I am a Consultant Urological Surgeon and Andrologist at Southmead Hospital. I am a highly experienced pelvic cancer surgeon and have specialised over many years in precise surgical techniques which improve both cancer survival and functional outcomes. These include techniques ranging from 1) the use of the Da Vinci Robot for performing Robot Assisted Laparoscopic Radical Prostatectomy, 2) High Intensity Focused Ultrasound for minimally invasive treatment of prostate cancer and 3) precision placement of markers for optimizing the outcomes of Radiotherapy for prostate cancer.
In addition, I have been a national pioneer in minimally invasive techniques for the treatment of benign prostate disease (BPH) as an alternative to TURP. These techniques include the Urolift procedure, REZUM (steam treatment of the prostate) and Green Light Laser. All these techniques are offered, as well as traditional TURP, if tablet therapy has failed or cannot be tolerated by the patient.
I am also a leader in the treatment of Erectile Dysfunction. If treatment with tablets or medical devices haven’t proved successful, I can offer surgery using state-of-the-art penile prosthetic devices. I also treat Peyronie’s disorder, offering injection treatments in its early phases, and surgical correction if this fails.
I belong to only a handful of Urological Surgeons in the UK who have been trained in the microsurgical technique of reversal of vasectomy. I have some of the most outstanding results in the country with experience extending over 25 years. I use a microsurgical reversal technique which is accepted among experts as the best and which offers optimum chances for success. Using the microscope I’m able to adapt the operation appropriately to the needs of the situation to get the best possible results for patients.
I perform about 90 of these procedures each year and my overall results indicate a 90% surgical success rate for restoring the passage of sperm.
In conjunction with the Bristol Centre for Reproductive Medicine (https://www.nbt.nhs.uk/bristol-centre-reproductive-medicine), I will soon be offering male infertility procedures testicular extraction of sperm in order to optimize assisted conception techniques.
I believe treatment should be tailored to patients’ lifestyles and based on a combination of scientific evidence and individual preferences. I am married with four children and enjoy tennis, travel and playing the piano.