Based on thirty years’ clinical experience Mr Miller can report on a wide range of general urology. He has special interest in the areas detailed below on which he routinely reports on a medico-legal basis. Mr Miller accepts over 100 new cases per year, divided into 20% defendant, 70% claimant and 10% single joint expert. His clinical practice is based at the hospital of St Johns and St Elizabeths.
Gynaecological Injury Urinary Tract
As lead urological clinician for a busy obs and gynae unit Mr Miller has extensive experience of the correction and management of major surgical complications following gynaecological surgery (perforated bladder, fistulae, ureteric damage, bladder distention).
Cauda Equina – Management of Neuro-Urology and overdistention injuries
For twenty-five years Mr Miller was responsible for the urological management of the complications associated with the spinal unit and neurological department at the Whittington NHS Trust. He has wide experience in the diagnosis, treatment and evaluation of cauda equina syndromes.
Fractured Pelvis – Urological Consequences
Mr Miller is routinely instructed by specialist motorcycle injury lawyers, as he has a proven record in the clinical and medico-legal diagnosis and treatment of erectile dysfunction and urethral injuries associated with fracture pelvis.
Scrotogenital Day Surgery (aged 16 years +)
Mr Miller received the prize of the German Urology Association for his work on urological day surgery. As such he is familiar with all aspects of scroto-genital surgery including circumcision, vasectomy, testicular torsion, hydrocoele and epididymal cysts. He has experience of the catastrophic complications of Fournier’s Gangrene.
Mr Miller has been a supra-regional urological specialist for both open and endoscopic renal (kidney) surgery for many years, with a particular interest in stone disease. He has an international reputation in this area.
Over the past ten years, Mr Miller has developed an interest in urological pain syndromes (painful bladder syndrome, urethral syndrome, prostatitis, pelvic pain of a urological origin, chronic testicular pain). He regularly undertakes a number of novel treatments (including specialist nerve blocks) for these difficult conditions.
Mr Miller has performed several thousand trans urethral resections (TURP) for benign prostate disease and is completely conversant with the operation and its possible complications.
Malignant Disease Kidney and Bladder
Mr Miller is a member of the British Association of Urological Surgeons, Uro-oncology Section. He has held the post of Chairman of the North London Cancer Network Urology Committee, responsible for the governance and outcome of all tumour surgery in the region. He has vast experience of both renal and bladder cancer surgery having worked in the Regional Cancer Centre.
Exposure of Bladder Carcinogens
Mr Miller has experience of cases involving industrial exposure to known urothelial carcinogens and has reported on causation, condition and prognosis in a number of cases both for the claimants and defendants. These cases have involved exposure to oils in an industrial environment and exposure in the rubber and tyre industry. Mr Miller’s evidence must be considered together with an environmental health and safety expert who is required to determine the length and level of exposure.
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BAUS, BAUS Oncology, BAUS Endourology, RSM, BMA, AUA, FUA, EUA, M.Inst.D. FRGS