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Guy’s & St Thomas’ NHS Foundation Trust

The department is based in the Urology Centre at Guy’s Hospital London/England, where most of clinical activities take place. This state-of-the-art diagnostic centre opened in January 2008. All newly referred patients are offered appointments within two weeks in a one-stop clinic where they can be assessed and have a range of investigations including ultrasound and flexible cystoscopy if necessary. This multi-million pound development was supported by a grant from the Guy's & St Thomas' Charity.

It also provides clinics, day surgery and emergency services at St Thomas’ Hospital and Lewisham University Hospital. In addition it has a large tertiary referral practice for some of the specialist activities undertaken at Guy’s.

The Department is staffed by 9 consultant urological surgeons, 8 specialist registrars, and a team of research fellows and foundation year doctors from the King's College London School of Medicine. There are 6 clinical nurse specialists and a large team of ward and clinic nurses who are experienced in the management of all urological conditions.

Since July 2008 Mr Popert has been the lead clinician in urology.

Rick Popert was appointed as a consultant urological surgeon in 1996 having completed his higher surgical training at Guy’s and urological research at King’s College Hospital.

He has a specialist interest in malignant and benign prostatic disease and established a dedicated Prostate Cancer Clinic on his appointment. He has overseen the expansion of this service which now delivers the most comprehensive integrated treatments for prostate cancer available on one site in the UK.

His surgical expertise is in radical prostatectomy and prostate brachytherapy. In the last year he has gained increasing experience in robotic-assisted (da Vinci) laparoscopic radical prostatectomy. He has the UK’s largest experience of single visit (day case) dynamic intra-operative prostate brachytherapy, with over 100 patients treated per year.

His other major surgical interest is in Holmium laser prostatectomy for benign prostatic disease which he introduced in 2003. This is a minimally invasive procedure for men with benign prostatic enlargement which can be applied to any size of prostate with reduced morbidity and bleeding compared to conventional surgery.

Moreover Department has sub-specialist interests in a number of areas including:

  • comprehensive multidisciplinary prostate cancer service, providing the most advanced treatment options available

  • advanced laparoscopic and robotic surgery (“keyhole surgery”) for a number of urological conditions

  • largest service for urinary calculi (stones) in the UK, offering a range of minimally-invasive treatments to deal with stones throughout the urinary tract.

  • Kidney cancer, including the management of complex cases from around the UK

  • bladder cancer service includes a rapid access haematuria clinic

  • blue light cystoscopy and robotic surgery are being evaluated for the management of bladder cancer

  • Botox injections for the management of certain bladder conditions

Proceed to the website of Guy's and St Thomas' NHS Foundation Trust here.

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