Robotic Prostatectomy Kingston | Prostate Cancer Surgeon Kingston upon Thames — dsri.co.uk
Robotic Prostatectomy · Kingston upon Thames · KT2 · SW19

Robotic-Assisted Radical Prostatectomy in Kingston

Nerve-sparing prostate cancer surgery at Kingston Private Health and Nuffield Health Parkside, Wimbledon — delivered by the consultant who introduced robotic urological surgery to Kingston Hospital.

Mr Sri is Robotic Lead at Kingston Hospital and holds a private prostatectomy practice for Kingston, Richmond, and South West London patients across two convenient local hospitals. Evening clinics available — fitting around your working day.

1 dayMedian hospital
stay
>80%Continent
(all patients)
>90%Continent
(nerve-sparing)
6 wksDry at night &
safety pad by day
2–4 wksReturn to normal
activity
Robotic Prostatectomy · Kingston upon Thames & SW London

Robotic Urology @ Kingston

For Kingston, Richmond, and surrounding patients diagnosed with prostate cancer, having a private robotic prostatectomy specialist on the doorstep is a recent — and significant — development. Mr Sri introduced safe robotic urological surgery to Kingston Hospital and continues as Robotic Urology Lead, supporting the prostate and kidney cancer services across Kingston and Richmond NHS Foundation Trust.

His private practice serves the same catchment through Kingston Private Health at Kingston Hospital — where consultations are offered ad-hoc on Monday & Tuesday evenings from 5pm, deliberately scheduled around the working day — and Nuffield Health Parkside in Wimbledon, a short journey along the A3 with a fully equipped robotic surgical theatre.

Patients in Kingston upon Thames, Richmond, Twickenham, Surbiton, New Malden, and across the borough no longer need to travel into Central London or further afield for high-volume robotic prostatectomy. The same surgeon, the same nerve-sparing technique, and the same outcomes — local to home.

Urology Robotic Lead · Kingston Hospital
Mr Sri helped introduce and establish safe robotic urological surgery to Kingston Hospital and serves as Urology Robotic Lead within Kingston and Richmond NHS Foundation Trust. He is also the Urology Cancer Lead, at St George's University Hospital. Patients accessing his private practice at Kingston Private Health benefit from this combination of NHS clinical leadership and the streamlined access of private care. Full profile →
Evening clinics at Kingston Private Health — Monday and Tuesday from 5pm, designed to fit around your working day.
Surgical venue · Kingston upon Thames · KT2
Kingston Private Health
Address
Level 7, Esher Wing
Kingston Hospital
Galsworthy Road
Kingston upon Thames KT2 7QB
Clinic
Monday & Tuesday · 5pm onwards
Access
Kingston station 12 min walk
A3 · A308 · A309 access
Surgical venue · Wimbledon · SW19
Nuffield Health Parkside Hospital
Address
53 Parkside
Wimbledon SW19 5NX
Parking
On-site parking available
Access
A3 direct from Kingston (10 min)
Wimbledon mainline 10 min walk
Who attends these locations
Kingston upon Thames Richmond Twickenham Surbiton New Malden Norbiton Hampton Teddington Wimbledon Putney Esher Kingston Vale
Patients further south may prefer Spire St Anthony's, Cheam. Patients in Central or North London may prefer HCA Princess Grace, Marylebone.
The procedure

What is a robotic radical prostatectomy?

Robotic-assisted radical prostatectomy (RARP) is the surgical removal of the entire prostate gland and seminal vesicles for clinically localised or locally advanced prostate cancer. Robotic surgery is now the dominant technique — offering greater precision than open or conventional laparoscopic approaches, with particular advantages for nerve preservation and accurate reconstruction of the bladder-urethra join.

The procedure is performed using the da Vinci system through six small keyhole incisions. The surgeon operates at a console with three-dimensional magnified vision and wristed instruments delivering precision beyond the unassisted hand. The prostate is dissected from surrounding structures, the bladder neck is rejoined to the urethra, and a catheter remains in place for approximately one week while the anastomosis heals.

The principal goals are complete cancer removal with negative surgical margins, while preserving the structures responsible for urinary continence and — where oncologically safe — erectile function. For localised prostate cancer, robotic surgery and radiotherapy offer equivalent cancer control; the choice between them is personal, and discussed openly at consultation. NICE guidance (NG131) sets out the current UK recommended pathway.

Nerve-sparing prostatectomy
The neurovascular bundles running alongside the prostate are responsible for erectile function. Nerve-sparing technique preserves these structures where oncologically safe.
Whether nerve-sparing is possible depends on the MRI appearance, biopsy result, and PSA. Where cancer is close to the nerve bundle, removing it safely must take priority.
Robotic precision allows nerve-sparing surgery more reliably than open approaches — magnification and wristed instruments enable careful dissection in a confined anatomical space.
Structured penile rehabilitation starting early post-operatively significantly improves long-term erectile function recovery where nerve-sparing was performed.
Continence outcomes

What to expect with urinary control

Temporary urinary leakage following catheter removal is expected and normal. The key target to aim for at 6 weeks is to be dry at night and using a single safety pad during the day. Meeting this milestone places you ahead of the curve in terms of continence recovery.

Pelvic floor exercises — starting before surgery and restarting the moment the catheter is removed — are the single most impactful thing a patient can do to influence their recovery.

All patients — continent or minimal leak at 1 year>80%
Personal series. Does not bother the patient.
Nerve-sparing patients — continent or minimal leak at 1 year>90%
Personal series. Bilateral nerve-sparing performed.
Recovery week by week

Timeline

Before op
Pelvic floor training begins
4–6 weeks of daily exercises before surgery. Referral to specialist pelvic floor physiotherapist arranged.
Day of op
Surgery and early recovery
Mobile the same day. Eating and drinking within hours. Median discharge within 24 hours.
Week 1
Catheter removal
Catheter removed at clinic at 7–10 days. Pelvic floor exercises restart immediately. Tadalafil started for penile rehabilitation.
Weeks 2–4
Returning to normal
Desk work by 2–3 weeks. Driving when safe. Leakage improving week by week.
6 weeks
Key milestone
Expectation: dry at night, single safety pad during day. First PSA check. Referral for vacuum pump.
3–12 months
Ongoing improvement
Continence and erectile function continue improving. Regular PSA monitoring.
The most important thing you can do before surgery

Pelvic floor preparation — start before your operation

Pre-operative pelvic floor training is one of the most evidence-based and impactful things a patient can do before prostatectomy. Patients who begin exercises before surgery recover continence significantly faster. Mr Sri refers all prostatectomy patients for specialist pelvic floor physiotherapy before their operation — exercises should begin at least four to six weeks before surgery.

1
Find the correct muscles
Tighten the muscles used to stop urine mid-flow. Do not engage thighs, buttocks, or abdomen. Correct technique is essential.
2
Begin 4–6 weeks before surgery
A consistent daily programme — ideally supervised by a specialist physiotherapist — builds the baseline strength needed for recovery.
3
Restart immediately after catheter removal
The window immediately after catheter removal is the most critical. Exercises restart the same day — this is non-negotiable.
4
Continue throughout the first year
Pelvic floor exercises remain beneficial at every stage of recovery, and even years later for persistent leakage.
Life after surgery

Survivorship — the long view

The goal of treatment is not just cancer control — it is getting back to living well. Mr Sri's approach places equal emphasis on oncological outcomes and quality of life in the years following surgery.

PSA monitoring
PSA should become undetectable after prostatectomy. Regular monitoring detects any sign of recurrence early. A rising PSA does not necessarily mean spread — early detection opens the window for salvage radiotherapy or other interventions.
Continence recovery
Most patients achieve good continence within the first year. Those with persistent leakage beyond 12 months are assessed for further interventions including a male sling or artificial urinary sphincter. Pelvic floor resources →
Erectile function
Erectile recovery after nerve-sparing prostatectomy is gradual — typically 6–18 months. Structured penile rehabilitation from the early post-operative period significantly improves long-term outcomes. Mr Sri works with specialist andrology colleagues for this aspect of care.
What happens during surgery

The operation — step by step

1
Pre-operative assessment
Anaesthetic review, blood tests, and any additional staging imaging. Pelvic floor physiotherapy referral made. Consent obtained at Kingston Private Health or Nuffield Parkside according to preferred surgical location.
2
General anaesthetic and robot setup
Da Vinci robot docked via five small port incisions in the lower abdomen. Patient positioned head-down so bowel falls away from the pelvis.
3
Prostate dissection and nerve-sparing
The prostate is carefully dissected from the bladder, urethra, and — where oncologically safe — the neurovascular bundles. The seminal vesicles are removed with the specimen.
4
Anastomosis — rejoining bladder to urethra
Bladder neck sutured to urethra with absorbable sutures. Catheter placed through the join, which heals over approximately one week.
5
Recovery and discharge
Mobile on the day of surgery. Median discharge within 24 hours. Most patients return home to Kingston, Richmond, or surrounding boroughs the following morning. Pathology results reviewed at the first post-operative appointment.
Common questions

Frequently asked questions

Full information on the prostate cancer page.

Yes. Mr Sri holds a private prostate cancer practice at Kingston Private Health (Level 7, Esher Wing, Kingston Hospital, KT2 7QB) and at Nuffield Health Parkside in Wimbledon — a short A3 journey from Kingston. He introduced robotic urological surgery to Kingston Hospital and serves as Robotic Lead. For Kingston, Richmond, Twickenham, Surbiton, and surrounding patients, this means access to high-volume robotic prostatectomy without travelling into Central London.

Mr Sri's Kingston Private Health clinics are held on Monday and Tuesday evenings from 5pm. These evening slots are deliberately scheduled to fit around the working day, removing the need for patients to take time off work for an initial consultation. For appointments outside these times, Mr Sri also consults at Nuffield Health Parkside, Wimbledon during weekday hours.

Both offer the same surgeon and surgical standards. Kingston Private Health is typically preferred for evening consultations and by patients living closest to Kingston, Richmond, Surbiton, and Teddington. Nuffield Health Parkside in Wimbledon has on-site parking and full robotic surgical facilities — it suits patients who want a daytime clinic and is the typical operative venue. Many Kingston patients have their initial consultation at KPH and surgery at Nuffield Parkside or Spire St Anthony's. The secretarial team will guide you to the option that matches your preferences and insurer.

In most cases there is time to consider your options fully — a few weeks to understand the alternatives and seek a second opinion will not compromise your outcome. Mr Sri will advise clearly if there is any clinical reason to act with greater urgency.

No. The majority of patients achieve social continence within the first year. At 6 weeks, the realistic expectation is dry at night and a single pad during the day for security. Pelvic floor exercises before and after surgery are the most important factor influencing recovery speed.

Both offer equivalent cancer control in most risk categories. Surgery's primary risks relate to urinary continence and erectile function; radiotherapy's primary risks relate to bowel and bladder irritation and long-term erectile dysfunction. Mr Sri discusses both openly and refers directly to clinical oncology colleagues where radiotherapy is preferred. NICE NG131 sets out the current decision framework.

Related pages

Further information

Condition overview
Prostate cancer — staging, treatment pathway, and all options
Prostate cancer →
Second opinion · Kingston
Reconsidering a treatment recommendation? Second opinion consultations available at Kingston Private Health
Second opinion →
Other locations
Mr Sri also operates at Spire St Anthony's, Cheam (Surrey) and HCA Princess Grace, Marylebone (Central London)
All locations →
Mr Denosshan Sri
MA Cantab  |  MB BChir  |  FRCS Urol  |  Consultant Urological Surgeon
Mr Sri performs over 200 robotic procedures annually. He is Cancer Lead, Urology at St George's University Hospital, Robotic Lead at Kingston Hospital, and Kidney Cancer Lead for the South West London Network. He leads the RCS-accredited robotic surgical fellowship at St George's and is Principal Investigator of the ELLIPSE trial. His Kingston practice is held at Kingston Private Health and Nuffield Health Parkside, Wimbledon.

All clinic locations

Kingston & Richmond NHS
This page · Evenings
Kingston Private Health
Level 7, Esher Wing, Kingston Hospital
Galsworthy Road, Kingston upon Thames KT2 7QB
Tel: 020 8546 6677
Mon & Tue evenings · A3 access
Book at KPH →
Nuffield Health
Wimbledon · SW19
Parkside Hospital, Wimbledon
53 Parkside, Wimbledon SW19 5NX
Tel: 020 8971 8000
A3 from Kingston · Robotic theatre
Book at Nuffield →
Spire Healthcare
St Anthony's Hospital, Cheam
801 London Road, Cheam, Surrey SM3 9DW
Tel: 020 8337 6691
Surrey · Free parking
Book at Spire →
HCA Healthcare UK
Princess Grace Hospital, Marylebone
18 Devonshire Street, London W1G 7AF
Tel: 020 3797 7248
Central London · Harley Street
Book at HCA →

Prostate cancer surgery in Kingston

Evening clinics at Kingston Private Health · Monday & Tuesday from 5pm. Surgery at Nuffield Health Parkside, Wimbledon. No GP referral required. All major insurers and self-pay.