COVID-19 (updated December 2021)
UK private hospitals including the Yorkshire Clinic are now resuming private work. Face to face, telephone and video appointments are all now offered on Wednesday mornings and at other times by appointment. Investigations including cystoscopy and imaging are available on a routine and urgent basis. There has been a recent increase in operating capacity at the Yorkshire Clinic for local, regional and general anaesthetic procedures; day-case or in-patient stays are available, with rigorous COVID-19 safety precautions. A new Cook Medical Holmium Laser and Storz digital flexible ureterorenoscopes are available for daycase stone surgery.
If you wish to request a consultation please do so by telephoning my secretary Nichola Robinson on 07964222152 or emailing email@example.com
Self-funding patients can be directly invoiced; patients with private medical insurance should contact their provider to check their level of cover (most insurers are now covering for non face-to-face consultations).
James Forster Urology
UK Trained with International Experience:
Following Urological higher surgical training in the UK, Mr Forster completed a Fellowship in kidney stones and laparoscopic (keyhole) kidney surgery in Leeds. He has also operated on complex stones in Sri Lanka. He has performed over 1000 kidney stone operations and over 300 robotic and laparoscopic kidney cancer operations.
Qualifications: MBChB (University of Leicester), MD (University of Leeds), FRCS (Urol) (Royal College of Surgeons of Edinburgh), FEBU (European Board of Urology).
Mr Forster was educated in West Yorkshire and studied medicine at the University of Leicester. He was awarded a higher research degree (MD) at the University of Leeds for his research at Cancer Research UK into the genetic involvement in bladder cancer.
He is the author of twenty peer-reviewed international publications. He is a regular reviewer of two prestigious urological journals.
Fellow of the Royal College of Surgeons, Fellow of the European Board of Urologists, Full member of the British Association of Urological Surgeons.
NHS Hospitals: Consultant Urological Surgeon since 2013 at Bradford Teaching Hospitals NHS Foundation Trust with provision of acute cover to Airedale Foundation Trust
Out patients consultation
Evaluation & treatment of Male bladder/prostate problems
Investigation and treatment of recurrent urinary tract infections/cystitis
Treatment of Incontinence, including Botox therapy
Evaluation of blood in the urine (Haematuria)
Kidney stone investigations/treatment
Men's health and erectile dysfunction
Circumcision, vasectomy and other testicular surgery
Self pay or via Medical Insurance
Mr Forster is a recognised consultant with all major health insurance companies including:
Daga S, Palit V, Forster JA, Biyani CS, Joyce AD, Dimitrova AB. An Update on Evaluation and Management in Cystinuria. Urology. 2021 Mar;149:70-75.
Devlin CM, Fowler S, Biyani CS, Forster JA. Changes in UK renal oncological surgical practice from 2008 to 2017: implications for cancer service provision and surgical training. BJU Int. 2020 Accepted Nov 20 Published online ahead of print.
Nandwani GM, Anwar A, Singh R, Stewart AB, Forster JA, Addla SK. Assessment of Age and Duration of Symptoms on Outcomes of Emergency Scrotal Exploration for Acute Scrotal Pain. J Coll Physicians Surg Pak. 2020 Feb;30(2):201-204.
Turo R, Forster JA, West RM, Prescott S, Paul AB, Cross WR. Do prostate cancer nomograms give accurate information when applied to European patients? Scand J Urol. 2015 49(1): 16-24
Forster JA, Biyani CS. Painful varicocele in an infertile man. Canadian Medical Association Journal 2013 185(4): 321-2.
Forster JA, Harrison SCW. Ketamine uropathy: rising to the challenges of a new condition. British Journal of Urology International 2012 109(9): 1277-78.
Forster JA, Browning AJ, Paul AB, Biyani CS. Surgical simulators in urological training – views of UK Training Programme Directors. British Journal of Urology International 2012 110(6) 776-8.
Forster JA, Paul AB, Harnden P, Knowles MA. Expression of NRG1 and its receptors in human bladder cancer. British Journal of Cancer 2011 104 1135-43.
Forster JA, Palit V, Browning AJ, Biyani CS. Endoscopic management of upper tract transitional cell carcinoma. Review article. Indian Journal of Urology 2010 26(2) 177-82.
Myatt A, Palit V, Forster JA, Bryan N. A continuous bladder neck – urethral anastomosis following open radical retropubic prostatectomy. Surgery Illustrated – Focus on Details, British Journal of Urology International 2009 104(8) 1174-8.
Forster JA, Palit V, Myatt A, Hadi S, Bryan N. Technical description and outcomes of a continuous anastomosis in open radical prostatectomy. British Journal of Urology International 2009 104(7) 929-33.
Forster JA, Akram M, Rogawski KM. A case report of iatrogenic ureteric injury with Filschie clipping during laparoscopic sterilization. Journal of Minimally Invasive Gynecology 2009 16(3) 365-367.
Vollans SR, Sehjal R, Forster JA, Rogawski KM. Emphysematous pyelonephritis in Type II diabetes: a case report. Cases Journal 2008 1(1) 192.
Forster JA, Moazzam M, Lloyd SN. What is the role of retrograde ureteroscopy in the management of large renal calculi? British Journal of Medical and Surgical Urology 2008 1(1) 14-20.
Forster JA, Taylor J, Browning AJ, Biyani CS. A review of the natural progression of medullary sponge kidney and a novel grading system based on intra-venous urography findings. Urologia Internationalis 2007 78(3) 264-9
Zelhof B, Forster JA, Taylor J, Browning AJ, Biyani CS. Knowledge and utilization of prostate specific antigen test assay: a regional questionnaire study. Journal of Evaluation in Clinical Practice 2008 14 162-164
Forster J, Biyani, CS, Weston PMT. A gentle reminder in the laparoscopic era: left-sided inferior vena cava. International Urology and Nephrology 2006 38(3-4) 439-442
Forster JA, Agrawal V, Anathhanam AJ, Spencer N, Biyani SC. Breast carcinoma metastasising to the urinary bladder presenting as bilateral hydronephrosis treated with ureteral stenting and chemotherapy. Urologic Oncology: Seminars and Original Investigations 2006 24(1) 33-35
Taylor J, Forster JA, Biyani CS, Davies R, Browning AJ. Extracorporeal shock wave therapy for Peyronie’s disease: Who benefits? Journal of Endourology 2006 20(2) 135-8
I just want to say a massive thank you for all that you have done for me. I am recovering well due to the great expertise of you and your team. Thank you so much.
Just a card to say a big thank you for the wonderful procedure you and your team conducted to remove the offending stone in my left kidney. Thank you from the bottom of our hearts.
Just to say a huge thank you for fixing me recently, and for fitting me in at such short notice. I'm feeling much better now - its so good to be pain free again and to be able to sleep properly at last. Thanks again - much appreciated.
Information for Urological Conditions
Examples of some common Urological conditions
Recurrent Urinary Tract Infections - prevention and management
Urinary tract infections (UTI) are a common and troublesome urological complaint. UTIs can occur in any of the urological organs – most commonly in the bladder (cystitis) or kidney (pyelonephritis). In the UK, over half of women will have a UTI at some point, with 7% having two or more UTIs within a year. In men they can occur in the prostate (bacterial prostatitis) and testes (epididymo-orchitis). Overall, UTIs account for over 6 million GP consultations per year. Simple cystitis is bothersome, causing irritating and sometimes debilitating symptoms such as passing urine more often, stinging/offensive urine, pain in the lower abdomen and feeling unwell. More seriously, kidney infections can cause fevers/shaking and significant loin pain. Mr Forster offers tailored assessment and preventative treatments to minimise the impact of UTIs
The lifetime risk of forming a kidney or ureteric (kidney pipe) stone is increasing, both in the UK and internationally. This may be due to changes in diet and lifestyle. The age of first forming a kidney stone may be anywhere between the first few years or final years of life, though the majority of new patients are between 20 and 60 year old. Risk factors for stone formation include dehydration (often related to a warm workplace or lack of fluid intake), hot climates, obesity, and a family history of stone formation. Specific dietary factors are important, and these can depend both on patient factors, and the type of stone formed, for example some stones are related to a high animal protein diet.
Other medical conditions can be linked with kidney stone formation, including hypercalcaemia (a high calcium), diabetes, or gout (which causes high uric acid levels, seen in some stones).
Symptoms of kidney stones can be very sudden and severe, if the stone drops into the ureter (kidney pipe). This can be a medical emergency, with severe pain in the loin often accompanied with nausea and vomiting, and sometimes with blood in the urine. Stones in the kidney itself cause less sudden symptoms, with the patient experiencing anything between aches and pains in the loin, urine infections, blood in the urine, or sometimes no symptoms. Stone prevention is a major component of the management of patients with kidney stones. Mr Forster offers individual assessment of patients to examine and investigate risk factors, and offer specific advice and treatments to reduce the risk of further stone formation.
Blood in the urine (haematuria)
Blood in the urine is often a worrying symptom for patients. It can be visible (i.e. seen by the patient) or non-visible (i.e. found on dipstick or laboratory testing). There are many potential causes for haematuria both within the urinary tract and non-urological conditions. Mr Forster offers a prompt and thorough evaluation including utilising the latest diagnostic technologies.
Evaluation and treatment of urinary symptoms
Urinary symptoms are very common, and affect both men and women. Some patients "put up" with or ignore symptoms for many years before seeking specialist urological advice. Symptoms can include having to urinate more frequently - often with little notice, getting up at night, or (usually in men) a weak flow and prolonged urination. Causes include an overactive bladder or enlarged prostate, though sometime other factors contribute. Mr Forster offers a thorough evaluation, investigations and treatment specific to each individual patient.