Complex and Revision Prostate Surgery

Complex and Revision Prostate Surgery in London
With Professor Prasanna Sooriakumaran, a multi-award-winning robotic prostate cancer surgeon
Prostate cancer treatment is not always straightforward. In some cases, surgery may be more complex due to the characteristics of the cancer, previous treatments, or individual anatomical factors. At this stage, clear, specialist guidance is essential to help you understand the available options and the most appropriate surgical approach. Professor Prasanna Sooriakumaran is internationally recognised for his expertise in complex prostate cancer surgery, including revision procedures. Patients seek his care for a precise and considered approach in challenging cases where standard treatment pathways may not be suitable.

Professor Prasanna Sooriakumaran
MA (Oxon) BMedSci (Hons) BMBS (Hons) PGCertMedLaw ADCertClinInv (Cornell) FRCS (Urol) FEBU USMLE PhD
Surgeon Experience in Prostate Cancer Surgery
Testimonials

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Arrange a consultation with Professor Prasanna Sooriakumaran for clear, specialist guidance on your diagnosis, results, or treatment options.
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Over 30 International Awards in Prostate Cancer Care

Ranked Among the UK's Top 10 Prostate Cancer Surgeons
Experience plays a critical role in prostate cancer treatment, particularly when it comes to achieving the best possible outcomes. Surgical technique and specialist expertise can have a meaningful impact on cancer control, as well as functional outcomes such as continence and erectile function.
Professor Prasanna Sooriakumaran has been recognised among the leading prostate cancer surgeons in the UK, including being featured in the Daily Mail’s list of top prostate cancer surgeons. This recognition reflects both his experience and his commitment to delivering high-quality care for patients.
This level of expertise is an important factor for patients seeking private prostate cancer treatment in London.

What Is Complex or Revision Prostate Surgery?


London’s Most Influential Doctor by the Evening Standard
Professor Prasanna Sooriakumaran was the first surgeon at University College London Hospitals to perform Retzius-sparing robotic prostatectomy, an advanced technique associated with improved recovery following prostate cancer surgery. Through both his surgical practice and academic research, he continues to contribute to the development of modern approaches that aim to improve patient outcomes.
He was recognised as one of London’s most influential doctors by the Evening Standard, reflecting his contribution to advancing prostate cancer surgery and patient care.

When Is Complex Surgery Considered?

Why These Cases Are More Challenging

Expertise in Complex Prostate Surgery


Surgical Approach
Robotic-Assisted Surgery
Robotic technology provides enhanced visualisation and precision, allowing controlled and accurate dissection, particularly in cases where normal anatomy has been altered.
Meticulous Dissection
Previous treatments can lead to scar tissue and changes in tissue planes. Careful, methodical dissection is required to safely navigate these areas while preserving surrounding structures where possible.
Individualised Surgical Planning
Each case is planned in detail, incorporating imaging findings, previous procedures, and the overall clinical context to determine the most appropriate surgical strategy.
Additional refined techniques may be used where necessary to support safe and effective surgery, based on the specific demands of each case.

Benefits of Complex and Revision Prostate Surgery

Understanding the Risks

Is Complex or Revision Surgery Right for You?

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If you have been advised that your case is complex, or if previous treatment has not been successful, a consultation with Professor Prasanna Sooriakumaran can provide clear, specialist guidance on your options and the most appropriate next steps.
Book a ConsultationConsultation Fees
Initial Consultation
£325
An in-depth consultation to review your diagnosis, discuss your previous treatments, and assess the most appropriate surgical options. Appointments are available in person in London or remotely via video or telephone.
Follow-Up
Consultation
£225
Follow-up appointments are available before or after treatment to monitor progress, review results, and provide ongoing support and guidance.

Complex and Revision Prostate Surgery
Typical Cost
£23,000 – £25,000
Frequently Asked Questions

What is complex or revision prostate surgery?
Complex or revision prostate surgery refers to procedures performed in situations where prostate cancer treatment is more technically demanding, often due to previous treatments, altered anatomy, or recurrent disease. It may involve re-operating after prior surgery or addressing persistent or returning cancer.
Why are complex prostate surgery cases more difficult?
Previous treatments, such as surgery or radiotherapy, can alter normal anatomy and affect surrounding tissues. This makes the operation more technically demanding and requires careful planning, precision, and specialist expertise to perform safely.

Is robotic surgery used in complex cases?
Yes, robotic-assisted surgery is commonly used in complex cases, as it provides enhanced visualisation and refined control. This is particularly important when operating in areas affected by prior treatment or altered anatomy.
How do I know if my case is considered complex?
A detailed assessment, including imaging, medical history, and previous treatments, is required to determine the complexity of your case. This allows the most appropriate surgical approach to be carefully planned.

Why does the surgeon’s experience matter in complex prostate surgery?
Complex and revision prostate surgery requires a high level of expertise and intra-operative judgement. Outcomes are closely linked to the surgeon’s experience, particularly when managing altered anatomy or prior treatments. Professor Prasanna Sooriakumaran has extensive experience in complex prostate cancer surgery, which is an important factor when considering this type of procedure.
What are my options if standard surgery is not suitable?
If standard surgical approaches are not appropriate, alternative or more specialised techniques may be considered depending on your individual situation. All suitable options will be discussed in detail during your consultation.
Will I have time to consider my options?
In most cases, there is time to carefully review your diagnosis and consider the available treatment options. You will be guided on appropriate timelines so you can make an informed and confident decision.
Professor Prasanna Sooriakumaran in the Media
Professor Prasanna Sooriakumaran discusses the importance of being a patient-centred doctor and the value of cultivating emotional intelligence in patient interactions during this podcast.
Professor Prasanna Sooriakumaran discusses men's health, prostate cancer, and longevity medicine in the inaugural Emerald podcast.
Professor Prasanna Sooriakumaran discusses whether you should consider prostate cancer screening.
Professor Prasanna Sooriakumaran introduces himself to Top Doctors and discusses what he is most passionate about: caring for patients.
Professor Prasanna Sooriakumaran was a guest on Nadia's Lab, where he discussed prostate cancer, robotic surgery, and what every man should know about prostate health.
Professor Prasanna Sooriakumaran gives an overview of all aspects of prostate cancer, from screening and diagnosis to treatment options and beyond.
Leadership Roles
Professor Prasanna Sooriakumaran is always looking to grow, innovate, and improve patient care for urology and prostate cancer patients in every possible way. To achieve this, he has secured several other prestigious leadership roles.

Urological innovation

Chief Men’s Health Officer

Chief Academic Officer

Lead Medical Advisor in Men’s Health

Research Physician

Lead for Urology and Men’s Health

Clinical Lead for Robotic Soft-Tissue Surgery

Invited Reviewer



Leading a £3 Million Oxford Prostate Cancer Surgery Trial


Appointed to Establish Mayo Clinic's Urology & Prostate Services in London
Patient Experiences
Read all of Professor Prasanna Sooriakumaran's patient reviews at Doctify.




Professor Prasanna Sooriakumaran Performs the Highest Number of Complex and Salvage Prostate Cancer Surgeries at UCLH
Consultation Locations
Professor Prasanna Sooriakumaran practises as a robotic prostate cancer surgeon within the NHS at one of the UK’s highest-volume centres. He also sees private patients through Prostate Clinic London at leading private hospitals across London, providing access to high-quality facilities and specialist care.



















