Mr Simon Brewster

Urologist in Oxfordshire

BSc MD FRCS (Urol)

GMC: 3169148

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Professional statement

Mr Simon Brewster is a consultant urological surgeon with more than 33 years' experience of clinical practice in urology. With a private practice in Oxford running alongside his senior NHS consultant position, Mr Brewster offers state-of-the-art care for the diagnosis and management of prostate cancer, benign prostate enlargement symptoms, prostatitis, urinary tract infections (UTI), scrotal conditions and blood in the urine (haematuria).

After qualifying as a doctor from London's Charing Cross Hospital in 1986 with a first class degree in anatomy and honours in pathology, Mr Brewster undertook his training in surgery and a doctorate research thesis based in Bristol. In 1998 he was appointed as a consultant in Oxford and pioneered the prostate cancer and HoLEP services there. He has led the University Hospitals department with teaching, clinical management, clinical governance and as an elected staff governor for the NHS Foundation Trust. He is a Fellow and Tutor at Hertford College, Oxford. Nationally and internationally, Mr Brewster has influenced specialist training and auditing of surgical outcomes by organising two major conferences and has sat on committees of the British Association of Urological Surgeons (BAUS) and the Uro-oncology Board of the European Association of Urologists (EAU).

Mr Brewster performs MRI-targeted prostate biopsy, diagnostic bladder examinations (cystoscopy) and a wide range of surgery with a high level of patient satisfaction. For prostate and bladder symptoms he offers all medical options and recent surgical innovations including holmium laser enucleation (HoLEP), BIPOLAR TURP and Rezum steam ablation which have the advantages of reduced bleeding, side-effects and a very short hospital stay compared to traditional prostate surgery. He also has considerable experience with ultrasound-guided prostate brachytherapy, gel spacer implants prior to prostate radiotherapy and day-case injections to treat incontinence after prostatectomy. Mr Brewster also offers patients the new Water-jet prostate AquaAblation treatment.

Mr Brewster maintains an active interest in research and education; he has produced over 90 publications in books and peer-reviewed journals. He is a co-author of the very popular Oxford Handbook of Urology, now in its 4th edition. He undergoes annual appraisal and revalidates with the GMC every five years. With extensive experience in patient care and urological surgery when necessary, Mr Brewster offers a comprehensive evidence-based and personalised service to private patients within and beyond Oxfordshire.

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Benign prostate enlargement can cause significant discomfort for men when urinating.

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Credentials

GMC: ‍3169148

Professional experience

• More than 35 years of experience
• Consultant Urological Surgeon, Churchill Hospital, Oxford University Hospitals NHS Foundation Trust (1998 - present)
• Consultant Urological Surgeon, Nuffield Health The Manor Hospital, Oxford (present)
• Chairman, Urology Tumour site-specific group, Thames Valley Cancer Network (2008 - 2013)

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Sub-specialties

• Prostate disease
• Bladder conditions
• Urinary symptoms
• Holmium laser prostate enucleation (HoLEP)
• Radical prostatectomy
• Transperineal prostate biopsy
• Lumps in testicle/scrotum

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Positions in public associations

• Elected Clinical Staff Governor, Oxford University Hospitals NHS Foundation Trust (2017-2022)

Teaching posts

• Honorary Senior Lecturer, University of Oxford Clinical (1998 - present)
• Fellow and clinical tutor, Hertford College, Oxford (2002 - present)

Education

• FRCS (Urol), Combined Royal Colleges of Surgeons of the UK and Ireland (1997)
• MD (Doctor of Medicine), University of Bristol (1993)
• MB BS (hons), University of London (1986)
• BSc, Anatomy 1st class hons. University of London (1983)

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Publications and conferences

• More Men Die with Prostate cancer than Because of it – An Old Adage that Still Holds True in the 21st Century. Jacklin C, Philippou Y, Brewster SF & Bryant RJ. Cancer Treatment and Research Communications (2021) 26: 1-9. Doi.org/10.1016/j.ctarc.2020.100225.
• COMPARISON OF PROSTATE BIOPSY WITH OR WITHOUT PRE-BIOPSY MPMRI FOR PROSTATE CANCER DETECTION: AN OBSERVATIONAL COHORT STUDY Bryant RJ , Hobbs CP, Eyre KS, Davies LC, McCormick R, Sullivan ME, Shields W, Verrill C, Gleeson F, MacPherson R, Hamdy FC , Brewster SF. J Urol 2019; 201: 510-519. Includes an Editorial Comment and Reply by the authors.
• OVERCOMING DIFFICULTIES WITH EQUIPOISE TO ENABLE RECRUITMENT TO A RANDOMISED TRIAL OF PARTIAL ABLATION VS RADICAL PROSTATECTOMY FOR UNILATERAL LOCALISED PROSTATE CANCER Elliott D, Hamdy FC, Leslie T, Rosario D, Dudderidge T, Hindley R, Emberton M, Brewster S, Sooriakumaran P, Catto J, Emara A, Ahmed H, Whybrow P, lc Conte S, Donovan J. BJUI 2018; 122: 970-7.
• EFFECTS OF INTRODUCING PRE-BIOPSY MPMRI INTO CONTEMPORARY UK PROSTATE CANCER DETECTION C. Hobbs, K. Eyre, R. Mccormick, Hamdy FC, Brewster SF, Bryant R European Urology Supplements 2018 17(2):e1870.
• DOES THE INTRODUCTION OF PROSTATE MULTIPARAMETRIC MRI INTO ACTIVE SURVEILLANCE OF LOCALISED PROSTATE CANCER IMPROVE PATIENT RE‐CLASSIFICATION? RJ Bryant, B Yang, Y Philippou, K Lam, M Obiakor, J Ayers, V Chiocchia, F Gleeson, R MacPherson, C Verrill, P Sooriakumaran, FC Hamdy, SF Brewster BJUI 2018 ; 122 : 794-800. (Awarded “Article of the Week” by the editor, 18/11/18)
• HIGH LEVELS OF PATIENT SATISFACTION IN JOINT URO-ONCOLOGY CLINICS TO ASSIST PATIENT CHOICE IN EARLY PROSTATE CANCER AND MUSCLE- INVASIVE BLADDER CANCER. Kiltie AE, Southby R, LeMonnier K, Binnee J, Niederer J, Kartsonaki C, Camilleri P, Sabharwal A, Brewster S, Crew J, Hamdy FC. Clin Oncol (R Coll Radiol). 2018; 30; e39.
• REDUCING MORTALITY IN THE AGEING PATIENT: TREATMENT OF THE PRIMARY TUMOUR IS NOT NECESSARY. Lamb AD, Brewster SF, Hamdy FC. European Urology Focus 2018; 3, 328-329.
• MANAGING PATIENTS WITH METASTATIC PROSTATE CANCER: WHO TAKES THE LEAD? Hughes, S, McNeill A, Brewster S, Clarke N, Troup J & Payne H. Health Trends 2017; 8: 25-30.
• INTRODUCING MPMRI INTO CONTEMPORARY UK ACTIVE SURVEILLANCE FOR LOCALISED PROSTATE CANCER. Bryant Rj, Yang B, Philippou Y, Lam K, Obiakor M, Ayers J, Gleeson F, Macpherson R, Verrill C, Roberts I, Leslie T, Crew J, Sooriakumaran P, Hamdy Fc, Brewster S. J Urol 2017;197:No. 4S, e1054.
• ADVANCES IN UROLOGY 2015-2016. Brewster S, Biers S, Challacombe B, Cresswell J, Sinclair A & Smith D. J Clin Urol 2017; 10: 39-48.
• PROSTATE BIOPSY – WHAT IS THE MOST APPROPRIATE APPROACH? Richard Bryant & Simon Brewster. BJUI Knowledge 2016 https://app.tessello.co.uk/CourseStore/clients/BJUI/71712 Prostatebiopsywhatistheappropr-2016113141647/launch.html Doi: 10.18591/BJUIK.0184
• UROLOGICAL RECOMMENDATIONS FROM THE NICE GUIDELINE, JUNE 2015: SUSPECTED CANCER: RECOGNITION AND REFERRAL Jefferies ER & Brewster SF on behalf of the BAUS Section of Oncology. BJUI 2016; 117: 857-860. doi: 10.1111/bju.13355.
• ALTERED EXPRESSION OF MARKERS OF EPITHELIAL-TO-MESENCHYMAL TRANSITION AT THE EXTRAPROSTATIC EXTENSION COMPONENT OF LOCALLY INVASIVE PROSTATE CANCERS Verrill C., Schmitt AJ, Roberts ID, Gill S P,Browning L , Brewster SF, Hamdy FC, Bryant RJ. Oncotarget 2016; 7: 1107–1119.
• ESTABLISHING NURSE-LED ACTIVE SURVEILLANCE FOR MEN WITH LOCALISED PROSTATE CANCER: DEVELOPMENT AND FORMATIVE EVALUATION OF A MODEL OF CARE IN THE PROTECT TRIAL. Julia Wade, Peter N Holding, Susan Bonnington, Leila Rooshenas, J Athene Lane, C Elizabeth Salter, Kate Tilling, Mark J Speakman, Simon F Brewster, Simon Evans, David E Neal, Freddie C Hamdy, Jenny L Donovan For The Protect Study Group. BMJ Open 2015; 5:e008953.doi:10.1136/bmjopen-2015-008953 22 Sept 2015

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Prizes and awards

• Elected executive board member, British Association of Urological Surgeons (2010 - 2015)
• Executive board member, European Association of Urology (2008 - 2013)

Professional membership

• Full Member of BAUS (British Association of Urological Surgeons) and AUA (American Urological Associations)