Complex and Revision Prostate Surgery
Complex and Revision Prostate Surgery
Complex and Revision Prostate Surgery in London
With Professor Prasanna Sooriakumaran, a multi-award-winning robotic prostate cancer surgeon
Professor Prasanna Sooriakumaran
MA (Oxon) BMedSci (Hons) BMBS (Hons) PGCertMedLaw ADCertClinInv (Cornell)
FRCS (Urol) FEBU USMLE PhD
Surgeon Experience in Prostate Cancer Surgery
Why surgical volume, training and specialist experience can make a difference to patient outcomes.
Testimonials
Book a Consultation
Arrange a consultation with Professor Prasanna Sooriakumaran for clear, specialist guidance on your diagnosis, results, or treatment options.
Book a Consultation
Arrange a consultation with Professor Prasanna Sooriakumaran for clear, specialist guidance on your diagnosis, results, or treatment options.
Excellent Google Reviews
Finance and Insurance
At Prostate Clinic London, we aim to ensure specialist prostate cancer care is both transparent and accessible. A range of payment options is available, and most major private medical insurers are accepted, with guidance provided to help you understand costs, coverage, and the options available to you. The focus is on ensuring the process is clear and supportive, so you can concentrate on your health and making informed decisions about your care.
Over 30 International Awards in Prostate Cancer Care
Professor Prasanna Sooriakumaran has received over 30 international awards recognising his contribution to urology and prostate cancer care, including a National Clinical Impact Award for excellence beyond standard clinical practice.
He is the only urologist worldwide to hold Visiting Professorships at both the University of Oxford and the All-India Institute of Medical Sciences, and has been named one of London’s most influential doctors. His work continues to shape modern approaches to prostate cancer surgery.
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?
Complex or revision prostate surgery refers to procedures performed in situations where prostate cancer treatment is more technically demanding than standard cases. This may include patients who have had previous prostate or pelvic surgery, prior treatments such as radiotherapy, or where the cancer itself presents additional surgical challenges.
Revision surgery may involve re-operating after a previous procedure, addressing persistent or recurrent cancer, or managing complications related to earlier treatment. These cases require detailed pre-operative planning, a thorough understanding of altered anatomy, and a high level of surgical expertise.
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?
Complex or revision prostate surgery may be considered in situations where prostate cancer treatment is less straightforward and requires a more specialised approach.
This can include cases where prostate cancer has recurred or persisted following previous treatment, or where prior procedures such as surgery or radiotherapy have altered the normal anatomy, increasing the technical complexity of the operation. In some patients, individual anatomical factors or the specific characteristics of the tumour may also make standard surgical approaches less suitable.
Each case is carefully assessed using imaging, previous treatment history, and detailed clinical evaluation. This allows a clear understanding of the underlying complexity and ensures that the most appropriate and safe surgical approach is selected for each individual patient.
Why These Cases Are More Challenging
Complex and revision prostate surgery is often more technically demanding than standard procedures. Previous treatments, including surgery or radiotherapy, can alter normal tissue planes and affect surrounding structures, making surgical dissection more difficult.
These changes can increase the complexity of the operation and influence both surgical planning and recovery. As a result, these procedures require a high level of surgical precision, detailed pre-operative planning, and careful intra-operative judgement.
For this reason, experience and specialist expertise are particularly important when managing complex and revision cases, both in selecting suitable patients and in performing the surgery safely.
Expertise in Complex Prostate Surgery
Professor Prasanna Sooriakumaran is internationally recognised for his expertise in complex and revision prostate cancer surgery. With over 2,000 robotic prostate cancer procedures performed, he is among the most experienced surgeons in the UK in managing challenging and high-complexity cases.
His approach combines advanced robotic surgical techniques with detailed pre-operative assessment and precise intra-operative judgement. Each case is planned and evaluated individually, taking into account prior treatments, anatomical factors, and the characteristics of the cancer.
This ensures that surgery is only undertaken where it can be performed safely and is likely to provide meaningful clinical benefit.
Surgical Approach
A range of advanced surgical techniques may be used in complex and revision prostate surgery, depending on the individual clinical situation. The approach is carefully tailored to account for prior treatments, anatomical changes, and the specific characteristics of the cancer.
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
For carefully selected patients, complex or revision prostate surgery can offer the opportunity to address persistent or recurrent cancer and achieve further cancer control.
In some cases, this approach may support longer-term disease control, particularly where the cancer can be effectively targeted despite previous treatments. It can also provide a surgical option when standard treatment approaches are no longer suitable or have been exhausted.
The benefit of surgery will depend on individual clinical factors, including the extent of the cancer and prior treatments. This will be discussed in detail during your consultation so you have a clear and realistic understanding of what surgery may achieve.
Understanding the Risks
Complex and revision prostate surgery is more technically demanding than standard procedures and may be associated with a higher risk of complications. Previous treatments, including surgery or radiotherapy, can alter normal anatomy and affect surrounding tissues, increasing the complexity of the operation.
Potential risks may include effects on urinary continence, sexual function, and other complications related to prior treatment or surgery. The likelihood of these risks varies depending on individual factors, including the extent of the cancer and previous therapies.
A detailed discussion will take place during your consultation so you have a clear, realistic, and fully informed understanding of the potential risks and expected outcomes before making any decisions.
Is Complex or Revision Surgery Right for You?
Whether complex or revision prostate surgery is appropriate depends on several factors, including the extent and location of the cancer, previous treatments, overall health, and individual priorities.
A detailed consultation allows your case to be reviewed in full, with all appropriate treatment options carefully considered. Clear, specialist guidance will be provided so you understand the potential benefits and risks, and can make an informed and confident decision about the most appropriate next steps.
Book Your Consultation
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 Your Consultation
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.
Consultation 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
Complex and revision prostate surgery is offered as a highly specialised private treatment, tailored to your individual clinical circumstances. These cases often require a more detailed and personalised surgical plan due to previous treatments or increased technical complexity.
Typical Cost
£23,000 – £25,000
The total cost will depend on the hospital selected and the specifics of your treatment, including any additional procedures that may be required in complex or revision cases. A personalised quotation will be provided following your consultation, ensuring full clarity before proceeding.
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
Professor Prasanna Sooriakumaran is Chief Investigator of the PRESIDENT Trial, a major prostate cancer research study funded by a £3 million Department of Health and Social Care grant and led by the University of Oxford.
The seven-year, multi-centre trial will recruit 749 patients across at least 25 centres throughout the UK. It aims to determine whether radical prostatectomy can improve survival and quality of life for men whose prostate cancer has spread but remains limited (oligometastatic prostate cancer), helping to address an important evidence gap in modern prostate cancer treatment.
Alongside providing specialist care to patients at Prostate Clinic London, Professor Prasanna continues to lead internationally recognised research that is helping shape the future of prostate cancer surgery and improve treatment for men in the UK and beyond.
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
University College London Hospital (UCLH) is the UK’s highest-volume robotic prostate cancer centre. Due to his world-leading expertise in prostate cancer surgery, Professor Prasanna Sooriakumaran performs the highest number of complex and salvage robotic prostatectomy procedures at UCLH. He is also the only UCLH prostate surgeon to have been recognised by both the Daily Mail and the Evening Standard for his expertise in prostate cancer surgery, reflecting the high level of complex cases referred to him from across the UK and internationally.
