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Written by a private patient at The Chichester Nuffield Hospital
16th November 2021


Mr Frymann treated me for BHP (benign enlarged prostate) with HoLEP laser surgery at the Nuffield Chichester. The procedure was very clearly explained, both in advance and immediately prior to the procedure, aftercare and infection control were excellent. As advised, I was able to cease my medication immediately after the procedure. Within a few weeks things were significantly improved and now, after 3 months, symptoms have completely gone. I consider that the procedure was a complete success .

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2nd June 2021


Genuine kind and caring. I had a referral for Turps from a urologist. However at my "interview" Mr. Frymann said " If I think a Holup is warranted , should I do that as well or just leave it as you are referred for. Fortunately I opted for Holup , which he did. After the operation I just knew all was perfect . Three weeks later and I am better than I have been for 20 years.( I had a Holup done 7 years ago and it gave me many problems over the years) Number 1 for sure !

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Written by a private patient at The Chichester Nuffield Hospital
28th April 2021


I have lived with BPH symptoms : urgency, frequency, restricted flow etc for over 10 years having had a PVP and TURis during that time to resolve the enlargement. However more recently prostatic re-growth had caused a further range of uncomfortable symptoms to surface including random episodes of visible haematuria. Mr Fryman was very positive and reassured me that there was a solution and he introduced me to the HoLEP procedure clearly and concisely explaining the process, everything involved and the possible (although unlikely) risks. The data and information leaflets issued to me were very useful to take home and thoroughly read so I could be more informed and make up my mind. On the day of the Op, Mr Fryman saw me beforehand with the anaesthetist and explained the procedure again and came and saw me after the Op to let me know that it went well and told me exactly what he had achieved. It's now been three months since the procedure and the results for me have been remarkable, virtually all the symptoms improved within a couple of weeks as the healing progressed and now I am virtually symptomless ( just occasionally some urgency) I am delighted with the outcome and with Mr Frymans skills and expertise.

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Written by a private patient at The Chichester Nuffield Hospital
15th March 2021


Having had to go into A&E and being treated being unable to pee I was referred to Mr Frymann by one of his colleagues. I was treated with great care and admitted very quickly for the operation. I cannot speak more highly of the result. After a couple of weeks of peeing blood and guts which whilst unpleasant was very much for warned I have now fully recovered. The post operation contact has been exemplary and I couldn't or can't fault anything.

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Written by a patient at Worthing Hospital
22nd October 2019


Rob Frymann carried out my holep procedure and it was such a success. So pleased also that he conducted my followup interview to ensure all was well. Demonstrated to me the total care provided by the docs and by Worthing hospital.

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Profile

Rob completed his undergraduate training at the University of Sheffield. His basic surgical training was under taken at St Richard’s Hospital in Chichester, followed by 2 years of research in Bristol working towards his MD thesis (looking into the treatment of benign prostatic obstruction). Rob was a specialist registrar in the South Thames region, which included a further year at St Richard’s Hospital, a year at Worthing Hospital, and a 2 year oncology (cancer) and laparoscopy fellowship in Newcastle, New South Wales, Australia.

Rob has been a consultant urological surgeon since 2008, specialising in laser surgery. Rob has built up a vast experience with Holmium laser enucleation of the prostate (HoLEP) and laser stone surgery for kidney stones. Since 2009 he has performed over 650 HoLEPs (up to 2022) and is currently doing over 100 HoLEP procedures a year. He has built a reputation for operating on men with very large, challenging prostates where the HoLEP procedure is the preferred option, although HoLEP is a great operation for any size of prostate.

Rob continues to audit his results to ensure excellent outcomes for his patients. Approximately 70% of the men having a HoLEP are catheterised and unable to pass urine at the time of surgery; the catheter free rate after surgery is 95% to 98%. The average pre-op PSA was 10.1 (range 0.01 to 102) and the average post-op PSA was 2.49 (range 0.06 to 26); the vast majority of patients find that their PSA falls and often is within the normal age specific range after a HoLEP. The average enucleated weight was 77.7g (range 1g to 197g). Post-op symptoms scores are low indicating that the majority of patients are either delighted or happy with their symptoms after the procedure (average IPSS score of 4.9 out of 35 (range 1 to 15) with a quality of life score of 0.84 out of 6 (range 0 to 4)).

Rob achieves a high stone free rate after laser stone surgery and tries to avoid leaving a ureteric stent after surgery if at all possible.

Rob has been consultant urological surgeon at Western Sussex Hospital (now University Hospitals Sussex) since July 2016. Prior to this appointment he was a consultant urological surgeon at the James Paget Hospital in Great Yarmouth (2008 to 2016), undertaking HoLEP, laser stone surgery and laparoscopic nephrectomy.