A second surgical opinion before committing to major cancer or complex reconstructive treatment is not indecision — it is good judgment. Understanding all your options, including whether kidney-preserving surgery is technically possible or whether surgery is preferable to radiotherapy in your specific case, is information that belongs to you.
Mr Sri sees patients who have already been assessed elsewhere, patients referred by their GP or another consultant, and patients who have simply found this practice independently. All are equally welcome.
Common reasons for referral
01 ·
Retroperitoneal robotic expertise
One of a small group of European surgeons who perform robotic retroperitoneal partial nephrectomy — introduced by Mr Sri to South West London, now the regional standard of care.
02 ·
Nephron-sparing for challenging tumours
Accepts quaternary referrals for complex tumours — including high RENAL score, hilar, posterior, and endophytic tumours — that have been declined for kidney-preserving surgery elsewhere. <1% positive margin rate and major complication rate.
03 ·
Second opinion — surveillance or radical nephrectomy advised
Patients who have been recommended to proceed to radical nephrectomy (removal of the whole kidney) or active surveillance, and wish to explore whether nephron-sparing surgery is a realistic option.
04 ·
Prior abdominal surgery
The retroperitoneal approach completely avoids the peritoneal cavity, making it the approach of choice for patients with previous abdominal or pelvic surgery where adhesions make transperitoneal access hazardous.
05 ·
Solitary kidney tumours
Where preserving every unit of nephron mass is critical — including patients with a single functioning kidney — nephron-sparing surgery is the absolute priority, however technically demanding the case.
06 ·
High BMI patients
The retroperitoneal approach provides direct access to the kidney without having to displace the bowel, offering significant technical and safety advantages in patients with high BMI where transperitoneal access is more complex.
01 ·
High-volume robotic pelvic surgeon
200+ robotic procedures annually. Volume is one of the strongest predictors of outcomes in radical prostatectomy — for both cancer control and functional recovery. 0% conversion to open surgery across his series.
02 ·
Nerve-sparing expertise
Meticulous nerve-sparing technique with attention to urinary continence and erectile function recovery alongside oncological control. Over 90% of patients undergoing nerve sparing surgery are dry or leaking only minimally at one year.
03 ·
High-risk and locally advanced prostate cancer
Principal Investigator for South West London in the ELLIPSE RCT, comparing RARP alone vs RARP with extended pelvic lymph node dissection for high-risk disease (T3; PSA >20; Gleason > 8)
04 ·
Tertiary referral role within SWL Network
Cancer Lead at St George's — the formal tertiary referral destination for complex prostate cancer cases requiring specialist surgical assessment across South West London.
05 ·
RCS Fellowship Trainer in RARP
Leads the only RCS-accredited robotic urology fellowship in South West London — formal recognition by the Royal College of Surgeons of training standards, surgical volume, and outcomes quality.
06 ·
Second opinion before radiotherapy
Patients who have been recommended radiotherapy and wish to understand the surgical option — its risks, benefits, and functional implications compared to their specific radiotherapy proposal — before committing to treatment.
Booking a consultation is straightforward
Patients and clinicians can reach the private office directly. No GP letter is required for an initial private consultation.
01 · Online
Book via Carebit
Same-week appointments at Wimbledon, Surrey or Central London. Available 24/7 — no need to call during office hours.
02 · Telephone
Call the private office
Chloe & Bradley Barker manage the private secretary function. Available Monday to Friday, 9am–5pm.
03 · Email
Send an enquiry
For clinical referral letters, imaging reports, or detailed enquiries, email the private office directly. All correspondence is handled confidentially.
Ready to take the next step?
A second opinion
is always worth having.
Whether you are reconsidering a previous recommendation, weighing surgery against radiotherapy, or seeking specialist input on a technically complex case — Mr Sri offers a frank, unhurried consultation at one of three London private hospitals.
