Mr Peter Acher

Mr Peter Acher

Consultant Urological Surgeon


Specialises in

  • Bladder investigations
  • Bladder lesion removal
  • Kidney stones treatment
  • Cancer tests
  • Prostate surgery and laser prostate surgery

Also available for:

Virtual consultations:

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.

I specialise in general urology with specific interests in advanced prostate diagnostics for raised PSA, incorporating multi-parametric 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.

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 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.

Feedback from my patients at Spire Wellesley Hospital:

''Mr Acher is a very caring and considerate person who understood my needs and explained to me all the scenarios which may occur during and after the process.''

''Very satisfied with the care given by my consultant, who treated me with kindness and consideration. I feel very reassured and relieved that cancer continues to be in remission.''

''I'm very confident in recommending Mr Acher to anyone who is suffering with the same condition that I had.''


General Medical Council Number: C4636951

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)
  • Laser surgery for prostate disease - Holmium laser enucleation of prostate (HoLEP)
  • Management of PSA
  • Kidney stone treatments
  • Referral for MRI scan
  • Testicular implants

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Important information about Covid-19 tests

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Additional information

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.

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 certificate 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

British Association of Urological Surgeons (BAUS)

European Association of Urology (EAU)

General Medical Council

Professional leadership

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

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 targeted 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

Consultant Urological Surgeon, Southend University Hospital NHS Foundation Trust.

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.

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