Mr Simon Fulford

Consultant Urologist

MBBS FRCS FRCS (urol)

Personal profile

Training

I studied Medicine at Kings College Hospital London.
I did house jobs in Kings College Hospital and Tunbridge Wells
I then did SHO jobs in Accident and Emergency, Orthopaedics, General Surgery and Urology in London and Reading.
I trained in Urology in Reading, Middlesbrough, Newcastle, Cardiff, Leicester, Nottingham and Derby.
I was Spinal Injury Urology Fellow in Sheffield from October 2000 to April 2001.
I was appointed as Consultant Urologist in Middlesbrough and Darlington on 1st June 2001
I undertook training in medico legal report writing and started preparing reports in 2002.

 

Current post

I have been consultant urological surgeon at James Cook University Hospital since 1st June 2001.  I am also consultant urologist to the regional spinal injuries unit based at James Cook University Hospital.

I run my private and medico legal practice at BMI Woodlands Hospital, Darlington.

Clinical practice

My primary interest within Urology is the care of the neuropathic bladder in patients with spinal injuries or neurological disease.
I see and manage large numbers of patients with spinal cord injury, Multiple Sclerosis, Parkinsons disease and many other neurological conditions including traumatic brain injury.
I regularly perform urodynamic investigations on such patients and offer a full range of management options ranging from ongoing surveillance to major urinary tract reconstructive procedures.
I have a major interest in the investigation and management of functional  bladder symptoms and incontinence, including post prostatectomy incontinence in men; primary and recurrent incontinence, urinary symptoms, urethral diverticulae and urinary fistulae in women.
Another area of particular interest is painful bladder syndromes including ketamine induced cystitis syndrome.

I am also involved in a liaison roles with Obstetrics, Gynae-Oncology, Gynaecology, Nephrology and Colorectal colleagues.

I regularly undertake major urological surgeries including radical cystectomy, orthotopic neo-bladder construction, pelvic exenteration and urinary tract diversions of all types including ileal conduits and continent urinary diversions. I regularly repair urinary tract injuries and fistulae and perform ureteric re-implantations. I also do a number of bladder reconstructions with augmentation cystoplasty, substitution cystoplasty and Mitrofanoff formation each year. I implant 10-20 Artificial urinary sphincters each year.

I regularly mentor other Urologists learning major reconstructive and prosthetic Urological procedures.

I participate in the on call rota at JCUH and am thus exposed to the full range of Urological emergencies on a regular basis.

I continue to see and treat the full range of general urology patients both in the NHS and private sectors.

Teaching 

I have been a faculty member of the BAUS sponsored “Spinal Injuries Urology” course in Sheffield since appointment. We run two courses a year and all urological trainees attend during their training.
I am also on the faculty of the BAUS sponsored “Expert Urodynamic Course” in Bristol which runs twice a year.
I regularly teach and lecture at local and national meetings and courses.

Research

I am involved with colleagues in York University investigating Ketamine induced Cystitis.

I am the Principle Investigator for two UK randomised multicentre studies (MASTER and UPSTREAM) in Middlesbrough and am involved in numerous other research and audit projects locally.

Clinical Interests

I am lead for female Functional Neurological and Urodynamic “functional” Urology on Teesside and cover all aspects of this sub speciality within Urology.
I also continue to maintain an interest in all areas of general and core Urological practice.
In my practice at BMI Woodlands I treat many “Core” Urology patients with Lower Urinary Tract Symptoms and or Urinary tract infections. I also treat many “Functional” Urology patients with incontinence, bladder pain syndrome and neurological bladder dysfunction.

 

Professional Memberships

  • British Medical Association
  • British Association of Urological Surgeons
  • International Continence Society

 

Year qualified:

1987