Year of first medical qualification: 2006
After graduating from Cardiff University in 2006, I completed core surgical training and urology specialist training in South Wales. I have always had a keen interest in diseases of the prostate which was further developed during a 2 year scientific research project into mechanisms of prostate cancer development at the European Cancer Stem Cell Research Institute. I was subsequently awarded a doctorate higher degree (MD) from Cardiff University in 2015.
During my training I published articles in scientific journals and have presented my research at both national and international meetings. I have also won multiple national and international awards, and have written book chapters and educational review articles.
I am currently a Consultant Urological and Robotic Surgeon at the Aneurin Bevan University Health Board and my subspecialist interests include diagnosing and treating diseases of the prostate, including benign prostatic enlargement (BPE) and prostate cancer.
The only urological surgeon in Wales trained to provide both robotic surgery for prostate cancer and Holmium Laser Enucleation of the Prostate (HoLEP), the gold-standard treatment for symptoms of benign prostate enlargement and urine retention. I am fortunate to have been mentored by some of the UK’s leading experts in these subspecialist areas of urology.
I possess a detailed understanding of core urological conditions including urinary stone disease, chronic pelvic pain, incontinence, blood in the urine (haematuria), and vasectomy. In my NHS practice I jointly run the erectile dysfunction service and I am motivated to provide a holistic approach when managing this sensitive problem.
Since developing a close relationship with the Rutherford Cancer Centre in Newport, and following completion of an accredited training programme, I aim to be able to offer prostate-rectum spacers to optimise patient safety and minimise rectal toxicity in men prior to undergoing radical radiotherapy (with either proton beam therapy or photon radiotherapy) for prostate cancer.
I am passionate about surgical education and clinical research, both of which keep my clinical skills up-to-date. I am an Assigned Educational Supervisor of Core Surgical Trainees for Health Education and Improvement Wales (HEIW) and an Honorary Lecturer of medical students at Cardiff University. I am responsible for overseeing the early stage career development of trainee doctors, particularly around the management of urological cancers, a role in which I take enormous pride.
My current research interests include the investigation of invisible blood in the urine (haematuria) and same-day discharge prostate surgery to minimise the complications associated with inpatient hospitals stays. I actively recruit to urological cancer trials and I am currently co-Principal Investigator of a clinical trial aiming to optimise the surgical treatment of prostate cancer (METAL trial).
My non-clinical organisational and managerial interests centre on NHS service re-design to improve diagnostic pathways and patient experience by employing Patient Reported Outcome Measures (PROMs).
I am clinical lead for ongoing quality improvement projects which will optimise the investigation of men’s urinary symptoms, and haematuria as a risk factor for urological cancer.
Royal College of Surgeons of England, Welsh Urological Society, Medical Protection Society
I am a Man of Gwent, having been born in Newport and raised in Newbridge. I am the husband of a Clinical Oncologist and father to two young children.
A rugby fanatic having played for Newport, Cross Keys and at international level in my youth.
Consultant Urological and Robotic Surgeon, Aneurin Bevan University Health Board
Honorary Consultant Urological Surgeon, Cardiff and Vale University Health Board
Honorary Lecturer, Cardiff University
Diseases of the prostate (benign prostatic enlargement and prostate cancer) and erectile dysfunction.
I have an established interest in prostate cancer research, including the basic science of prostate cancer, and the investigation of blood in the urine (haematuria).
Principle investigator for a number of clinical trials, and Honorary Lecturer at Cardiff University.
Clinical lead for ongoing quality improvement projects which have streamlined the investigation of men’s urinary symptoms, and haematuria as a risk factor for urological cancer.
Bladder cancer project, The Global Congress on Bladder Cancer meeting, Brussels
Prostate cancer project, Royal Society of Medicine Urology section, Malcolm Coptcoat Spring Short Papers prize meeting, London
Society for Academic and Research Surgery AGM (on behalf of BAUS), Cambridge University 2014
Invited to deliver lecture in ‘Leading Lights’ session for young UK urologists BAUS AGM 2013, Manchester 2013
Welsh Urological Society Spring Meeting
Welsh Urological Society Autumn Meeting
Welsh Urological Society Spring Meeting
Currently, publication of clinical outcomes in Wales is not mandatory in contrast with England. My results are peer reviewed within my NHS department and my logbook is scrutinised at annual consultant appraisal.
My outcomes for robotic prostatectomy and HoLEP are in line with those reported in the published literature.
International – moderated with presentation
National – moderated with presentation
‘Dear Mr Cox, further to your letter, I would like to thank you and your team for my operation on the 18th June 2018 and subsequent follow-up. Frankly I did not expect to have the successful recovery that I have made and consequently on my current lifestyle. I have read Tolstoy’s War and Peace, had pleasant walks locally and in Oxford, a holiday in Lanzarote, and I am booked to go to Rome in February for the rugby international and for some sightseeing! None of this would have been possible without the medical intervention I have received from you. Thank you so much!’ – Delighted man after laser prostate surgery (HoLEP) – 2018
‘Dear Chief Executive. I would like to express formally my sincere gratitude for the treatment I have received during my diagnosis, surgery and aftercare for prostate cancer. The consultant, Mr Adam Cox, has been so supportive and positive throughout, and his professionalism and care has been absolutely excellent. From my initial consultation, I feel I have received first class treatment, including biopsies, scans, pioneering surgery, the aftercare support network, and a prompt follow-up appointment. I have been kept fully informed and every procedure has been explained in detail. I cannot thank you enough, you have given me my life back!’ – Man pleased with his prostate cancer care under Mr Cox - 2018
‘Dear Mr Cox. Thank you for your kind consideration and help during my recent op and rehab’ - Satisfied man after laser prostate surgery (HoLEP) – 2018
‘Mr Cox, thank you for all the hard work you have put in to make sure that I am fit and healthy. I really can’t express my gratitude enough to you’ – Man after operation for testicular cancer – 2018
‘To Mr Cox. Many thanks for all your professional care and help’ – Man investigated for suspected prostate cancer – 2018
‘Thank you Mr Cox and team. Our sincere thanks for the speedy and efficient way you dealt with N on his recent visit for his prostate investigations’ – Man investigated for suspected prostate cancer – 2018
‘Dear Mr Cox. Thank you for your professional consultation’ – Man with complex urological needs - 2019
© St. Joseph's Hospital 2019