Mr James Adshead: Urology

Mr James Adshead


  • Fee assured

Specialises in

  • General
  • Impotency and infertility
  • Urinary tract stones
  • Urological malignancy

About me

Jim qualified at Cambridge University and moved into a London training scheme. He completed his six year training programme in urology in the West London teaching hospitals and gained valuable experience in urological cancer and minimally invasive access during a laparoscopic fellowship year in Sydney, Australia.

He has always been active in both genetic and clinical research into urological cancer and was awarded a Royal College of Surgeons Research Fellowship for his work on PAX genes in urological cancer.

Jim has produced national guidelines in consenting for urological surgery.

He has a large experience in Nerve-sparing robotic Prostatectomy with NeuroSAFE and is a high volume robotic partial nephrectomy surgeon
He has a large experience in laparoscopic nephrectomy as well as the laser treatment of stones and also performs vasectomy reversal with 89% success of getting sperm back
He also covers the majority of adult general urology.
He has published widely and subspecialist interests can be seen on his website

Teaching surgery has always been a passion for Jim and he is a National Proctor teaching Robotic urology around the country. He currently runs a Fellowship training scheme for robotic urology which was the first in the country to be recognised by the Royal College of Surgeons of England in November 2012.

He is Chairman of the Urology Cancer Network for Herts and Beds
I am also an executive member of British Association of Surgeons Oncology subgroup
I us specialise in Nerve sparing robotic prostatectomy with Neutosafe and are currently the only hospital offering this in the UK
It improves chances of keeping your elections without causing a positive margin

Areas of interest

•;Robotics surgery ; Robotic partial nephrectomy ; Robotic prostatectomy • Robotic pyeloplasty •
Waterwork problems; blood in urine; raised PSA; PSA; Robotic and laparoscopic nephrectomy • Kidney (renal) cancer • Prostate disease including prostate cancer • Urological oncology • Benign prostatic hyperplasia (BPH) • Minimal access / invasive surgery • Haematuria • Laparoscopic procedures ('keyhole surgery') • TURP • Vasectomy reversal

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Information for healthcare professionals

Information for healthcare professionals (Bupa patients only, last 12 months)

Procedures completed

  • M4510

    Diagnostic endoscopic examination of bladder (flexible cystoscopy) including any biopsy - (5-50)

    Spire Harpenden Hospital (1-5)

  • M6192

    Robotic assisted laparoscopic radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy) - (5-50)

    Spire Harpenden Hospital (1-5)

  • M6582

    Transperineal template-guided biopsies of the prostate under image guidance - (5-50)

    Spire Harpenden Hospital (1-5)

  • N1100

    Correction of hydrocele(s) - unilateral - (1-5)

    Spire Harpenden Hospital (1-5)

  • M2920

    Endoscopic insertion/removal of prosthesis into ureter (including bilateral and cystoscopy, +/- pyelography) - (1-5)

    Spire Harpenden Hospital (1-5)

  • N1580

    Excision of epididymal cyst - (1-5)

    Spire Harpenden Hospital (1-5)

  • M3010

    Endoscopic retrograde pyelography (including bilateral and cystoscopy) - (1-5)

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