Consultant – Urology

1. Position Details ● Job Title: Consultant – Urology ● Department: Urology ● Locations: Health City at Camana Bay and Health City East End, as applicable to the service ● Reports To: Medical Director ● Salary: Fixed Base -$6,000 + $8,000 USD per month + variable 2. Job Summary The Consultant in Urology is a senior specialist surgeon responsible for diagnosis and medical / operative management of urological disease at HCCI. The post-holder manages urinary tract obstruction, stone disease, prostate and bladder conditions, urological malignancy and acute urological emergencies, and performs endoscopic, open or minimally invasive procedures within granted privileges. The role includes perioperative care, catheter and device safety, multidisciplinary oncology coordination, teaching, governance, audit and quality improvement. 3. Key Responsibilities 3.1 Urological Assessment & Management ● Assess and manage lower urinary tract symptoms, urinary retention, haematuria, recurrent infection, stone disease, prostate disorders and other urological presentations. ● Interpret urinalysis, renal function, PSA, ultrasound, CT and other relevant investigations and formulate evidence-based plans. ● Provide specialist consultation for inpatients, outpatients and emergency presentations. ● Identify high-risk haematuria, obstructed infected systems and suspected malignancy requiring urgent investigation or intervention. 3.2 Endourology, Surgery & Procedures ● Perform cystoscopy, ureteroscopic, transurethral, stone and other urological procedures within credentialed privileges. ● Perform open or minimally invasive urological surgery only within approved competence and service capability. ● Ensure consent, Universal Protocol, surgical safety checklist, antibiotic prophylaxis and device / implant traceability where applicable. ● Recognise and manage perioperative bleeding, infection, urinary leak, obstruction and other complications. 3.3 Urological Emergencies & Acute Care ● Provide senior management of acute urinary retention, obstructive uropathy, urosepsis, testicular torsion, priapism and traumatic urological injury within scope. ● Arrange urgent decompression, operative intervention or transfer when indicated. ● Coordinate resuscitation and critical-care support for septic or unstable patients. ● Ensure timely imaging and specialist decision-making for time-sensitive urological emergencies. 3.4 Oncology, Catheter / Device Safety & Follow-Up ● Participate in multidisciplinary oncology care for prostate, bladder, renal and other urological malignancies. ● Ensure safe catheter, stent, nephrostomy and urinary-device management and clear plans for removal / exchange. ● Provide follow-up for pathology results, cancer surveillance, stone prevention and functional recovery. ● Educate patients regarding hydration, medication, catheter / stent care, warning symptoms and follow-up. 3.5 Diagnostics, Prescribing & Medication / Treatment Safety ● Request and interpret investigations appropriately, based on clinical need, evidence, risk and cost-effectiveness. ● Prescribe and administer / authorise treatment safely within scope of practice, confirming patient identity, allergies, dose, route, interactions, contraindications and monitoring requirements. ● Recognise and manage adverse drug reactions, treatment complications and medication errors and report them in accordance with hospital policy. ● Support antimicrobial stewardship, formulary compliance and medication reconciliation where applicable. 3.6 Documentation & Medico-Legal Responsibilities ● Maintain accurate, complete and contemporaneous clinical records for every patient encounter in the hospital information system. ● Document assessment, clinical reasoning, consent, procedures, treatment plans, referrals, handovers and follow-up requirements clearly and promptly. ● Complete statutory, medico-legal and administrative documentation accurately and in a timely manner while maintaining strict confident