Mr Peter Acher

Mr Peter Acher

Consultant Urological Surgeon

Practising at

Spire Hartswood Hospital

Spire Wellesley Hospital

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Treatment information

Some of the principal treatments carried out by Mr Peter Acher at Spire include:


Other treatments

Advanced prostate diagnostics (MRI and transperineal biopsy), management of PSA, laser surgery for prostate disease - Holmium laser enucleation of prostate (HoLEP), testicular implants and kidney stone treatments, referral for MRI scan (magnetic resonance imaging scan) 

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Professional profile

Availability at Spire Wellesley Hospital, Southend: Monday afternoon. Availability at Spire Hartswood: Thursday morning.

I was appointed as a consultant urological surgeon in 2011 with specialist expertise in prostate diagnostics and treatment, management of stone disease and general urology. This was following comprehensive training on the South Thames part of the London Specialist Registrar rotation. Prior to this I studied at Cambridge University and undertook a PhD on the subject of prostate cancer brachytherapy. In 2010 I received a commendation at the prestigious Royal Society of Medicine Young Trainee of the Year Awards.

I specialise in general urology with specific interests in: advanced prostate diagnostics for raised PSA, incorporating multiparametric MRI and comprehensive transperineal prostate biopsy - this has reduced infections and inconclusive transrectal biopsy, and most importantly is preferred by patients, short stay and day case laser prostate surgery (HoLEP) for urinary symptoms, management of kidney stones, and general urology including local anaesthetic circumcision, investigation of blood in the urine and testicle/ scrotal conditions.

I currently carry out approximately 100 HoLEP (holmium laser enucleation of the prostate) procedures a year with 40% of patients as day cases and 80% discharged within 23 hours of surgery. I accommodate all sizes of prostate. I carry out a similar number of stone procedures per year. I lead the prostate diagnostic/ raised PSA service at Southend with over 800 patients now evaluated.

I regularly teach on several courses including, Cambridge MRI prostate, Guy's prostate diagnostics, BAUS annual courses on HoLEP and prostate diagnostics, visiting faculty to Sri Lanka. I also established and convene the Transition course for senior urological registrars.

My clinical approach to patients is that they should receive the best available and up-to-date evidence-based care.

Clinical Interests

Bladder/ kidney stone disease
Erectile dysfunction
Prostate cancer
Urinary tract infections
Urological cancers

Special Clinical Interests: Prostate cancer diagnostics including MRI-guided transperineal prostate biopsy, prostate brachytherapy, laser prostate surgery (HoLEP) and management of male urinary symptoms and laser stone surgery.

Private contact details

Telephone Spire Wellesley insured patients: 01702 447 921, Spire Wellesley self pay patients: 01702 447 926 or Spire Hartswood 01277 266 766
Private secretary Nikki Lewis
Private secretary telephone 0207 357 6466
Private secretary fax 0207 4031664
Private secretary email
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Qualification and professional memberships

MB BS / UMDS Guy's and St Thomas', London / 1999
Bachelor of Medicine, Bachelor of Surgery

MA / Queens' College, Cambridge University / 2000
Master of Arts

PhD / King's University, London / 2010
Doctor of Philosphy

PGCAP / King's Institute of Learning and Teaching / 2010
Postgraduate cerificate in academic practice

FRCS (Urol) / Fellowships of the Royal College of surgeons / 2011
Awarded at the end of higher specialist training in Urology

Professional memberships

General Medical Council (Member number 4636951)
British Association of Urological Surgeons (BAUS)
European Association of Urology (EAU)

Professional leadership

I am the Southend Lead for the Local Multidisciplinary Cancer Team and for Urological Audit
I am Co-Clinical lead for the Urology Department at Southend University Hospital NHS Foundation Trust

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Current NHS posts

Consultant Urological Surgeon, Southend University Hospital NHS Foundation Trust

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Research and Publication

I strongly believe in evaluating outcomes and contributing to published literature. I regularly present and teach at international meetings and have received numerous prizes for my work.

Current research is based on the the use of multiparametric MRI in the evaluation of prostate cancer allowing targetted biopsy and treatment.

Since 2010 I have published in the BJU International, Urology, Journal of Urology, Journal of Endourology.

An up-to-date list of my publications


Diagnostic accuracy of magnetic resonance imaging (MRI) prostate imaging reporting and data system (PI-RADS) scoring in a transperineal prostate biopsy setting
May 2015

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Personal Profile

I live with my family and chickens in Brentwood. I enjoy outdoor challenges, particularly if they involve cycling across Scotland, and when time allows, golf and sailing.

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Financial Interests

Holds less than 0.1% of the shares in Spire Healthcare Group plc

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