The Surgeon's
Notebook

The complete diagnostic and treatment pathway — from PSA assessment and mpMRI through to robotic prostatectomy, active surveillance, and survivorship.

Why approaching the kidney from behind — without entering the abdominal cavity — can mean faster recovery and better access to posterior tumours. Published personal outcomes included.

One in three women experience urinary incontinence. This guide covers the spectrum of treatment — from pelvic floor physiotherapy through to mesh-free robotic colposuspension — in plain language.

Blood in the urine should always prompt investigation. This guide covers what counts as haematuria, when to act urgently, and what specialist assessment involves from first appointment to diagnosis.

A raised PSA is a signal, not a diagnosis. This article explains what 5 ng/mL means at different ages, the common non-cancer causes, and the step-by-step assessment pathway.

For many kidney tumours, partial nephrectomy preserves the kidney while achieving equivalent cancer control. This article explains who is suitable, how robotic surgery works, and what the decision involves.

Both treatments offer equivalent cancer control for many men. The choice turns on side effects, recovery, and what trade-offs you can live with — explained clearly and honestly.

What really happens after robotic prostatectomy — catheter care, urinary leakage, PSA surveillance, penile rehabilitation, and building confidence through the first two months and beyond.