Clinical interests in addition to general urology include:

Laparoscopic urological surgery

High-volume practice in laparoscopic surgery for a variety of indications, including:

• nephrectomy for benign and malignant disease
• pyeloplasty
• adrenalectomy

Stone disease

• Shock-wave lithotripsy (SWL): The Bristol Lithotripter Unit has a Storz Medical lithotripter for the treatment of renal and ureteral calculi. The lithotripter provides the backbone to a comprehensive stone treatment and prevention service.
• Kidney stone prevention: Once the crisis of a kidney stone episode is overcome, prevention becomes the focus. Mr Keeley carries out a comprehensive metabolic kidney stone evaluation in patients with troublesome kidney stone recurrences.
• Mr Keeley provides an expert service using minimally-invasive techniques for kidney stone removal, including percutaneous and ureteroscopic stone extraction. Minimally invasive treatment of kidney stones in all locations are carried out using the latest nephroscopes and ureteroscopes, both rigid and flexible, as well as the holmium:YAG laser. The aim is to achieve complete stone removal with minimum side effects.
• Minimally invasive treatment of upper urinary tract obstruction:  Laparoscopic pyeloplasty has emerged as the preferred treatment option for patients with PUJ obstruction.  Mr Keeley has one of the most extensive experiences with this procedure in the UK. Carefully selected patients with PUJ obstruction and ureteric strictures can be treated endoscopically, thereby avoiding any scars.

Research

Mr Keeley’s research activity includes the following aspects of upper urinary tract disorders:

• Cryoablation and partial nephrectomy in the treatment of kidney tumours
• The diagnosis and minimally invasive management of upper urinary tract transitional cell carcinoma
• The evaluation and treatment of pelviureteric junction (PUJ) obstruction
• The minimally invasive management of stone disease
• The investigation of mechanisms responsible for stone fragmentation from extracorporeal shock wave lithotripsy (SWL)
• The role of anatomic factors in stone clearance following SWL
• Comparison of irrigating fluids during TURP
• Endoluminal ultrasound in the evaluation of UPJ obstruction and the staging of upper tract transitional cell carcinoma
• The quality of life of patients with urinary stone disease, especially in patients requiring ureteral stents
• The evaluation of medical expulsive therapy for ureteral stones

1998-Present

Consultant Urologist

Bristol Spire Hospital, Bristol

1996-1998

Endourology Fellow

Scottish Lithotriptor Centre, Western General Hospital, Edinburgh

1995-1996

Chief Urology Resident

Thomas Jefferson University Hospital, Philadelphia

1992-1995

Urology Resident

Thomas Jefferson University Hospital, Philadelphia

1990-1992

General Surgical Intern and Junior Resident

Thomas Jefferson University Hospital, Philadelphia

1998

Mediated entry onto GMC Specialist Register

Endourological Society Fellowship

1997

Fellow of the Intercollegiate Board of Urology

FRCS Urology

1991

Diplomate, National Board of Medical Examiners (US)