Christof Kastner has been a Consultant Urologist based at Addenbrooke’s Hospital in Cambridge since 2009. He is Professor of Urology at the International Medical School of Rome ‘Tor Vergata’.
His specialist training took place in hospitals including Guy’s Hospital, UCL (both in London) and the Prostate Centre in Guildford, and for his early consultant years he worked under the mentorship of Prof David Neal.
Christof is one of the internationally leading experts in assessment and treatment of benign and cancerous prostatic disease. Having formed an international collaboration between his colleagues in Cambridge and other centres in Europe and Australia, he has been senior author of multiple publications, which have changed the approach to prostate cancer assessment.
For men presenting with symptoms of prostate enlargement or the suspicion of prostate cancer, Mr Kastner can offer a wealth of expertise based on his experience and evidence and allowing an individually tailored assessment and treatment using minimally invasive approaches to minimise side-effects.
Transperineal Prostate Biopsies using MRI-US fusion guidance (M-TTP) – Christof and his colleagues Tristan Barrett (Radiologist) and Andrew Doble were the first in the UK to be able to offer this most advanced technology to diagnose prostate cancer. They have gathered the largest experience in the UK and are amongst the top in the world.
The accuracy of his assessment allows Christof to counsel his patients with high confidence and inform about treatment options like Robotic prostatectomy, Radiotherapy, Brachytherapy, including Focal therapy, Active surveillance, Hormonal treatment and Chemotherapy.
As part of the Prostate Cancer team offering the above treatments, Christof provides:
Brachytherapy for Prostate cancer – Christof has experience in more than 500 cases of brachytherapy. Having learnt this technique at Guildford and Guy’s Hospital, Christof and Simon Russell can offer a high precision insertion of radioactive seeds with minimal side-effects. This technique also allows application of Focal treatment in suitable patients.
SpaceOAR Hydrogel injection [ https://www.spaceoar.com/what-is-spaceoar-hydrogel/] – This procedure temporarily increases the distance between prostate and bowel wall and thereby minimises the side-effects of prostate Radiotherapy. It is minimally invasive, has little side-effects and can be done under local and general anaesthesia.
For patients with symptoms suggesting benign obstruction of the urinary flow by the prostate (Lower urinary tract symptoms or LUTS) Mr Kastner offers Holmium Laser Enucleation of Prostate (HoLEP) – Christof has performed more than 800 HoLEPs since 2007.
He mentored multiple senior surgeons nationally and internationally. Based on the published high-level evidence for HoLEP, in particular for durability, and his experience with technologies throughout his career, Mr Kastner strongly believes that this procedure is well superior to any other technique.