Clinical Responsibilities

Apart from running general urology clinics at Southmead, Mr. Keeley’s clinical interests include the following urological subspecialties:

• Laparoscopic urological surgery: High-volume practice in laparoscopic surgery for a variety of indications, including
  • nephrectomy for benign and malignant disease
  • laparoscopic renal cryoablation, which involves freezing kidney tumors as an alternative to removing the entire kidney
  • partial nephrectomy
  • pyeloplasty
  • adrenalectomy. 
  • complex laparoscopic procedures for endometriosis in collaboration with Mr. Sanjay Vyas, consultant gynecologist (http://www.endo-clinic.co.uk/index.htm)
• Stone disease:
  • Extracorporeal shock-wave lithotripsy (ESWL): The Lithotriptor Unit at Southmead has a Dornier lithotriptor for the treatment of renal and ureteral calculi.  Mr. Keeley and Mr. Timoney supervise the Unit.  The lithotriptor provides the backbone to a comprehensive stone treatment and prevention service. 
  • Joint clinic in kidney stone prevention with Professor Terry Feest.
  • Percutaneous and ureteroscopic stone extraction, including referrals for complex stones disease from the Southwest of England and south Wales.  Minimally invasive treatment of urinary calculi in all locations are carried out using the latest nephroscopes and ureteroscopes, both rigid and flexible, as well as the holmium:YAG laser.
  • Minimally invasive treatment of upper urinary tract obstruction:  Laparoscopic pyeloplasty has emerged as the preferred treatment option for patients with PUJ obstruction.  We have one of the most extensive experiences with this procedure in the UK. Carefully selected patients with PUJ obstruction and ureteric strictures can be treated endoscopically.
  • Minimally invasive treatment of upper urinary tract transitional cell carcinoma: Selected patients with upper tract tumors can be treated endoscopically, thereby preserving their kidneys.  Patients are referred from across the UK for diagnosis and treatment.