Mr Julian Smith

Consultant Urological Surgeon
MBBS, MSc, FRCS (Urol)

Practising at

Spire Southampton Hospital

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Treatment information

Some of the principal treatments carried out by Mr Julian Smith at Spire include:


Other treatments

  • Treatment of incontinence
  • Treatment of urinary symptoms
  • Flexible cystoscopy (bladder check)
  • Kidney surgery 
  • Laser treatment of kidney stones
  • Laparoscopic Surgery 

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Professional profile

I graduated from Imperial College in 2002 before carrying out my basic surgical training at the Royal Surrey Hospital followed by two years of clinical research at Guy's and St Thomas' hospital in London. The focus of this research was prostate cancer, diagnostic prostate biopsies and robotic radical prostatectomy. In 2009, I published MSc thesis 'The evolving role of transperineal template prostate biopsies' before continuing my higher training in Wessex.

My principle interests are laparoscopic and open major abdominal and pelvic cancer surgery. I was appointed to University Hospital Southampton (UHS) in 2014 as a bladder and kidney cancer surgeon and have established myself nationally, as one of the country's highest volume cystectomist (bladder removal surgeon).

I also, augment the laparoscopic and open nephrectomy service as well as dovetailing with the prostate team continuing with transperineal biopsies and prostate high dose rate brachytherapy. I continue to enjoy my benign work consisting of vasectomy/peno-scrotology and endoscopic surgery such as transurethral resection of prostate (TURP) to help male urinary symptoms.

Outside theatre, I remain highly patient focused. I have led a team at University Hospital Southampton to transform the local Enhanced Recovery Programmes for patients after major urological surgery and I have written the national guidelines for the British Association of Urological Surgeons.

Most recently, I have co-founded a charity, ACTIONurology ( The central tenet is to help fund treatments that the NHS can't subsidise. In particular we are currently fund raising for our Intraoperative Radiotherapy and on-site Clinical Psychologist funds.

Private contact details

Telephone 023 8076 4389
Private secretary Becky Palmer
Private secretary fax 023 8091 4413
Private secretary email
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Qualification and professional memberships

MBBS / Imperial College School of Medicine / 2002
Bachelor of Medicine, Bachelor of Surgery

BSc / Imperial College School of Medicine, London / 2002
1st Class Honours Basic Science Degree in Clinical Sciences

Professional memberships

General Medicine Council
Medical Defense Union
British Association of Urological Surgeons
European Association of Urology

Professional leadership

Bladder Council Clinical Lead at University Hospital Southampton
Urology Lead for Intra-Operative Radiotherapy for Advanced Pelvic Cancer
Co-Founder of ACTIONurology-Advanced Cancer Therapies in our NHS Charity

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Current NHS posts

University Hospital Southampton

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Personal Profile

On a personal level, I am married with two children. I enjoy keeping fit and will pretty much play any sport to do this! On Saturday mornings I coach an under 6 football practice on Whitecliff park in Poole and if there is any time left, I am not afraid of Lycra and can often be spotted on my roadbike. 

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