Mr Marc Laniado

Since 2002, Mr Marc E Laniado has been a Consultant Urologist in London and the Thames Valley region. He is the prostate cancer lead clinician for East Berkshire and the multidisciplinary urological cancer lead, Mr Laniado is a full-time clinician, focused on the diagnosis and treatment of men with prostate problems, and works 6 days a week solely in this pursuit without distraction by university or other academic activities. He concentrates his care in two areas: urinary symptoms in men and the diagnosis and treatment of prostate cancer. To see individual patient testimonials on Marc E Laniado, go to: https://www.doctify.co.uk/specialist/mr_marc_laniado  Mr Laniado has developed and delivers minimally-invasive techniques daily that have significantly helped his patients. He provides customised therapies to alleviate urinary symptoms or reduce the chance of dying from prostate cancer while preserving erections, ejaculation and bladder control if possible. Marc Laniado chooses the least invasive treatment that can provide the treatment that men need. For prostate cancer, the first choice is active surveillance, which means close monitoring, then focal therapy (a.k.a. partial ablation) by HIFU or NanoKnife to treat just that part of the prostate with cancer. These treatments have fewer side effects than standard treatments such as surgery or radiotherapy. For more extensive cancers, he performs  Retzius-sparing prostatectomy if too much of the prostate is affected and the whole gland needs to be dealt with. If the tumour has spread likely into the lymph nodes, then he performs an extended lymphadenectomy to remove the cancer maximally. Marc Laniado performs a high volume of robotic prostatectomies annually (usually 2 to 3 per week), utilising the best techniques for the preservation of continence and erections (Retzius-sparing approach, full functional urethral length preservation, and nerve-sparing). He uses a suprapubic catheter rather than a urethral catheter to improve patients' comfort after surgery.  Mr Laniado graduated from Guy's Hospital Medical School in 1989, gaining a BSc in physiology. Following specialist urology training in London, he became a Fellow of the Royal College of Surgeons (Urology) in 2000, completing his MD in prostate cancer research, Fellow of the European Board of Urology in 2002 and an international member of the American Urological Association. Before starting his career as a consultant, he extended his knowledge and skills on a Visiting Fellowship at the Cleveland Clinic Foundation in the USA, where he trained in minimally-invasive surgical techniques. He started performing laparoscopic prostatectomies in 2005 and moved on to the robotic approach in 2008.

Urinary symptoms in men (BPH): improving symptoms & preserving sexual function drugs (Permixon etc) Rezum (steam), UroLift,  Aquablation Laser prostatectomy [HoLEP] - en block with early apical sphincter release uses Moses laser Prostate cancer: - multiparametric MRI and MRI-targeted transperineal prostate biopsies - Genomic Tests: Prolaris and SelectMDx - enhanced active surveillance, - focal therapy using HIFU or NanoKnife - Retzius-sparing, nerve-sparing robotic prostatectomy with NeuroSAFE