Prostate Cancer Surgery & Robotic Treatments

Why Choose Robotic Prostate Surgery?

✔ Minimally invasive with smaller incisions for quicker recovery

✔ Faster healing and fewer side effects compared to open surgery

✔ Enhanced precision through state-of-the-art robotic technology

✔ Performed by one of London’s leading robotic prostate surgeons

“Our goal is to provide every patient with the safest, most precise treatment — designed for comfort, confidence, and excellent long-term results.”

Robotic Radical Prostatectomy

Robotic radical prostatectomy is an advanced prostate cancer surgery that removes the prostate gland and nearby seminal vesicles with exceptional precision. Using the latest robotic technology, our surgeon performs the procedure through tiny incisions, allowing greater control, less bleeding, and faster recovery compared to traditional open surgery.

Retrograde Nerve-Sparing

Whenever possible, we use a nerve-sparing technique to preserve the delicate structures responsible for erectile function and urinary control. This approach is carefully chosen based on the grade and position of your prostate cancer, ensuring safety without compromising cancer removal.

Why Choose the Robotic Method

The robotic system gives the surgeon enhanced 3D vision and wrist-like dexterity that isn’t possible with the human hand alone. This results in more accurate tumour removal and a gentler experience for patients.

At Global Robotic Prostate, we are committed to advancing surgical precision through robotic technology and continuous innovation, ensuring the best possible outcomes for every patient we treat.

Why Choose Robotic Aquablation?

✔ Minimally invasive with no heat or cutting
✔ Preserves sexual function by protecting surrounding nerves
✔ Fast recovery
✔ Highly precise — guided by ultrasound mapping for accuracy
✔ Clinically proven and approved by NICE (UK)

Robotic Radical Prostatectomy

This major surgical procedure involves a general anaesthetic and the removal of the whole prostate gland and seminal vesicles in order to treat cancer. It can be performed with sparing the surrounding nerves responsible for erectile function. However, this should only be performed if the grade and location of the prostate cancer allows it.

The prostatectomy is followed by delicate reconstruction of the bladder to the remaining penile urethra. Our national surgical organisation explains the procedure in detail here.

The impact of the invasive and radical nature of this surgery, is diminished by the benefit of this minimal invasive technique. Robotic technology enhances vision and dexterity compared to a pure laparoscopy approach. The Global Robotic Prostate appreciates that this technology is computer assistance, and the potential to enhance surgery for future patients is through this method. Mr Noël’s commitment to prostatectomy will open future paradigms of computer/robotic guidance, in departments not yet practising this.

Our mission is to provide excellent care but also continuously improve on the outcomes for patients who may have to undergo this radical cancer surgery.

Robotic Aquablation of the Prostate

This novel endoscopic procedure uses a semi-autonomous robot, to surgically plan a water jet or aquabeam system to the prostate gland. This software enabled water jet, will perform based on the surgeon’s plan with a harmonised ultrasound system. The robot system can be over-ruled at any stage of the procedure. Aquablation has recently been approved by NICE in September 2023. It is used to 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 the prostate team at Guy’s Hospital, have accrued experience in more than 100 procedures since introducing it.

This technology has propelled the teaching hospital of Guy’s & St Thomas’ NHS Foundation Trust further in its innovative reputation. This news article mentions, where it helped address the NHS urology surgical waiting list. Additionally, an internationally sought, oversubscribed live demonstration course is run by Mr Noël and colleagues.

Robotic aquablation offers less side effects on ejaculatory function compared to the gold standard of transurethral resection of the prostate. This was shown in a 5 year follow up randomised controlled trial (see article). This specific concern patients face when choosing surgery methods for obstructive prostate glands, can now be addressed with this robotic approach.

Other Benign (Non-Cancerous) Urology Conditions

Hydrocoele or Epididymal Cysts – swelling of the scrotum requiring repair.
Phimosis (tight foreskin) – managed with circumcision.
Testicular pain/lumps – managed medically or with surgery according to the cause.
Urinary Tract Infections (UTIs) in Men – managed medically or when a result of obstructive prostate tissue, is managed with Transurethral Resection of Prostate or Robotic Aquablation.