Medicolegal Expert Witness – Urology
Mr James Moore MD LLM FRCS(Urol) trained in Cardiff and London before completing urological research at the University of Oxford as a Royal College Fellow. He completed Higher Surgical Training at Oxford, and then engaged in subspecialist fellowship training in Christchurch, New Zealand gaining expertise in Reconstructive Urology, Pelvic Floor Surgery, Spinal Injuries and Neurourology.
He is an NHS Consultant Urological Surgeon based at East Sussex Healthcare Trust where he has been the lead reconstructive surgeon in the region since 2008. With three decades of urology experience he is now recognised as the regional subspecialist in Female, Functional and Neurological Urology, and is regarded as a key opinion leader in incontinence surgery, training consultants across the United Kingdom. James also has sustained leadership positions in R&D, Clinical Governance and Risk Management and holds multiple Clinical Excellence Awards. He is also member of the Executive Comittee of the British Association of Urological Surgeons (BAUS) section of Female, Neurological and Urodynamic Urology.
Mr James Moore MD LLM FRCS(Urol) has a high volume medicolegal practice, established in 2012, acting on instructions from leading claimant solicitors (individual and group litigation), defence solicitors, The MPS, and the NHS. He has experience of giving evidence as an expert witness in Court, the Coroners Court and he is a member of the GMC Fitness to Practice panel.
He has full Cardiff University / Bond Solon Expert Witness Accreditation (since 2014). He is a member of The Academy of Experts and AvMA. He has lectured widely on medicolegal aspects of urology and has been a faculty member on medicolegal training courses for both medical and legal professionals.
Mr Moore has a master’s degree in Medical Law and Ethics and was awarded his LLM with distinction.
Medicolegal Expertise in
Vaginal mesh complications, TVT / TOT
Having led a complex Female Urology / Urogynaecology service for over a decade, Mr Moore is highly experienced in the management of complications arising from vaginal mesh devices such as TVT and TOT. He has provided a substantial number of expert reports and has advised a number of leading UK clinical negligence firms on class action cases.
Obstetric and Gynaecological Injuries to Bladder and Ureter
Mr Moore provides a regional reconstructive urology service assessing and treating women who have sustained injuries during childbirth, Caesarean Section and hysterectomy. He has provided many Expert reports in this area and recognises the complex and substantial aspects of permanent harm and suffering that result.
Bladder Overdistension Injury
Mr Moore regularly provides care for women who have sustained bladder overdistension injuries after pelvic surgery, Caesarean Section or vaginal delivery. Prolonged bladder can rapidly cause permanent voiding dysfunction with lifelong consequences. He has given expert opinion on a large number of such cases, often resulting in substantial quantum.
Genitourinary trauma, Pelvic Fracture
Mr Moore is regularly instructed by specialist injury lawyers and has a clear understanding of the long term effects of pelvic injury on bladder and sexual function in men and women.
Neurological Trauma, Head Injury / Spinal Cord Injury
Mr Moore is fellowship trained in neurourology and cares for a large population of urology patients with chronic neuropathic bladders. He routinely advises both claimant and defendant in cases of spinal and brain injury.
Cauda Equina Syndrome
Mr Moore regularly manages patients suffering from the urological consequences that result from the delayed diagnosis of CES. He understands the often devastating lifelong consequences of bladder failure associated with CES and the variable natural history of the condition.
Diagnostic and treatment delay
Mr Moore works in a busy District General Hospital and is responsible for both emergency and diagnostic services in general urology. He has provided expert opinion on a wide variety of general urological matters which although straightforward are often highly litigious:
- Delayed diagnosis of testicular torsion.
- Inadequate evaluation of haematuria.
- Circumcision.
- UTI and postoperative urinary sepsis.
- Forgotten ureteric stents.
- Incontinence after urology surgery.