Joseph Mercy Hospital...Mon-Fri... 11am - 5pm
New Medical Arts Hospital..Wed...8am - 9:30 am. Welcome to Urocare Urology Network
We are the premier provider of adult and pediatric urology healthcare services. Our staff provides personalized, cost effective evaluation and management of urological disorders. In facing these healthcare challenges, we offer our patients and their families unsurpass
ed expertise, dedicated service and attentive follow-up care. At our core is an unwavering dedication and compliance with the highest medical ethics…. doing what is right for the patient and a passion for excellence obtained by investing the required time and energy to become a more knowledgeable and skilled surgical team. There are no shortcuts in providing quality care. ABOUT US
Urocare Urology Network
Guyana & Trinidad
Urocare Urology Network is a network of healthcare professionals dedicated to the provision of 5current evaluation and management strategies in Adult and Pediatric Urology. We subscribe to international guidelines and best practices as outlined by agencies such as the American Urological Association and European Association of Urology. The lead physician, Dr. Brian Niles has over twenty-six years of experience in urological practice in the Midwest USA and Caribbean. Over this period, Dr. Niles has acquired tremendous expertise in several subdisciplines of urological surgery such as female urology, prosthetics, urologic oncology and pediatric urology. He has developed an international network of primarily American based urological colleagues who actively participate in the care of challenging cases. Dr. Niles was fellowship trained in endourology / minimally invasive endoscopic urology at Long Island Jewish Medical Center, New York, USA. Dr. Niles has published in international peer reviewed journals and texts. Upon returning to the Caribbean at the conclusion of urologic residency at Howard University Hospital, Washington, D.C., Dr. Niles witnessed the challenges in providing quality reconstructive urologic repairs for infants which led him to obtain further training from Dr. Barry Belman, then Chairman of Urology at Children’s Hospital, Washington, D.C., and a leading expert in pediatric urology. The passion for hypospadias repair surgery spurred an interest in reconstructive urethral surgery and urethral stricture surgery. Consequently, Urocare Urology Network is able to provide experienced reconstructive surgical services for a wide variety of lower urinary tract issues presenting either de novo or as referrals from other providers. The network includes physicians, experienced adult & pediatric anesthesiologists, intensivists, physiotherapists and access to trained urological nursing personnel all of whom are focused on timely intervention to help you transition to maximal recovery. Our follow-up care is second to none. We have automated our follow-up protocols to be consistent with international guidelines of care for your specific condition. Urocare Urology Network is sensitive to the needs of the communities we serve. Consequently, we are mindful to assist all regardless of their personal circumstances. We believe that quality healthcare services are a basic human right as opposed to a privilege. We encourage you to join the Urocare Urology Network for competent and compassionate care. Our Providers
Brian S. Niles, M.D. Founder and Director
Dr. Niles is the founder and director of the Urocare Urology Network with affiliates in Trinidad and Tobago and The Cooperative Republic of Guyana, South America. Dr. Niles is fellowship trained in endourology and minimally invasive therapies for stone disease to include holmium laser lithotripsy and percutaneous management of urinary tract stones. He is certified in KTP / green light laser prostate therapy for BPH / LUTS. Other special interests developed include hypospadiology and reconstructive surgery for urethral stricture disease to include posterior urethroplasty and use of oral mucosal grafts in stricture surgery. Dr. Niles is a native of St. Augustine, Trinidad and Tobago. He is the son of the late Stanley Niles, a retired senior Customs officer and the late Cynthia P. Niles, a retired school teacher whose career spanned over fifty years. He attended high school at St. Mary’s College in Port of Spain where he graduated with distinction earning a national scholarship via the Cambridge University Advanced level examinations. He went on to enroll at Howard University, Washington, D.C., USA where he graduated summa cm laude. Dr. Niles received his medical degree in 1987 from the Howard University College of Medicine. He completed urology residency at Howard University Hospital in 1994. Upon completion of his residency, he was recommended by world renowned pediatric urologist, Dr. Barry Belman, for fellowship training. Dr. Niles completed a year of academic research and fellowship training in endourology under Dr. Arthur Smith at the Long Island Jewish Medical Center in New Hyde Park, New York. Dr. Niles has practiced in the Midwest USA and the Caribbean over the past twenty- six years of his career. He is credited for introducing both radical prostatectomy for the treatment of prostate cancer as well as percutaneous nephrolithotomy for stone debulking in Trinidad and Tobago. In 2003, Dr. Niles was invited by the Seventh Day Adventist community to provide urological services in Georgetown, Guyana at Davis Memorial Center and subsequently expanded services to include St. Joseph Mercy Hospital, Woodlands Hospital and Linden Hospital Center in Linden, Guyana. He has served as a guest faculty for the American Urological Association and published numerous articles in international peer reviewed journals in urology. Publications & Research:
• Niles, Brian and Smith, Arthur: Endoscopic Management of Ureteropelvic Junction Obstruction: In: New Techniques in Reconstructive Urology. Jack W Mc Annich Igaku Shoin Medical Publishers, Inc. 1994
• Niles, Brian and Smith, Arthur: Endourology and Pregnancy: In: Smith’s Textbook of Endourology: Quality Medical Publishers, St. Louis, Missouri
• Niles, Brian and Smith, Arthur: Technique of Percutaneous Nephrostomy – Antegrade / Retrograde Under Fluoroscopic Guidance. In Atlas of Urologic Clinics of North America WB Saunders Company April 1996
• Niles, Brian and Smith, Arthur: Unusual Stones: In: Atlas of Urologic Clinics of North America , WB Saunders Company 1996
• Niles, Brian and Smith, Arthur: Uric Acid Crystals stimulate tubular epithelial cell proliferation (abstract) Journal of Urology v 153 supplement April 1995
• Niles, Brian and Smith, Arthur: Technique of Percutaneous Access to the Upper Tract (videotape) Journal of Urology; v 79. Supplement April 1995
• Niles, Brian and Smith, Arthur: Hands on Model for Percutaneous Nephrostomy and Other Endourologic Maneuvers. Accepted for publication – J of Endourology 1995
• Niles, Brian and Smith, Arthur: Stones in Calyceal Diverticula. Accepted for publication – J of Endourology 1995
• Niles, Brian and Smith, Arthur: Technique of Percutaneous Nephrostomy to the Upper Tract. Accepted for Publication. J. of Endourology 1995
• Niles, Brian and Sugarbaker, Paul: The Bladder as an AbdominoPelvic Partition: The American Surgeon Sept 1989
Guest Faculty:
American Urological Association 1995 Annual Meeting Postgraduate Course Instructor – Percutaneous Renal Surgery ( Course # P‐519 )
American Urological Association Office of Education ‐ Course Instructor – Percutaneous Nephrostomy 8th Annual Frontiers of Endourology ‐ St. Louis , Missouri 1994
12th World Congress of Endourology and SWL and 10th Basic Science Research Symposium. St. Louis , Missouri 1994. Presentations:
American Urological Association Annual Meeting ‐ Las Vegas 1995:
Radiopacity of uric acid calculi Uric Acid crystals stimulate epithelial cell proliferation
Hands on model for Percutaneous Nephrostomy and other endourologic maneuvers
8th Annual Frontiers in Endourology. Washington University Medical Center. Louis Missouri, Dec. 1994
12th World Congress of Endourology and SWL. Louis, Missouri, Dec 5th and 6th 1994:
Technique of Percutaneous Access to Upper Tract Hands on Model for Percutaneous Nephrostomy
New York Academy of Medicine ( Section of Urology ). New York, June 7th 1995
Obstruction Induced Renal Scarring: Role of Metalloproteinase Activity Long Island Jewish Medical Center Research Day, New York, March 21st 1995
Pressure Modulates gelatinolytic activity of medullary interstitial cells: In vitro model of Obstructive Uropathy Decreased metalloproteinase activity plays a role in ureteral obstruction induced renal scarring
Washington Urological Society Residents’ Scholars Conference 1993 Renal Aspergillosis: A Case Study
In Situ Hybridization Analysis of HPV associated Bladder Cancer.
