Mr Naveed Afzal

MBBS, FRCS, DIP(Urol) FRCS(Urol), FEBU
Consultant Urologist & Robotic Surgeon
Clinical Lead for Urology
MDT Chair


PROFESSIONAL QUALIFICATION


MedicalQualification
MBBS, 1984Post Graduate Qualification
FRCS,
Glasgow 1993.
Fellowship in Urology, Stanford University, California, 1997
FRCS Urol,
(Intercollegiate specialty board in Urology) Nov 1999
FEBU,
(Fellow of the European Board of Urology), May 2000


PRESENT APPOINTMENT


Lead Consultant Urologist & Robotic Surgeon
01.01.1999 -to present time
Dept of Urology, Dorset County Hospital Foundation Trust, Dorchester, Dorset

ONCOLOGY EXPERIENCE


I did an oncology fellowship at Stanford University, California. It was mainly focussed at prostate and renal cancer management. I had the opportunity to work with world-renowned authorities in Uro-oncology like Professor Thomas Stamey, Professor Mc Neil and Professor Linda Shortliffe.
I had wide experience in Robotic radical prostatectomy for prostate cancer, laparoscopic nephrectomies, open radical nephrectomies and nephro-ureterectomies for renal and transitional cell cancer.

ROBOTIC SURGERY


I am the Lead Robotic surgeon for West Dorset. My work load is around 80-90 Robotically Assisted Radical prostatectomies per year.I regularly audit and submit my RARP cases to BAUS database.
I have devised a novel technique of RARP which I have presented at the European Robotic Surgery meeting in Milan, ERUS 2016. A new video after 310 RARP cases with my novel technique has been submitted for presentation at the March 2020 EAU meeting in Barcelona.

HIFU


I am offering salvage High Intensity focused Ultrasound for post radiotherapy failure prostate cancer patients at the Winterbourne Hospital in Dorchester.

LAPAROSCOPIC SURGERY


I have wide experience in laparoscopic Urological surgery. I routinely perform laparoscopic nephrectomies, lapraroscopicpyeloplasties, laparoscopic radical prostatectomies and exploratory laparoscopies. I have had my training for Laparoscopic Radical Prostatectomies at Strasburg and Leipzig with Professor Stolzenberg.

TRANSPERINEAL TEMPLATE BIOPSIES


I have developed Transperineal Template Biopsy service for Dorset. I have introduced a new technique for prostate mapping. The abstract has been sent to the British Journal of Urology for publication.

Eur Urol. 2016 Oct;70(4):668-674. doi: 10.1016/j.eururo.2016.02.054. Epub 2016 Mar 4.

Medium-term Outcomes after Whole-gland High-intensity Focused Ultrasound for the Treatment of NonmetastaticProstate Cancer from a Multicentre Registry Cohort.


Dickinson L1, Arya M2, Afzal N3, Cathcart P4, Charman SC5, Cornaby A3, Hindley RG6, Lewi H7, McCartan N1, Moore CM1, Nathan S4, Ogden C8, Persad R9, van der Meulen J10, Weir S4, Emberton M1, Ahmed HU11.
A novel technique of Robotic prostatectomy without posterior mobisation of bladder. Mr Afzal, Mr Bajwa, ERUS, Milan September, 2016
Multiparametric MRI prior to prostate biopsy is a useful tool in diagnosing prostate cancer, UROCON International meeting, Peshawar. April 2017
Zara Hayat, Omer FarooqRehman, Osama Kanavati, NyeemUddin, Richard Tippett, Naveed Afzal

35-Year-Old Man With Acute-Onset Penile Pain and Swelling... no evidence of urethral stricturing.
RearabiloeSebata, MB ChB; Naveed Afzal, MB BS, FRCS, FRCS(Urol), FEBU; AnandaChakrabarti, MB BS, FRCS
Clinical Case, Medscape CME Case Presentations, November 2011
The combination of True Echo Harmonics and Colour Flow Doppler significantly improves the detection of prostate cancer at Trans Rectal Ultra Sound guided biopsy when compared to Grey Scale Ultrasound alone.
N. Afzal, A. Karim, H. Cook, A.U. Rahman, M. Abdel-Halim, A. J.Cornaby. Department Of Urology, Dorset County Hospital, Dorset, UK
BJU INTERNATIONAL, VOLUME/SUPPLEMENT 4/ JUNE 2004(4).

The Gabbay-Frater suture guide simplifies urethral-bladder neck anastomosis at open radical prostatectomy.
Afzal N, Karim A, Rahman A, Cok H, Blegay R, Cornaby AJ Department Of Urology, Dorset County Hospital,, Dorset, UK
BJU INTERNATIONAL, VOLUME/SUPPLEMENT 4/ JUNE 2004(79-80).

Correlation Of The Transrectal Ultrasound Measurement Of Prostate And Transition Zone Size With Symptom Score, Bother Score, And Urinary Flow Rates.
Terris, M., Afzal, N., and Kabalin, J.N.
Department of Urology, Stanford University School of Medicine, California.
UROLOGY, 1998 Sep; 52(3): 462-6

Persistant Hiccups As An Unusual Presentation Of Obstructing Ureteric Calculus. N. Afzal, A. Al-Mushatat, I.Dunn and A.Saffar.
Dorset county Hospital Dorchester and The Ayr Hospital, Scotland.
BJU International 2001 87 (7), 714.

SarcoidosisOfThePenis.
N. MAHMOOD, N. AFZAL and A. JOYCE.
Department of Urology, Leeds General Infirmary and Wexham Park Hospital, Slough.
British Journal of Urology (1997), 80, 155.

Transrectal Ultrasound Guided (Trus) Biopsies At Initial Presentation Significantly Underestimate The Grade Of Malignant Disease When Compared To Subsequent Radical Prostatectomy Specimens
A. KARIM, N. Afzal, A. J. CORNABY
Department Of Urology, Dorset County Hospital, Dorchester, Dorset, UK
Poster presentation at 2nd. European Urological Winter Escape Meeting in Playa de las, Tenerife, Spain, 30 November 2003.

Role of ureteroscopy in the management of Ureteric stone
Ata Ur. Rahman, Muhammad Ahmad, Abdul Mustafa Haleem, Naveed afzal, DorsetCountyHospitalDorshester, Dorset, United Kingdom
Journal of King Edward Medical College/ Mayo Hospital (2004) 14,18

Use of the ‘Labelled Key-ring clock’: a simple technique for Urethral-bladder neck anastomosis
Published, letter to the editor, BJU May 2004.

Laproscopic Hernia Repair makes subsequent radical prostatectomy very difficult.
H.Cook, N. Afzal and A, J, Cornaby
Dorset county Hospital Dorchester
BJU International 2003

PRESENTATION TO LEARNED SOCIETIES


1.TRANS RECTAL ULTRASOUND AND BIOPSY
Wessex Urology meeting, Portsmouth, October 2001
2. A META-ANALYSIS OF CHEMOPROPHYLAXIS IN TRANSURETHRAL PROSTATECTOMY.
A. J Browning, N. Afzal, R. Minhas, A. D Joyce, I Eardley, R. J. Lilford.
British Association of Urological Surgeons Meeting, Birmingham, June1994


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