Retzius-Sparing Robotic Prostate Surgery Clinic
Retzius-Sparing Robotic Prostate Surgery Clinic
Retzius Sparing Robotic 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
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.
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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.
What Is Retzius-Sparing Prostatectomy?
Retzius-sparing robotic prostatectomy is an advanced technique used in prostate cancer surgery that aims to preserve the anatomical structures at the front of the prostate that support bladder function and urinary continence.
In conventional robotic prostatectomy, the space in front of the bladder (the Retzius space) is opened to access the prostate. In contrast, the Retzius-sparing approach accesses the prostate from behind, avoiding this area and maintaining the natural support structures of the bladder and urethra as much as possible.
By preserving these structures, this technique is designed to support earlier recovery of urinary continence in suitable patients, while maintaining a strong focus on complete cancer removal.
The procedure is performed using robotic-assisted technology, providing high-definition visualisation and enabling precise surgical movements throughout.
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.
How Does It Differ from Standard Robotic Surgery?
In conventional robotic prostatectomy, the prostate is accessed from the front by opening the space between the bladder and the abdominal wall (the Retzius space). This involves temporarily releasing structures that support the bladder and contribute to urinary continence.
The Retzius-sparing approach differs in that the prostate is accessed from behind, avoiding the need to open this space. By preserving these supporting structures, the anatomical relationships involved in urinary control are maintained as much as possible.
This difference in surgical approach is the key factor behind the potential for earlier recovery of urinary continence in selected patients. However, outcomes vary and depend on individual factors, including baseline function and the extent of surgery required.
As with all prostate cancer surgery, the primary objective remains complete cancer removal. The Retzius-sparing technique is only used where it is considered safe and appropriate based on the specific characteristics of the cancer.
When Is Retzius-Sparing Surgery Appropriate?
Retzius-sparing prostatectomy is not suitable for all patients and careful selection is essential. Its use depends on several factors, including the location and extent of the cancer, the relationship of the tumour to surrounding structures, and individual anatomical considerations.
This approach is generally considered in patients where the cancer is confined to areas of the prostate that allow safe dissection from a posterior (behind the prostate) approach. In cases where the cancer is more extensive, or located in areas where visibility or surgical access may be limited using this technique, a standard anterior robotic approach may be more appropriate to ensure complete cancer removal.
A detailed pre-operative assessment is required, typically including MRI imaging, biopsy results, and overall clinical evaluation. These factors help determine whether a Retzius-sparing approach can be performed safely without compromising oncological outcomes.
Professor Prasanna Sooriakumaran will review all aspects of your case and recommend the most appropriate surgical technique, prioritising complete cancer control while considering functional outcomes such as urinary continence and recovery.
Potential Benefits of Retzius-Sparing Surgery
In carefully selected patients, the Retzius-sparing approach may offer several advantages compared to standard robotic prostatectomy, particularly in relation to early functional recovery.
By preserving the anatomical structures at the front of the prostate that support bladder control, this technique may support an earlier return of urinary continence following surgery. Many patients are particularly concerned about this aspect of recovery, and this approach is specifically designed to minimise disruption to these supporting structures.
In addition, the procedure is performed using robotic-assisted technology, allowing precise dissection and enhanced visualisation throughout surgery. As with other minimally invasive approaches, this is associated with smaller incisions, reduced blood loss, and a shorter hospital stay compared to traditional open surgery.
As with all prostate cancer surgery, outcomes vary between individuals. The potential benefits of a Retzius-sparing approach will be discussed in detail during your consultation, alongside whether this technique is appropriate based on your specific clinical situation.
Expertise in Retzius-Sparing Prostatectomy
Professor Prasanna Sooriakumaran is a leading specialist in robotic prostate cancer surgery, with particular expertise in advanced techniques such as Retzius-sparing prostatectomy. He was the first surgeon at University College London Hospitals to perform this procedure, reflecting his early adoption of approaches designed to improve functional recovery following surgery.
Alongside his clinical practice, he has contributed to the academic evaluation and refinement of robotic prostatectomy techniques, with a focus on optimising patient outcomes after surgery. His work in this field has been recognised internationally, and he is regularly involved in advancing surgical standards through research and teaching.
His approach combines technical precision with careful patient selection. Retzius-sparing surgery is offered only where it is considered appropriate, ensuring that the priority remains complete cancer removal while aiming to support recovery and long-term quality of life.
Recovery After Surgery
Recovery following Retzius-sparing prostatectomy varies between patients and depends on factors such as baseline urinary function, age, and the extent of surgery required.
One of the potential advantages of this approach is earlier return of urinary continence compared to standard robotic techniques. Some patients regain good urinary control soon after surgery, while for others this may take longer. As with all prostate cancer surgery, outcomes cannot be guaranteed and recovery is individual.
Most patients are able to mobilise soon after surgery and return home within a short hospital stay. A urinary catheter is typically required for a period following the procedure, and you will be given clear instructions on its management and removal.
You will receive detailed guidance on each stage of recovery, including activity levels, return to work, and follow-up care. Ongoing support is provided to monitor your progress, address any concerns, and help optimise both functional recovery and overall outcomes.
Is Retzius-Sparing Surgery Right for You?
Whether a Retzius-sparing approach is appropriate depends on several factors, including the location and extent of the cancer, imaging and biopsy findings, and your baseline urinary and overall health.
In some cases, this technique may offer advantages in terms of early recovery of urinary continence. In others, a standard robotic approach may be more appropriate to ensure optimal surgical access and complete cancer removal.
A detailed consultation allows your case to be assessed fully, with time to review your results, discuss the potential benefits and limitations of each approach, and consider your individual priorities following surgery.
Professor Prasanna Sooriakumaran will provide clear, specialist advice to help you make an informed and confident decision about the most appropriate treatment for your situation.
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 the typical costs associated with robotic prostate cancer surgery, including Retzius-sparing techniques where appropriate.
Consultation Fees
Initial Consultation
£325
A comprehensive consultation to review your diagnosis, including imaging and biopsy results, discuss your concerns, and outline the most appropriate surgical options for your individual situation. 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 throughout your care.
Retzius-Sparing Robotic Prostatectomy
Retzius-sparing robotic prostatectomy is offered as part of a tailored private treatment package, based on your individual clinical needs and suitability for this approach.
Typical Cost
£23,000 – £25,000
The overall cost will vary depending on the hospital selected and the specifics
of your treatment plan. This may include factors such as surgical complexity,
hospital stay, and whether additional procedures, such as nerve-sparing, are
appropriate.
A personalised quotation will be provided following your consultation, ensuring
you have full clarity on all costs before proceeding.
Frequently Asked Questions
What is the main benefit of Retzius-sparing prostatectomy?
The main potential benefit is earlier recovery of urinary continence following surgery. By preserving the structures that support bladder control, some patients regain urinary control sooner than with standard approaches. However, recovery varies between individuals and cannot be guaranteed.
Is Retzius-sparing surgery better than standard robotic prostatectomy?
Not necessarily. Retzius-sparing surgery may offer advantages for selected patients, particularly in relation to early continence recovery. However, the most appropriate approach depends on the location and extent of the cancer, and in some cases a standard robotic technique may be more suitable to ensure optimal cancer removal.
Will this technique affect cancer outcomes?
No compromise is made on cancer treatment. The priority of surgery is complete removal of the cancer. A Retzius-sparing approach is only used where it is considered safe and appropriate based on your individual diagnosis.
How quickly will I regain urinary continence after surgery?
Recovery of urinary control varies. Some patients experience good control soon after surgery, while for others it may take weeks or longer. Factors such as baseline function, age, and the extent of surgery all play a role.
Will this approach help preserve sexual function?
Erectile function depends on several factors, including baseline function, age, and whether nerve-sparing is possible. Where appropriate, nerve-sparing techniques may be used alongside a Retzius-sparing approach, but outcomes vary between patients.
How do I know if I am suitable for Retzius-sparing surgery?
Suitability depends on factors such as tumour location, imaging findings, and overall anatomy. A detailed assessment, including MRI and biopsy results, is required to determine whether this technique can be performed safely.
Is the surgery still performed using robotic assistance?
Yes. Retzius-sparing prostatectomy is performed using robotic-assisted technology, which allows enhanced visualisation and precise surgical control throughout the procedure.
Why does surgical experience matter for this technique?
Retzius-sparing prostatectomy is a technically demanding procedure that requires careful judgement and precision. Experience is important in both selecting suitable patients and performing the surgery safely while maintaining cancer control.
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 Prostate Cancer Surgery Trial at the University of Oxford
Professor Prasanna Sooriakumaran is actively advancing the field of prostate cancer surgery through his academic and clinical research. He is leading a landmark prostate cancer surgery trial supported by a £3 million Department of Health and Social Care grant at the University of Oxford.
This major research initiative is focused on improving surgical techniques and patient outcomes, reflecting a commitment not only to delivering high-quality care today, but also to shaping the future of prostate cancer treatment.
Through his ongoing work in research and innovation, Professor Prasanna Sooriakumaran remains at the forefront of developments in prostate cancer surgery, ensuring patients benefit from the most advanced and evidence-based approaches available.
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.
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 at leading private hospitals across London, providing access to high-quality facilities and specialist care.