Mr Rob Frymann

Qualifications

MB ChB, A.T.L.S, F.R.C.S.I Pt 1, F.R.C.S (London), F.R.C.S (Urol), CCT in Urology, MD: University of Sheffield

GMC number: 4012687

Practising since: 1993

Specialties

Urology

Consultation times

  • Monday afternoons
  • Overview
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About

Rob completed his undergraduate training at the University of Sheffield. His basic surgical training was undertaken 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 the 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 a 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. 

Reviews available: https://www.iwantgreatcare.org/doctors/mr-robert-frymann

Special interests

  • Core (general) Urology
  • Urological cancer (Kidney, Bladder, Prostate and Testicular cancer)
  • Upper tract laparoscopic ("key-hole") surgery
  • Holmium Laser Enucleation of the Prostate (HoLEP) and resection of the prostate (TURP or TURiS) 
  • Laser stone surgery

Personal interests

Rob has 3 grown up daughters. His outside interests include sailing, windsurfing, snowboarding, cycling and tennis. He is a keen pianist, and has a wide repertoire of both classical and modern music.

Treatments and tests offered by Mr Rob Frymann at Nuffield Health

  • Holmium laser enucleation of the prostate (HoLEP)
  • Testicular ultrasound
  • Prostate screening
  • Prostate surgery
  • Female urology
  • Prostate resection (TURP)
  • Circumcision
  • Vasectomy or male sterilisation
  • Percutaneous nephrolithotomy

Locations Mr Rob Frymann works with

Related experience

Memberships

  • General Medical Council
  • Royal College of Surgeons of England
  • British Association of Urological Surgeons
  • British Medical Association

Other posts held

  • Consultant Urological Surgeon Nuffield Hospital, Chichester
  • Consultant Urological Surgeon Western Sussex Hospitals Foundation Trust

Insurers Mr Rob Frymann works with

Mr Rob Frymann works with the following private medical insurance providers:

  • Aviva Health
  • AXA - Global Healthcare
  • AXA Health
  • Benenden Health
  • Bupa
  • Cigna
  • CS Healthcare
  • Exeter Family Friendly
  • Health-on-Line
  • SecureHealth
  • Simplyhealth
  • Vitality Health (Pru Health)
  • Westfield Health WPA

Declaration

Mr Rob Frymann does not hold a share or financial interest in this hospital, another Nuffield Health hospital or the company.

Mr Rob Frymann does not have a share or financial interest in equipment used at this hospital or another Nuffield Health hospital.

Mr Rob Frymann does not hold any paid advisory role(s) at this hospital or on behalf of Nuffield Health.