Mr Ronald A Miller
MS FRCS FRGS
Consultant Urological and Minimally Invasive Surgeon

Dr Miller was educated at Westminster School and qualified (MBBS) from St Bartholomew's Hospital, School of Medicine, London, in 1974. He was a Senior Registrar at St Bartholomew's Hospital and Lecturer at the Institute of Urology, London working with John Wickham.

He was appointed to the Consultant Staff at the Institute of Urology as a Senior Lecturer in 1986 and was appointed in that same year also to the Royal Northern Hospital as a Consultant Urological Surgeon.

In 1989 he became Consultant Director of the Department of Urology at the Whittington Hospital and also held in the post of Honorary Senior Lecturer at the Institute of Urology at the Middlesex Hospital.

In 2005 he was appointed Honorary Senior Lecturer to the Royal Free in addition to his other substantive posts. Privately he practices at the Hospital of St John and St Elizabeth and the Wellington Hospital in St John's Wood. His practice encompasses all types of urological surgery. He has a special interest in minimally invasive surgery and is recognised as a national expert in this field and in day case urological surgery. In addition to this he was the lead for bladder cancer surgery at the Whittington Hospital and was responsible for all the major bladder cancer surgery there. He has been a supraregional expert in renal surgery in both endoscopic and open for many years. He is one of the earliest pioneers of endoscopic renal surgery and is a world authority in this area.

In 2006 he became an Honorary Consultant at UCH where he was the lead for Urothelial Cancer Surgery (Cystectomy).  In the same year he became Chairman of the NLCN Urology Tumour Board responsible for the practice, outcomes, and governance of all urological cancer surgery in North London.

He has published more than 250 papers, given more than 300 national and international presentations and was responsible for running a very large research department based at the Whittington Hospital. He is a member of the British, American, French and European Urological Associations. His research was recognised by an appointment as Hunterian Professor at the Royal College of Surgeons, London in 1986. His MS thesis was the first work on percutaneous renal surgery. He has given many named lectures and has received many international accolades.

He has been carrying out medicolegal practice in urological surgery for the last 25 years and is very experienced in this area having attended all the relevant courses and having lectured on these. His works in this area is divided as 10% single joint expert, 60% claimant, and 30% defendant.

In 2011 after 25 years as a consultant in the NHS Mr Miller resigned his NHS posts to concentrate on clinical and medico-legal private practice.  He continues to lecture students from University College Hospital, takes part in weekly MDTs and holds an Emeritus Contract with The Whittington NHS Trust.

Appointments March 2011 → Present Day

• Emeritus Consultant Urological Surgeon - Whittington Hospital
• Honorary Snr. Lecturer – University College Hospital Medical School
• Honorary Consultant Urological Surgeon – The Hospital of St John and St Elizabeth
• Consultant Urological  Surgeon – Highgate Hospital
• Consultant Urological Surgeon – Wellington Hospital
• MD Urology Chambers Limited
• Snr. Partner – Woolaston House Private Medical Chambers
• Expert Witness for Urological Surgery
• Urological Advisor for the Centre of Health and Human Performance – 76 Harley Street

Appointments Prior to March 2011

• Consultant Director  MIS and Urology – Whittington Hospital (1986)
• Honorary Snr. Lecturer – UCHMS/Institute of Urology (1986)
• Honorary Consultant Urologist – St Peter’s Hospitals (1986)
• Honorary Consultant Urologist – UCH (Urothelial Cancer) (2006)
• Honorary Consultant Urologist – Royal Free Hospital (2005)
• Honorary Consultant Urologist – Hospital of St. Johns and St. Elizabeth (1986)
• MD – Woolaston House Private Medical Chambers (1998)
• Chairman of the Urology Tumour Board – NLCN (2006)

Areas of Expertise:

I have been a superregional urological specialist for both open and endoscopic renal (kidney) surgery for many years, with a particular interest in stone disease. I have an international reputation in this area.

I am a member of the British Association of Urological Surgeons, Uro-oncology Section, and have been Chairman of North London Cancer Network Urology Committee,which was responsible for the governance and outcome of all tumour surgery in the region. I have extensive experience of both renal and bladder cancer surgery, and worked for a number of years at the Regional Cancer Centre at University College Hospital, as well as the Royal Free Hospital.

I am completely conversant with the medical and endoscopic techniques for the treatment of prostate disease.

I am an internationally recognised authority in urological day surgery with emphasis on minimally invasive methods. Most scroto-genital surgery can be performed as a day case (circumcision, vasectomy, vasectomy reversal, epididymal cysts, varicocoeles, and testicle removal).

I have 25 years’ experience dealing with the major surgical complications following gynaecological surgery (perforated bladder, fistulae, ureteric damage) I was lead clinician in this respect serving a very busy Obs and Gynae unit.

In the last 10 years I have become interested in Urological Pain Syndromes (painful bladder syndrome, urethral syndrome, prostatitis, pelvic pain of a urological origin, chronic testicular pain).  I have developed a number of novel treatments for these difficult conditions with a good degree of success.

My clinical work is supported by considerable experience of research, which has resulted in more than 250 publications and 300 national and international presentations. I was also responsible for eight post-graduate degrees from my department, which were both sponsored and supervised from the Whittington Urology Department by myself.

I no longer work within the National Health Service, having retired from the Whittington. I am currently endeavouring to provide a more personalised service in the private hospitals where I work. I continue my close academic links with university departments for teaching and research. I still hold the position of Honorary Senior Lecturer to University College Hospital Medical School. I regularly teach medical students from this university. I also have honorary appointments at the Whittington, University College Hospital and The Royal Free Hospitals.

I have completed six years of regular appraisals and continue to do so.

Insurance Companies:

We are happy to provide assistance in completing insurance forms and will write to the insurance companies on your behalf. Woolaston House is unable to guarantee that your insurance company will settle your fees, and therefore the patient ultimately remains responsible and accountable for their bills.

Fees (Clinical)

These are paid in Pounds Sterling. Cheques should be addressed to Urology Chambers Limited. Standard rates apply for outpatients.
If you wish to pay by BACS transfer please contact my office for details.

New Patient               £200
Follow up Patient      £175 (follow-up within six months)
Medico-Legal Rates    (see below)

Rate for operations vary, but are usually in line with the fee schedules of the major insurers.

Package deals for self-pay patients are available on request (this includes surgeon, anaesthetist, hospital and test fees).

Private Practice Availability:

OUTPATIENTS:

Tuesday PM               The Hospital of St John and St Elizabeth
                                  London Urology Clinic
                                   
Thursday PM              Highgate Private Hospital

Friday AM                   The Hospital of St John and St Elizabeth
                                  London Urology Clinic

OPERATING ROUTINE WEEKLY:

Tuesday AM               By special arrangement

Thursday                    Highgate Private Hospital

Friday PM                   The Hospital of St John and St Elizabeth / Wellington Hospital

PRIVATE PRACTICE:

In all cases I endeavour to treat patients as individuals with respect and patience. I am always happy for patients to seek a second opinion. I am pleased to refer patients to colleagues if I believe that I cannot provide the latest safe and effective treatment for whatever reason.  My extensive experience and knowledge of London Urologists ensure that any patient who is referred for further specialist treatments will be in very safe hands.  My private practice is administered through Woolaston House Private Medical Chambers. The efficient and friendly staff at Woolaston House are able to help you with any queries regarding my practice.

Appointments can be made by telephoning my secretary on 020 8341 3422. The fax number is 020 8340 1376. The e-mail is info@woolastonhouse.com

Hospital Admitting Rights:

The Hospital of St John and St Elizabeth
60 Grove End Road
London
NW8 9NH

Appointments – 0208 341 3422

Highgate Private Hospital
17 – 19 View Road
Highgate
London
N6 4DJ

Appointments – 0208 341 3422

Wellington Hospital
Wellington Place
London
NW8 9LE

Appointments – 0208 341 3422

Symptoms and Conditions Mr Miller Regularly Deals With:

1. Frequency, urgency, incontinence, getting up at night. Possible due to;
• Unstable bladder
• Infection
• Prostate problems
• Strictures
• Outflow obstruction
• Metabolic problems
  
  
2. Poor flow, dribbling, hesitancy, inability to pass urine (retention). Possibly due to:
• Infection
• Prostate problems, benign and malignant (cancer)
• Outflow problems
• Neuropathic bladders
  
  
3. Pain in the loin and fever. Possibly due to;
• Stones
• Infection
• Abnormality in the kidney and ureter
  
  
4. Blood in the urine. Possibly due to:
• Infections
• Stones
• Inflammation
• Cancer
  
  
5. Pain when passing urine. Possibly due to;
• Cystitis
• Urethritis
• Prostatitis
• Stones
  
  
6. Pain syndromes. Possibly due to;
• Urethral syndrome
• Painful bladder syndrome
• Pelvic pain
• Scrotal pain
• Prostatitis
  
  
7. Unable to have children. Possibly due to;
• Blocked vas
• Vasectomy
• Primary testicular lesion
• Hormone problems
  
  
8. Lump in the scrotum. Possibly due to;
• Epididymal cyst
• Varicocoele
• Other cysts
• Testicular tumours
  
  
9. Requests for vasectomy and reversal
   
   
10. Penile problems and treatments, such as;
• Circumcision
• Impotence
• Peyronie's Disease (bend of the penis on erection)
• Erectile problems (impotence)
• Biopsies/Cancer

Medico-Legal Practice

I have 25 years experience at consultant level dealing with urological problems resulting in legal action, for both Hospital Trusts (NHS Litigation Service) and claimants. I have a wide experience in medical negligence cases.

I have acted for the MPS, MDU, and have attended GMC hearings on behalf of urological surgeons and colleagues as an expert representative.

I have received instructions from most leading law firms in London and Bristol, as well as Southern Ireland. I am validated on the expert witness register and on the expert witness directory (legal hub). I have attended courses in giving evidence in court and preparing reports.

I am a member of the Medico-Legal Section at the Royal Society of Medicine.

I have lectured on medico-legal issues to the Royal Society of Medicine, the Holyrood Urological Society, French Urological Update Courses, the Gough Square Clinical and Legal Update Seminars, and the Inner Temple Further Education Day for Barristers.

I am currently spending two days a week on medico-legal practice, doing between 60 and 80 cases. These are divided in to defendant 30%, claimant 60%, joint single expert 10%.

Medico-Legal Terms and Conditions