Urology
On this page:
The Urology Department at St George’s Hospital offers a comprehensive range of acute, major trauma, and elective services. Serving an extensive tertiary network that includes NHS, private, and international hospitals, the department stands as a tertiary referral center within the South-West London network (Croydon, Epsom and St Helier, Kingston).
As the leading department for cancer-related operations within the Trust, the department employs state-of-the-art surgical technology, including the Da Vinci® Xi robot, to provide exceptional care for kidney, bladder, and prostate cancer. It boasts the highest volume of robotic cancer treatments in the region. The department has pioneered renal preservation surgery for kidney cancer, extraperitoneal prostate and kidney surgery, and robotic bladder surgery with intracorporeal urinary diversion.
The team is an early adopter of robotic techniques for benign pelvic and upper tract reconstructive surgery, establishing these methods as standard even for complex cases. Recognized as a European robotic center of excellence, the department is also accredited by the Royal College of Surgeons for its robotic fellowship program.
The penile cancer team, the largest of its kind in the UK, has a global reputation, contributing significantly to international guidelines through their pioneering work in organ-sparing surgery.
Benign services, led by the Endourology division, manage a high volume of upper tract surgeries, performing around 100 PCNLs and over 300 flexible URS procedures annually. The division collaborates closely with the cancer team on diagnostic and therapeutic interventions for urothelial cancer and malignant ureteric obstruction.
Supporting the neurosciences departments at St George’s and Queen Mary’s Hospital, the urology team provides specialized services such as bladder Botox injections and comprehensive incontinence programs. The department leads in benign prostatic treatments, offering bipolar resection, enucleation, Urolift®, Greenlight Laser Prostatectomy, Rezum, Prostate Artery Embolization, and laser enucleation. Additionally, it has established robotic colposuspension as the standard for female stress urinary incontinence, with the largest single-center series in Europe.
The Andrology service has expanded significantly, providing a range of treatments for erectile dysfunction, Peyronie’s disease, and inguinoscrotal pathology. The nationally recognized lymphoedema service further highlights the department’s breadth of expertise.
Urology services at St George’s have crucial interdependencies with multiple specialties, including uroradiology, general surgery, trauma/orthopaedics, obstetrics/gynaecology, vascular surgery, neuro/cardiac services, senior health, infectious diseases, and intensive care. Approximately 30% of surgical emergency admissions are urological, including patients medically evacuated after major trauma incidents.
General urology and benign prostate disease
