Biopsy
Mr Adam Cox
Urologist
MD FRCS(Urol)
Specialist interests
Endoscopic examination of the ureter (ureteroscopy), Endoscopic incision of outlet of male bladder, Endoscopic retrograde pyelogram, Insertion of testicular prosthesis, Insertion/removal of catheter, Orchidectomy (removal of testicle), Resection of bladder tumours (TURBT), Robotic prostatectomy, Total and partial nephrectomy, Trans-urethral resection of bladder tumour (TURBT), Urethral dilation
Professional bio
After graduating from Cardiff University in 2006, I completed core surgical training and urology specialist training in South Wales. I have always had a keen interest in diseases of the prostate which was further developed during a 2 year scientific research project into mechanisms of prostate cancer development at the European Cancer Stem Cell Research Institute. I was subsequently awarded a doctorate higher degree (MD) from Cardiff University in 2015.
During my training I published articles in scientific journals and have presented my research at both national and international meetings. I have also won multiple national and international awards, and have written book chapters and educational review articles.
I am currently a Consultant Urological and Robotic Surgeon at the Aneurin Bevan University Health Board and my subspecialist interests include diagnosing and treating diseases of the prostate, including benign prostatic enlargement (BPE) and prostate cancer.
The only urological surgeon in Wales trained to provide both robotic surgery for prostate cancer and Holmium Laser Enucleation of the Prostate (HoLEP), the gold-standard treatment for symptoms of benign prostate enlargement and urine retention. I am fortunate to have been mentored by some of the UK’s leading experts in these subspecialist areas of urology.
I possess a detailed understanding of core urological conditions including urinary stone disease, chronic pelvic pain, incontinence, blood in the urine (haematuria), and vasectomy. In my NHS practice I jointly run the erectile dysfunction service and I am motivated to provide a holistic approach when managing this sensitive problem.
Since developing a close relationship with the Rutherford Cancer Centre in Newport, and following completion of an accredited training programme, I aim to be able to offer prostate-rectum spacers to optimise patient safety and minimise rectal toxicity in men prior to undergoing radical radiotherapy (with either proton beam therapy or photon radiotherapy) for prostate cancer.
I am passionate about surgical education and clinical research, both of which keep my clinical skills up-to-date. I am an Assigned Educational Supervisor of Core Surgical Trainees for Health Education and Improvement Wales (HEIW) and an Honorary Lecturer of medical students at Cardiff University. I am responsible for overseeing the early stage career development of trainee doctors, particularly around the management of urological cancers, a role in which I take enormous pride.
My current research interests include the investigation of invisible blood in the urine (haematuria) and same-day discharge prostate surgery to minimise the complications associated with inpatient hospitals stays. I actively recruit to urological cancer trials and I am currently co-Principal Investigator of a clinical trial aiming to optimise the surgical treatment of prostate cancer (METAL trial).
My non-clinical organisational and managerial interests centre on NHS service re-design to improve diagnostic pathways and patient experience by employing Patient Reported Outcome Measures (PROMs).
I am clinical lead for ongoing quality improvement projects which will optimise the investigation of men’s urinary symptoms, and haematuria as a risk factor for urological cancer.
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