a timetable tailored to address individual training needs.
Click here to see recent publications from the Southport & Ormskirk unit.
Whiston Hospital, St Helens
Whiston Hospital has a full range of surgical and medical specialties. The Urology directorate has four Consultant Urological Surgeons and is an independent directorate, making the planning and running of the various urological services easier.
In addition to being a cancer unit, we have a large volume of general urology, providing a great learning opportunity for all levels of trainees and there are 10 GA theatre sessions (none overlapping) each week. We manage a broad spectrum of urological conditions, presenting a challenging and exciting learning opportunity for trainees. There is ample opportunity to gain experience in open surgery, laparoscopic surgery and endourology. We have a Holmium laser giving us varied treatment options for the management of stones and BPH.
The trainee will participate in the urology on-call rota and there is ample opportunity to engage in audit and academic pursuit. Our friendly unit welcomes trainees of all levels.
Wirral University Teaching Hospitals NHS Trust
Wirral University Teaching Hospitals serve a geographically well-defined population of around 380,000 on the Wirral peninsula. The Foundation Trust was awarded the Dr Foster "Large Hospital of the Year" Award in 2008.
The Urology Department is based at Arrowe Park and Clatterbridge Hospitals. Arrowe Park contains the A&E Department and the HDU/ITU units. Emergency and major elective urological admissions take place here, whereas Clatterbridge accommodates principally day case and short stay patients. Clatterbridge Hospital also shares a site with the Regional Oncology Centre (Clatterbridge Centre for Oncology) and staff from both Trusts work closely together. Arrowe Park and Clatterbridge are close to adjacent motorway junctions and less than 5 miles apart. The Urology Department is the urology cancer centre for Mersey South and accepts referrals from Chester as well as Warrington & Halton NHS Trust.
There are five established consultants.
- Mr Nigel Parr: pelvic & penile oncology
- Mr Richard Stephenson: renal & pelvic oncology
- Mr Paul Kutarski: endourology, incontinence, andrology
- Mr Andrew Cliff: endourology/upper tract laparoscopy, paediatrics
- Mr Manal Kumar: pelvic laparoscopic oncology
In addition, Mr Christopher Powell, Consultant Urologist at Countess of Chester Hospital, operates at Arrowe Park on alternate weeks. The Department also contains an associate specialist, a research fellow, two SpRs, two ST1/2 trainees and 2 FY1 doctors. The SpRs are on a 1:4 rota until 23:00hr, with cover being provided thereafter by the Consultants. Trainees gain excellent exposure to core and complex specialist urology. The unit has always been a popular attachment for SpRs within the Mersey Deanery.
There is a state-of-the-art education centre at Arrowe Park, with a further library at Clatterbridge. The Department has a strong track record in audit and clinical research and there is usually a trainee studying for a doctorate degree. Both rotating trainees and several research fellows have been awarded numerous prizes for best presentations at regional, national and international meetings over the past decade.
Click here to see recent publications from the Arrowe Park & Clatterbridge unit.
Wrexham Maelor Hospital
Wrexham is a pleasant and expanding town, near the English border, with superb surrounding countryside. There are good road and rail links to Liverpool (45 minutes), Manchester (50 minutes) and Chester. Historically a mining, steel-making and agricultural area, light industry and agriculture now predominate. Housing is relatively cheap compared with most UK locations and schools are of high quality in both public and private sector
The Department of Urology at Wrexham Maelor Hospital is one of three DGH urology units in North Wales coming under the overall umbrella of the Betsi Cadwaladr University Health Board. The three units (Wrexham, Rhyl & Bangor) run independently though with co-operation, particularly in relation to major urological cancer surgery which has recently been centralised to Rhyl. The Wrexham Unit consists of four Consultant Urologists, A de Bolla (who also operates at Rhyl), PS Anandaram, C Seipp and I Shergill, and an Associate Specialist, P Majumdar.
The Unit is based on a 16-bed urological ward directly adjacent to the Surgical Assessment Unit. Outpatient facilities are in a new department allowing consultation, prostatic biopsies, flexible cystoscopy and ultrasound imaging to be completed within the department. All surgery is undertaken in a designated urological theatre and facilities exist for almost all forms of modern urology. Day cases are treated in the day case unit within the Maelor hospital. There are full interventional radiology facilities with isotope imaging, CT and MRI on site and twice weekly, consultant-led, urodynamic sessions.
Excellent training facilities are available with an extensive library on site. The Maelor Hospital is a cancer unit with weekly MDTs. In addition, there are weekly uroradiology meetings for non-cancer cases and monthly continence forums.
Junior staff consist of a Specialist Registrar (Mersey rotation), two CT2 trainees, one CT1 trainee and one F2 doctor (all Welsh Deanery). The timeable of the registrar is adjusted to take account of individual training needs. The other trainees cooperate in the general surgical on call rota.
Click here to see recent publications from the Wrexham urology department.