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Nerve-Sparing Prostate Cancer Surgery Clinic

Professor Prasanna Sooriakumaran, prostate cancer surgeon in London, seated and smiling
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Nerve-Sparing Prostate Cancer Surgery in London

With Professor Prasanna Sooriakumaran, a multi-award-winning robotic prostate cancer surgeon

A diagnosis of prostate cancer, and the possibility of surgery, can raise important concerns about effective cancer treatment as well as long-term quality of life, particularly around urinary control and sexual function. At this stage, clear, specialist guidance is essential to help you understand your options and the most appropriate approach for your individual situation.

Professor Prasanna Sooriakumaran is internationally recognised for his expertise in advanced prostate cancer surgery, including nerve-sparing techniques designed to preserve function where it is safe to do so. Patients seek his care for a precise, considered approach that prioritises effective cancer control while aiming to maintain quality of life outcomes wherever possible.

He treats NHS patients at University College London Hospital and sees private patients at leading hospitals across London, including Mayo Clinic Healthcare, Cromwell Hospital, Harley Street Specialist Hospital, LSDC Healthcare, Bupa Health Centre Canary Wharf, and New Victoria Hospital.

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Professor Prasanna Sooriakumaran
MA (Oxon) BMedSci (Hons) BMBS (Hons) PGCertMedLaw ADCertClinInv (Cornell) FRCS (Urol) FEBU USMLE PhD

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Nerve-Sparing Prostate Surgery with Professor Prasanna Sooriakumaran

Helping suitable patients protect erectile function while treating prostate cancer effectively.

Testimonials

Professor Prasanna Sooriakumaran smiling during a prostate consultation in London

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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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Excellent Google Reviews

EXCELLENT
StarStarStarStarStar

Based on 30 reviews

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Lee Mottershead

Lee Mottershead

7 months ago

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I have now seen Professor PS twice and could not have been more impressed. His expertise is beyond doubt but he also manages to convey important information in a way that is both calming and easy to understand. He is also supported by an excellent team. Indeed, on my recent visit to the LSDC London clinic, his reception manager went out of her way to ensure i could have tests taken the same day.

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Kajan Shanmuganathan

Kajan Shanmuganathan

7 months ago

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Prof PS was wonderful to have as my urologist. After an abnormal finding on a whole-body screening, I knew immediately that I wanted Prof PS to review my case. My initial consultation took place over the Christmas period, and I was extremely fortunate that Simmon (PA) managed to schedule a last-minute appointment despite the holiday period. Thanks to this, I was able to see Prof PS promptly and had a follow-up MRI arranged within just 3–4 days, which was especially impressive given the time of year. I am very happy with the excellent service, efficiency, and level of care I received. I highly recommend Prof PS and the team.

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Ian Hart

Ian Hart

7 months ago

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Being diagnosed with Prostate Cancer isn't much fun, even when you're told it is low grade stage 2, and shouldn't cause you any problems. Finding out it is actually locally advanced stage 3 is distinctly unsettling! Luckily for me, I only found out the second part by getting myself referred to Prof PS, who removed the offending tumour for me. I cannot praise PS and his team, and the care I received from them, highly enough. He inspired confidence from the moment I first met him, and dealt with my cancer in a very matter of fact, down to earth way, putting me at ease throughout the whole experience.

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Chris Taylor

Chris Taylor

8 months ago

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By far the best specialist I have ever experienced. A lovely person as well as a great Urologist. Would heartily recommend.

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olivier m

olivier m

8 months ago

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It was a short but as excellent of an experience as one would hope for when receiving high PSA results. The secretarial team of Prof PS was extremely responsive, including after hours. Prof PS took the matter seriously and head on, without wasting any time. He was also clear in explaining various steps. It meant a lot that he was clearly looking for the best interest of his patient and to get ahead of any problem. 5 stars every step of the way.

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D

8 months ago

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It is difficult to put into words how knowledgeable and skilful a surgeon Prof PS is, it is unlikely that one could find better care anywhere else.

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P M

P M

8 months ago

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I received excellent care from Prof PS. He arranged a very prompt MRI and follow up consultation which meant I could enjoy a peaceful and stress free Christmas. Thank you Prof PS.

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Andrew Attard Montalto

Andrew Attard Montalto

8 months ago

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Excellent care from Prof PS. I always felt very reassured from my first consultation right through to post-op care. The operation went very well and my rate of recovery is better than expected. Thank you so much Prof PS!

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david aquilina

david aquilina

8 months ago

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I have to say that my overall experience has been excellent. I went into this procedure full of concern mainly due to the fact that I am still relatively young at age 51 and Prof Prasanna directed me towards the right procedure for my condition of an enlarged prostate. I have undergone an Aquablation procedure and the outcome and recovery has been good. Highly recommended!

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Harry Heathcoat Amory

Harry Heathcoat Amory

8 months ago

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Strongly recommend Prof PS - very approachable as well as measured and clear in his consultations. A very good patient experience.

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.
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Professor Prasanna Sooriakumaran smiling at his desk during a consultation

What Is Nerve-Sparing Prostate Surgery?

Nerve-sparing prostate surgery is an advanced surgical approach used during prostate cancer removal to preserve the nerves responsible for erectile function and urinary continence. These delicate structures lie very close to the prostate and require careful identification and precise handling during the operation.
Where clinically appropriate, nerve-sparing techniques are used to minimise disruption to these nerves while ensuring complete removal of the cancer. The procedure is most commonly performed using robotic-assisted surgery, which enables greater precision, control, and visualisation.
Professor Prasanna Sooriakumaran, smiling portrait in a pinstripe suit
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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.

Recognised Internationally for Excellence 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.
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When Is Nerve-Sparing Surgery Appropriate?

Nerve-Sparing surgery is not suitable for all patients and depends on the location, stage, and extent of the cancer. If the cancer is close to, or involves, the nerves, preserving them may not be safe.
Each case is carefully assessed using imaging, biopsy results, and clinical evaluation. Professor Prasanna Sooriakumaran will advise whether a nerve-sparing approach is appropriate, ensuring that effective cancer control remains the priority.
Professor Prasanna Sooriakumaran standing outdoors on a London street

Expertise in Nerve-Sparing Prostate Surgery

Professor Prasanna Sooriakumaran is internationally recognised for his expertise in advanced prostate cancer surgery, including nerve-sparing techniques. With over 2,000 robotic prostate cancer procedures performed, he is among the most experienced surgeons in the UK in this field.
His approach to nerve-sparing surgery is based on careful pre-operative and intra-operative judgement, balancing the goal of preserving urinary and sexual function with the need for complete cancer removal. This requires detailed knowledge of prostate anatomy and extensive surgical experience.
He has played a key role in developing and refining modern techniques, including graded nerve-sparing and approaches designed to optimise functional outcomes where it is safe to do so. His work continues to contribute to advances in prostate cancer surgery internationally.

Fees and Pricing

Understanding the costs of your treatment is an important part of planning your care. The following provides a guide to consultation fees and typical costs associated with prostate cancer surgery.

Consultation Fees

Initial Consultation

£325

A comprehensive consultation to review your diagnosis, discuss your concerns, and outline appropriate treatment 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 review progress, discuss results, and provide continued guidance.

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Prostate Cancer Surgery

Prostate cancer surgery, including nerve-sparing approaches where appropriate, is offered as a tailored private treatment package based on your individual clinical needs.

Typical Cost

£23,000 – £25,000

Techniques Used in Nerve-Sparing Surgery

A range of advanced surgical approaches may be used to support nerve preservation where it is clinically appropriate. The choice of technique depends on the individual patient and the characteristics of the cancer.

Graded Nerve-Sparing

This approach involves carefully adjusting the extent of nerve preservation based on how close the cancer is to the nerves. It allows a balance between effective cancer removal and the preservation of urinary and sexual function.

NeuroSAFE Technique

An intra-operative assessment method used during surgery to evaluate tissue margins in real time. In selected patients, this can help maximise nerve preservation while maintaining surgical safety.

Precision Robotic Surgery

Robotic-assisted surgery provides high-definition magnification and refined control, allowing meticulous dissection around delicate nerve structures. Additional refined surgical approaches may also be used where appropriate, including methods designed to minimise thermal damage and preserve surrounding anatomical structures.

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Preserving Function After Surgery

Recovery of urinary continence and erectile function varies between patients and depends on several factors, including baseline function, age, and the extent of surgery required.
Where nerve-sparing is possible, it may support improved functional recovery over time. However, outcomes vary, and these will be discussed in detail during your consultation so you have a clear and realistic understanding of what to expect.
Professor Prasanna Sooriakumaran at his laptop, reviewing PSA results with a patient

Is Nerve-Sparing Surgery Right for You?

Whether nerve-sparing surgery is appropriate depends on your individual diagnosis and treatment priorities. A consultation allows your case to be reviewed in detail and the most suitable surgical approach to be discussed.
In some cases, nerve preservation may be possible on one or both sides, while in others it may not be recommended. Clear, specialist guidance will be provided so you can make an informed and confident decision.

Professor Prasanna Sooriakumaran in the Media

Professor Prasanna Sooriakumaran in conversation, podcast video thumbnail

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.

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Professor Prasanna Sooriakumaran discusses men's health, prostate cancer, and longevity medicine in the inaugural Emerald podcast.

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Professor Prasanna Sooriakumaran discusses whether you should consider prostate cancer screening.

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Professor Prasanna Sooriakumaran introduces himself to Top Doctors and discusses what he is most passionate about: caring for patients.

Professor Prasanna Sooriakumaran interviewed on a sofa, Nadia's Lab video thumbnail

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.

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Professor Prasanna Sooriakumaran gives an overview of all aspects of prostate cancer, from screening and diagnosis to treatment options and beyond.

Frequently Asked Questions

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Will nerve-sparing surgery preserve sexual function?

Nerve-sparing techniques aim to preserve the nerves responsible for erectile function where it is safe to do so. Outcomes vary between individuals and depend on factors such as baseline function, age, and the extent of the cancer, and this will be discussed in detail during your consultation.

Can both sets of nerves be preserved?

In some cases, nerve-sparing can be performed on both sides of the prostate, while in others only one side or neither may be suitable. This depends on the location and extent of the cancer and is carefully assessed before and during surgery.

Professor Prasanna Sooriakumaran seated, smiling with hands clasped

How long does it take to recover erectile function after surgery?

Recovery varies between patients and can take time. Some men notice improvement within months, while for others it may take longer, and recovery can continue over an extended period.

Will nerve-sparing surgery affect cancer outcomes?

The priority of surgery is complete cancer removal. Nerve-sparing is only performed where it is considered safe and appropriate, ensuring that cancer control is not compromised.

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How do I know if I am suitable for nerve-sparing surgery?

Suitability depends on the stage and location of the cancer, imaging findings, and your overall health. Professor Prasanna Sooriakumaran will assess your case in detail and advise whether a nerve-sparing approach can be safely performed.

What happens if nerve-sparing is not possible?

If nerve-sparing is not considered safe, surgery will focus on complete cancer removal. Alternative strategies and supportive treatments can be discussed to help manage functional recovery after surgery.

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Why does surgical experience matter in nerve-sparing surgery?

Nerve-sparing prostate surgery is technically demanding and requires precise judgement. Outcomes are closely linked to surgical expertise, particularly when balancing cancer control with the preservation of function.

Will I have time to decide on surgery?

In most cases, there is time to carefully consider your options before proceeding with treatment. You will be guided on appropriate timelines so you can make a considered and informed decision.

Professor Prasanna Sooriakumaran discussing a patient's care during a consultation

Book a Consultation

If you have been diagnosed with prostate cancer or are considering surgery, a consultation can help you understand your options and decide on the most appropriate next step.

Book a Consultation

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.

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Urological innovation

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Chief Men’s Health Officer

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Chief Academic Officer

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Lead Medical Advisor in Men’s Health

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Research Physician

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Lead for Urology and Men’s Health

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Clinical Lead for Robotic Soft-Tissue Surgery

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Invited Reviewer

Professor Prasanna Sooriakumaran, robotic prostate surgeon in London, arms folded
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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.
Professor Prasanna Sooriakumaran standing in a pinstripe suit and yellow tie
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Appointed to Establish Mayo Clinic's Urology & Prostate Services in London

Professor Prasanna Sooriakumaran has been appointed as the first urologist for the new London centre of Mayo Clinic, ranked the world's best hospital by Newsweek and consistently recognised as one of the leading healthcare institutions globally. In this role, he is leading the development of Mayo Clinic's Urology and Prostate Services in London, reflecting his internationally recognised expertise in prostate cancer surgery and advanced urological care.

Patient Experiences

Read all of Professor Prasanna Sooriakumaran's patient reviews at Doctify.

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Doctify Outstanding Patient Experience award 2025
Doctify Outstanding Patient Experience award 2026
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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.

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.