Commences 25 November 2024 for 1 year
Department: St George's University Hospitals NHS Foundation Trust
The department performs approximately 600 Robotic Urological Procedures per year. These are radical and simple prostatectomy; partial and radical nephrectomy; nephroureterectomy; radical and partial cystectomy and intracorporeal neobladder/ileal conduit formation; radical pelvic lymph node dissection for pelvic cancers and penile cancers; reconstructive surgery (pyeloplasty, ureterolysis, ureteric reimplantation, ureteric stricture repair with buccal graft; pyelo and ureterolithotomy). The robotic team also support the expansion of the female and functional robotic program (robotic colposuspension, sacrocolpopexy, CLAM cystoplasty and Bladder Neck AUS) and work collaboratively with/mentor paediatric urology, gynaecology and general surgery. The training is divided into three possible streams 1. Prostatectomy - including extraperitoneal 2. Upper Tract / Renal surgery - including retroperitoneal 3. Cystectomy /reconstruction - complete intracorporal urinary diversion The programme can be tailored to suit the individual trainees needs. Depending on which stream the fellow has chosen, they should be able to perform radical prostatectomy, radical nephrectomy and pyeloplasty independently and gain experience in partial nephrectomy, simple prostatectomy, nephroureterectomy and cystectomy in the first year.
2 x Da Vinci Xi Console Systems - 1 Dual Console System and 1 Single Console System
Audit and research will be a part of the training contract. In our experience this is integral to reflective learning and the programme has a duty of care to patients and the trust to be transparent in reporting outcomes, both surgical and patient related. We have a prospective database spanning 17 years of robotic surgery, and a large series of over 600 benign and reconstructive robotic procedures and have collaborative relationships with the major tertiary referral centres in London and Surrey which gives our fellows access to a substantial amount of audit, quality improvement and research opportunities. We also are involved in Prostate Cancer and Kidney Cancer clinical surgical trials, which successful fellows will be able to contribute towards.
Primary Objective of Fellowship
Prostate Stream = Independant RARP ; Upper Tract Stream = Independent Radical Nephrectomy and Pyeloplasty. Nephroureterectomy and Partial Nephrectomy competence candidate specific. Opportunity to learn retroperitoneal renal surgery also; Bladder Stream : Independent at Prostatectomy. Significant Progress in Cystectomy and Reconstructive Urology at 1 year.