Mr Anthony Bates is a Consultant Urological Surgeon specialising in prostate cancer, robotic prostatectomy and robotic pelvic uro-oncology.

He offers private consultations for men with a raised PSA, abnormal prostate MRI, prostate biopsy results, newly diagnosed prostate cancer, treatment uncertainty, positive margins, rising PSA after treatment, and those seeking a second opinion.

The aim is simple: clear advice, careful decision-making and a treatment plan based on the details of the cancer and the priorities of the patient.

Why see a prostate cancer surgeon?

A prostate cancer diagnosis can be difficult to understand at first.

Patients are often asked to make decisions about active surveillance, surgery, radiotherapy, focal therapy or hormone therapy before they have had time to fully understand their PSA, MRI, biopsy results and cancer risk.

A prostate cancer surgeon can help explain how serious the cancer appears to be, whether treatment is needed, whether active surveillance is safe, whether surgery is appropriate, whether radiotherapy or focal therapy should be considered, whether nerve-sparing surgery is safe, what the risks are to continence and erectile function, what follow-up will involve, and whether a second opinion may help.

The purpose of the consultation is not to push every patient towards surgery. It is to work out which option is most appropriate.

Conditions and concerns reviewed

Private consultation may be helpful if you have a raised PSA, abnormal prostate MRI, PI-RADS or Likert score concerns, prostate biopsy results, Gleason score or Grade Group results, newly diagnosed prostate cancer, low-risk prostate cancer and active surveillance questions, intermediate-risk or high-risk prostate cancer, uncertainty between surgery and radiotherapy, questions about focal therapy, a positive surgical margin after prostatectomy, lymph node involvement, rising PSA after treatment, or need for a second opinion.

If you do not have all the information yet, the consultation can help clarify what is missing and what may be needed next.

Robotic prostatectomy in Cambridge

Robot-assisted radical prostatectomy is an operation to remove the prostate and seminal vesicles for prostate cancer. In selected cases, pelvic lymph nodes may also be removed.

Mr Bates performs robotic prostatectomy using a transabdominal multi-port robotic approach. The aim is to remove the cancer while preserving urinary control and sexual function where it is safe and technically possible.

Surgery may be performed at Spire Cambridge Lea Hospital, depending on the patient pathway, hospital arrangements and agreed treatment plan.

Surgery is planned around PSA level and PSA trend, MRI findings, prostate biopsy results, Grade Group or Gleason score, cancer stage, prostate size, urinary symptoms, erectile function, general health and patient priorities.

Where appropriate, nerve-sparing and continence-preserving techniques may be considered. These decisions depend on cancer position, MRI findings, biopsy results, anatomy and intra-operative judgement.

Cancer control remains the priority. If the cancer is close to the edge of the prostate or near the nerves involved in erections, a wider excision may be safer.

Raised PSA, MRI and biopsy review

A raised PSA does not automatically mean prostate cancer, but it should be interpreted properly.

PSA can be affected by prostate size, inflammation, infection, urinary retention, ejaculation, cycling and recent procedures. The pattern over time also matters.

MRI and biopsy results then help define whether prostate cancer is present and whether it is likely to be clinically significant.

During consultation, Mr Bates can review PSA history, PSA density, MRI report, MRI images where available, biopsy results, Grade Group or Gleason score, number of biopsy cores involved, tumour location, prostate size, urinary symptoms and previous treatments.

This helps build a clearer picture before deciding on surveillance, treatment or further investigation.

Second opinions for prostate cancer

A second opinion can be useful when the decision is difficult.

This may include situations where you are unsure between surgery and radiotherapy, focal therapy has been suggested, active surveillance has been recommended but you are anxious, surgery has been recommended and you want to understand the risks, the MRI and biopsy results do not seem to match, the cancer is high-risk or complex, there is a positive surgical margin after surgery, or PSA has risen after previous treatment.

A good second opinion should clarify the facts, explain the trade-offs and help you understand the realistic options.

Where surgery is performed

Surgery may be performed at Spire Cambridge Lea Hospital, depending on the patient pathway, hospital arrangements and agreed treatment plan.

Mr Bates’ main clinical practice is based in Leicester, and private consultations are mainly held in Leicester. Cambridge consultations may be arranged by prior agreement. Remote video consultations are also available where clinically appropriate.

This means patients from Cambridge and the surrounding region can still arrange review, second opinions and treatment planning, even if an initial consultation is carried out remotely or in Leicester.

What to send before consultation

To make the consultation as useful as possible, please provide any relevant information in advance.

Helpful documents include PSA blood test results, PSMA PET reports if performed, MRI report, MRI images if available, prostate biopsy report, clinic letters, staging scan results if performed, current medication list, past medical history, previous prostate or urinary treatment details, and questions you would like answered.

Do not worry if you do not have everything. The consultation can still help identify what is missing.

What happens during the consultation?

The consultation will usually involve a review of your history, PSA, MRI, biopsy results and current concerns.

The discussion may include what the diagnosis means, the risk category of the cancer, whether active surveillance is suitable, whether robotic prostatectomy is appropriate, whether radiotherapy or focal therapy should be considered, whether further scans or review are needed, likely risks to continence and erectile function, recovery after surgery, PSA follow-up, and whether multidisciplinary review or oncology input is needed.

The aim is clarity. You should leave understanding where you are, what the options are, and what the next step should be.

Why choose Mr Anthony Bates?

Mr Bates is a Consultant Urological Surgeon with a specialist focus on prostate cancer and robotic prostatectomy.

His work includes robotic radical prostatectomy, prostate cancer diagnosis, transperineal prostate biopsy, prostate cancer second opinions, robotic pelvic uro-oncology, MRI and biopsy-led surgical planning, outcomes tracking, prostate cancer research, and patient education.

His approach is based on careful assessment, honest counselling, precise surgery where appropriate, and structured follow-up.

Good prostate cancer care is not only about performing an operation. It is about choosing the right treatment, explaining the risks clearly, and supporting the patient through diagnosis, treatment and recovery.

Patients from Cambridge and surrounding areas

Patients may attend from Cambridge and surrounding areas, including Cambridgeshire, Ely, Newmarket, Huntingdon, St Neots, Peterborough, Bedford, Bury St Edmunds, Royston, Saffron Walden, Haverhill, Stevenage, Luton, Northampton, Leicester and surrounding regions.

Remote consultations may also be suitable for patients who live further away and want an initial review before deciding next steps.

Book a private prostate cancer consultation in Cambridge

If you have a raised PSA, abnormal MRI, biopsy result, new prostate cancer diagnosis, or would like a second opinion, you can arrange a private consultation with Mr Anthony Bates through Prostatology.

Please send any PSA results, MRI reports, biopsy results and clinic letters if available.

Book a consultation:
https://www.spirehealthcare.com/consultant-profiles/mr-anthony-bates-c7456289/

Useful patient information

For detailed information about prostate cancer surgery, treatment choices, risks and recovery, visit Prostate Cancer Surgery UK:
https://www.prostatecancersurgery.co.uk

For broader patient information, useful resources include BAUS patient information at https://www.baus.org.uk/patients/information_leaflets/, Prostate Cancer UK at https://prostatecanceruk.org/prostate-information-and-support, and NHS prostate cancer information at https://www.nhs.uk/conditions/prostate-cancer/

Disclaimer

This information is general and does not replace a personalised consultation. Prostate cancer treatment decisions should be based on PSA, MRI, biopsy results, staging, general health, urinary and sexual function, and patient priorities.