Mr Marc Laniado is an excellent Consultant Urological surgeon and the prostate cancer chairman of the prostate cancer multidisciplinary team at the HCA Princess Grace Hospital. He specialises in the diagnosis and treatment of men with prostate cancer and urinary symptoms due to an enlarged prostate (BPH). He offers an individualised approach, tailoring the tests or treatments to the specific values of the man he sees.
For men with urinary symptoms due to BPH, Marc Laniado advises men on lifestyle changes and medications. Where these are unsuccessful, he performs day-case procedures that alleviate urinary symptoms keeping ejaculation (UroLift, Rezum). Some men have unsuitable prostates and need a HoLEP (Holmium Laser Enucleation of the Prostate) or Aquablation, which can also preserve erections and ejaculation. Mr Laniado uses an en-bloc technique with early apical sphincter release and a Moses 2.0 holmium laser at the Princess Grace Hospital for best results.
To help men have fewer side effects from radiotherapy, He does SpaceOAR/Barrigel insertions under local anaesthetic.
Prostate cancer is increasingly common and many men are diagnosed with small cancer potentially suitable for partial ablation, which is also known as focal therapy. For appropriate men, Mr Laniado performs High Intensity Focused Ultrasound (HIFU), which preserves continence and erections in most men. He started HIFU in 2005.
Mr Laniado trained in open prostatectomy, started laparoscopic prostatectomies in 2006 and moved onto robotic prostatectomies in 2008/9. He switched from the anterior approach for robotic prostatectomy to the Retzius-sparing technique at the end of 2016. Retzius-sparing prostatectomy, in his experience, allows men to quickly recover bladder control and preserve the structures needed for an erection.
Mr Laniado trains other surgeons in robotic prostatectomy in the European School at Royal Berkshire Hospital. He has driven the development of multiparametric MRI and MRI-targeted fusion biopsies of the prostate to diagnose men accurately. He started MRI-targeted biopsies in 2012 and does over two hundred MRI-targeted fusion biopsies a year. He introduced Retzius sparing prostatectomy at the end of 2016 as his preserved surgical technique as patients recover bladder control and erections faster than normal technique. He does about 100 Retzius-sparing prostatectomies a year.
Mr Laniado grew up in North London and is married with two children. He enjoys windsurfing in Poole, tennis, running and walking his labradors in Windsor Great Park amongst other locations.
American Urological Association
British Association of Urological Surgeons
European Association of Urology
Focal Therapy for Prostate Cancer Group
Fellow of the European Board of Urology, 2002
MD (Prostate Cancer Research) 2001
Fellow of Royal College of Surgeons (Urology) 2000
MB BS Guy's Hospital Medical School 1989
BSc (Hons) Physiology 1986
Mr Laniado has been a consultant since 2002 and specialises in prostate cancer and prostate enlargement. He regularly uses treatments that have potentially fewer side effects than conventional treatments so that men can return to normal life as much as possible.