Prostate surgery and laser prostate surgery at Spire Southampton Hospital

At Spire Southampton Hospital, we provide comprehensive private hospital care for our patients across the South Coast.

We have a team of expert urologists who specialise in men’s health and have wide experience of performing prostate surgery. Working alongside an excellent aftercare team, they’ll provide you with a treatment and recovery plan that’s tailored to your needs.

We offer fast access to consultations and treatments, in a clean, comfortable environment. The typical waiting time from diagnosis by your consultant (or a referral) to receiving prostate surgery is two weeks.

We have a range of procedures available for prostate surgery. All have their own potential benefits and risks which your consultant will discuss with you.

The type of anaesthetic you need varies depending on the procedure you need. It may be:

• A general anaesthetic meaning you’re asleep – this is most often used
• A spinal or epidural – where you can’t feel anything from the waist down
• A local anaesthetic – you’ll be awake but you won’t be able to feel anything in the area being operated on

Transurethral resection of the prostate (TURP)

• A special instrument is passed through your urethra and a small, electrically-heated wire is used to trim small pieces of prostate tissue
• Performed under general anaesthetic
• You’ll need a urinary catheter for around one to three days after the operation

Transurethral electrovaporisation of the prostate (TUVP)

• Similar to TURP, but a rollerball instead of a wire loop is used to apply electrical energy to the tissue
• Performed under general or spinal anaesthetic
• A catheter is still required, but may be for a shorter time than TURP

Laser prostate surgery

• A specialised tool is passed through your urethra and a laser (eg a HoLEP Holmium laser or GreenLight laser) which generates intense heat is used to trim small pieces of prostate tissue
• Performed under general anaesthetic
• You usually need a urinary catheter for around one to three days after the operation, but it may be for a shorter time than with a TURP

UroLift (prostatic urethral lift (PUL) implants)

• Instead of removing prostate tissue, implants are positioned to hold your prostate out of the way and increase the width of your urethra
• This procedure can be performed under general or local anaesthetic
• Usually, a urinary catheter isn’t required

Prostate artery embolisation (PAE)

• Shrinks the size of your prostate by blocking the arteries that feed it
• Performed using local anaesthetic
• A urinary catheter isn’t usually required

Water ablation

• Water under pressure is used to destroy prostate tissue
• Performed using general or spinal anaesthetic
• You’ll need a urinary catheter, usually until you leave the day after

NanoKnife®- Irreversible electroporation (IRE)

• A minimally invasive technique using needles around the prostate cancer and an electric current is passed through to destroy the cancer cells
• Performed under general anaesthetic and takes around 45 minutes. The procedure is performed as a day case.
• Usually, a urinary catheter isn’t required

Your consultant will recommend a treatment based on your condition and overall health.

Getting here

We're a 10 minute taxi ride from Southampton Central train station or 15 minutes from Southampton International Airport. We have free on-site parking for you and your visitors.

Your consultation

You’ll meet your chosen consultant in one of our private consultation rooms. They’ll discuss:

• Your symptoms and any particular urinary problems you’re having
• What the treatment options are, including alternatives to surgery such as medication and lifestyle changes
• Whether you need any tests or scans to help your consultant plan the next steps
• The potential benefits and risks of treatment

You may also need a pre-operative assessment with one of our specialist nurses to check if the procedure is right for you.

You’ll usually stay with us for one night so you’ll be shown to your own en-suite room before your operation. All of our private rooms have:

• TV
• En-suite
• Bedside cabinet
• Two armchairs
• Window
• Telephone

The procedure lasts for around an hour and a half. If you’ve come with a friend or family member, they’re welcome to wait in your room or our restaurant while you have your operation.

You may need a urinary catheter after the operation. This is because your urethra may be swollen which can block urine from passing. It will be removed before you leave hospital.

Our nurses will provide you with medication to help you manage any pain following your operation. They’ll also give you advice about over-the-counter medications you can use while at home, and anything you should or shouldn’t do.

Your recovery time will depend on the procedure you've had and your overall health. Although everyone’s different and you should always follow your consultant’s advice, here’s a typical timeline for transurethral resection of the prostate (TURP) - the most common procedure: