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Mr Julian Smith

Mr Julian Smith
MBBS, MSc, FRCS(Urol), Consultant Urological Surgeon

Languages spoken


Expert in

Bladder cancer, genitourinary cancer, kidney cancer, prostate cancer, testicular cancer




Spire Hospital, Chalybeate Close, Southampton, SO16 6UY

50.93096, -1.43201
+44 (0)238 127 7900
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Mr Smith graduated from Imperial College in 2002 before carrying out his basic surgical training at the Royal Surrey Hospital followed by two years of clinical research at Guy’s and St Thomas’ hospital in London.

The focus of this research was prostate cancer, diagnostic prostate biopsies and robotic radical prostatectomy. In 2009 Julian published his MSc thesis “The evolving role of transperineal template prostate biopsies” before continuing his higher training in Wessex.

Mr Smith’s principle interests are laparoscopic and open major abdominal and pelvic cancer surgery. He was appointed to University Hospital Southampton (UHS) in 2014 as a bladder and kidney cancer surgeon and has established himself, nationally, as a high volume cystectomist (bladder removal surgeon).

Mr Smith, also, augments the laparoscopic and open nephrectomy service as well as dovetailing with the prostate team continuing with transperineal biopsies and prostate high dose rate brachytherapy. He continues to enjoy his benign work consisting of vasectomy/peno-scrotology and endoscopic surgery such as transurethral resection of prostate (TURP) to help male urinary symptoms.

Outside theatre, Mr Smith remains highly patient focused. He has transformed the local Enhanced Recovery Programmes for patients after major urological surgery and has written the national guidelines for the British Association of Urological Surgeons.

Career positions

Current position(s)
  • Bladder removal surgery
  • Consultant Clinical Urologist, Southampton


  • Imperial College, 2002
  • Basic surgical training at the Royal Surrey Hospital followed
  • Two years of clinical research at Guy’s and St Thomas’ hospital in London


Expertise and interests

  • Laparoscopic and open major abdominal and pelvic cancer surgery
  • Urological Cancer
  • Prostate cancer, Bladder and Urothelial Cancer, Kidney Cancer, Testis Cancer
  • Urinary Tract Infections
  • Urinary symptoms
  • Urinary Incontinence
  • Kidney stone disease
  • Peno-scrotal problems

Professional memberships

  • General Medical Council
  • Medical Defence Union
  • Royal Society of Medicine
  • British Association of Urological Surgeons
  • European Association of Urology



  • Clinical excellence achievement award: Enhanced recovery programme 2015
  • Nominated for BAUS John Anderson award 2015


  • Smith J, Pruthi R, McGrath J. Perspectives: Enhanced Recovery for patients undergoing radical cystectomy. Nat Rev Urol. 2014 Aug;11(8):437-44. doi: 10.1038/nrurol.2014.164
  • *Smith JB, Meng ZW, Locker CR, Dudderidge TJ, McGrath J, Hayes M, Birch BR. The evolution of the Southampton Enhanced Recovery Programme for radical cystectomy and the aggregation of marginal gains. BJU Int. 2014 Sep;114(3):375-83. doi: 10.1111/bju.12644. Epub 2014 Jul 27.
  • *Smith JB,, Popert R, Nuttall M, Vyas L, Kinsella J, Cahill D.  Transperineal sector prostate biopsies: a local anaesthetic outpatient technique. Urology. 2014 Jun;83(6):1344-9. doi: 10.1016/j.urology.2014.02.008. Epub 2014 Apr 13.