Procedures.

Robotic-assisted procedures provide a minimally invasive approach to many procedures usually associated with large incisions and long recovery times. Although robotic surgery remains complex, it is associated with less blood loss, less pain and shorted recovery times.

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ROBOTIC-ASSISTED RADICAL PROSTATECTOMY

I have a specialist interest in prostate cancer and am one of the highest volume pelvic cancer surgeons in the UK. I am one of the few surgeons in the country performing salvage robotic prostatectomy and surgery for high-risk prostate cancer.

 

ROBOTIC-ASSISTED RADICAL CYSTECTOMY WITH FULL INTRACORPOREAL RECONSTRUCTION – INCLUDING NEOBLADDER

I also have a sub-specialist interest in bladder cancer, and was part of the team who performed the first fully internal (intracorporeal) reconstructions of the lower urinary tract in the UK

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ROBOTIC-ASSISTED PYELOPLASTY

A pyeloplasty procedure is performed to correct obstruction to the drainage of the kidney (PUJO). I provide a robotic-assisted pyeloplasty service and also receive referrals for re-do pyeloplasty where the original procedure has failed to correct the anatomical problem.

 
 

ROBOTIC-ASSISTED URETERIC RE-IMPLANTATION AND RECONSTRUCTION OF THE LOWER URINARY TRACT

Sometimes the drainage pipe from the kidney to the bladder can be damaged from previous surgery, radiation treatment and disorders such as endometriosis. This damaged section can be removed and re-connected, but sometimes needs to be reconstructed as the defect between the two ends is too great. These procedures can be performed robotically to spare the patients prolonged recovery times.

 
 
 

ROBOTIC-ASSISTED NON-CANCER PROSTATECTOMY

Sometimes men suffer with significant problems with their waterworks symptoms due to extremely large prostates. These cases are too challenging to manage through the urethra. A robotic-assisted approach allows the large centre of the prostate to be removed leaving the outer capsule intact.

 

ROBOTIC-ASSISTED ILEOCYSTOPLASTY (ENLARGEMENT OF THE BLADDER)

Sometimes patients can experience severe symptoms from an irritable bladder. In a few cases where medications are ineffective and symptoms are particularlytroublesome the bladder can be enlarged using a piece of bowel. This complex operation usually involves major open surgery but can be performed with a minimally invasive approach.

 

OTHER PROCEDURES

SECOND OPINION

A diagnosis of cancer can be extremely worrying and overwhelming. Sometimes the chance to discuss the diagnosis and treatment plans again with a different clinician can be very helpful. I can arrange for scans and pathology or biopsy results to be reviewed.

 

PROSTATE CANCER DIAGNOSTICS AND MAPPING/TEMPLATE BIOPSIES

MICROSURGICAL VASECTOMY REVERSAL

This is a delicate and complicated procedure to reconnect the vasa after they have been divided following a vasectomy. Personal situations may change and couples want to explore the possibility of reversing a vasectomy to enable them to conceive naturally. It is essential to choose a surgeon with microsurgical experience and a proven track record to achieve the most successful outcome.

 

UROLIFT

Many men suffer with waterwork, or lower urinary tract symptoms. In many cases it is due to an enlaged prostate which restricts the emptying of the bladder. The UroLift® System treatment is a, minimally invasive approach to treating an enlarged prostate, or BPH, that lifts or holds the enlarged prostate tissue out of the way so it no longer blocks the urethra.

It may not be suitable for all men, but is an additional options for many men with problematic symptoms.

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TRANSURETHRAL RESECTION OF THE BLADDER AND TREATMENTS TO REDUCE BLADDER CANCER RECURRENCE

TRANSURETHRAL RESECTION OF THE PROSTATE

SURGERY OF THE TESTES AND SCROTUM