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Written by a patient at The Chichester Nuffield Hospital
21st October 2019


I cannot thank Mr.Fryman enough for what he has done for me. After seven years living with B.P.H and struggling the last two he became the answer to all my prayers after following the normal route. Basically I underwent a H.O.L.E.P procedure which he performed,but what actually amazed me was how quick the procedure was performed from the first consultation,and when he asked me when would you like it done. The results have been phenomenal when I think back on all the suffering the condition put me through,I now have a perfectly normal life and I must say it took me a while to actually realise what normal was.I no longer take any medication,my P.S.A has returned to normal,I sleep through the night and I no lonģer have any symptoms associated with B.P.H at all. Mr.Fryman is a true professional who has a gift to give hope to people and in my case he gave me my normal life back which has now made me physically and mentally stronger with a regained focus for taking life by the hands,like I said I cannot thank him enough and if I am honest he will have a place in my heart for as long as I draw breath.

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Written by a patient at Worthing Hospital
12th October 2019


Rob Frymann was the surgeon that performed HoLEP surgery to alleviate the symptoms of my severely enlarged prostate. Mr Frymann explained the procedure extremely well, and put me totally at ease with his confidence and professionalism. He was direct and honest about the recovery period and post surgery care. He listened properly and answered my questions fully regarding ongoing medication and the risks involved in the surgery. As a result, I entered into the surgical procedure with far greater confidence, and much more hope of a full recovery with improved health. I cannot recommend this absolute gentleman enough.

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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.