This bespoke diagnostic procedure is performed after a patient’s MRI prostate scan. If the MRI scan has identified an area of interest, this procedure can be arranged promptly with the Global Robotic Prostate.

It can be performed either in an office or operating room setting. We avoid a biopsy path through the rectum, and can sample prostate tissue directly from the perineal skin to the gland. The advantages of this technique lie in the lower risk of infective complications and hospital re-admissions, compared to the customary transrectal biopsy. This was demonstrated in this article.

The major cancer surgery, radical prostatectomy, involves a general anaesthetic and removal of the whole prostate gland and seminal vesicles. It can be performed with sparing of the surrounding nerves that contribute to erectile function; if the grade and location of the prostate cancer allows.

Prostatectomy is followed by delicate reconstruction of the bladder to the remaining urethra. For more details, please refer to the national surgical organisation information leaflet.

This novel endoscopic procedure uses a semi-autonomous robot, to surgically apply a water jet / aquabeam system to the prostate gland. This software powered water jet performs based on the surgeon’s plan with a real-time ultrasound system. The surgeon can override the robot at any stage of the procedure. 

Aquablation was approved by UK's National Institute of Clinical Excellence (NICE) in September 2023. It can relieve men of their obstructive symptoms from benign enlargement of prostate glands. At the Global Robotic Prostate, we benefit from the experience Mr Noël, along with Guy’s Hospital colleagues have accrued, since performing more than 100 procedures over the past 12 months.