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Evidence

Surgassists is built on a growing body of peer-reviewed clinical research. Our studies are published in leading urology and surgical journals, led by NHS consultants and validated at Southampton University Hospital with an expanding international evidence base.

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Publications

Investigating the use of Virtual Reality (VR) to provide enhanced consent and support patient counselling for Shockwave Lithotripsy (SWL).

Solomon Bracey, Phoebe Reynolds, Ameila Pietropaolo, Dara Bamerni, Loretta Tear, Tanya Davis, Maria Frascheri, Bhaskar Somani.

Enhanced consent and patient counselling using Virtual Reality for patients undergoing Outpatient Urological Interventions: Prospective outcomes from a university teaching hospital

Arianna Pischetola, Phoebe C J Reynolds, Dara Bamerni, Tanya Davis, Loretta Tear, Amelia Pietropaolo, Florencia Maria Frascheri, Anna Cornwall, Bhaskar K Somani

The Role of Virtual Reality in Enhancing Informed Consent for Shock Wave Lithotripsy: A Mixed-Methods Study of Physician and Patient Perspectives

Bhaskar K Somani, Phoebe CJ Reynolds

Enhanced consent and patient counselling using virtual reality for

patients undergoing shockwave lithotripsy: prospective outcomes

from a university teaching hospital

Dara Bamerni, Loretta Tear, Tanya Davis, Phoebe C. J. Reynolds, Amelia Pietropaolo, Bhaskar K. Somani

Interested in joining our research network? Surgassists actively collaborates with NHS and European clinical centres. We welcome consultant surgeons, specialist nurses, and academic partners to contribute to our growing evidence base for immersive patient consent.

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Supporting Evidence

Litigation claims in Urology in the UK National Health

Service: an analysis of the trends, costs and causes

over a 16-year period

Abhinav Tiwari, Jenni Lane and Bhaskar Somani

Urology Malpractice Litigation and Complaints Referred to the

General Medical Council: A UK-based analysis of Trends,

Demographics, and Outcomes over the Last Two Decades

Abhinav Tiwari, Jenni Lanea, Bhaskar K. Somani

Improving Patient Information and Enhanced Consent in Urology: The Impact of Simulation and Multimedia Tools

Nedbal C, Juliebø-Jones P, Rogers E, N'Dow J, Ribal M, Rassweiler J, Liatsikos E, Van Poppel H, Somani BK

Role of virtual reality in enhanced consent for endourological procedures: Clinician and patient perspective — Analysis from EAU Endourology

Bhaskar Somani, Phoebe Reynolds

Enhanced consent and patient counselling using virtual reality (VR) glasses for patients undergoing shockwave lithotripsy (SWL): Prospective outcomes from a university teaching hospital

Dara Bamerni, Loretta Tear, Tanya Davis, Phoebe Reynolds, Amelia Pietropaolo, Bhaskar Somani

Frequently Asked Questions

  • Surgassists is designed to support and enhance the informed consent process, not replace clinician-led consent conversations. Following the landmark Montgomery v Lanarkshire ruling, patients must be made aware of all material risks in a way they can genuinely understand. Our research demonstrates that immersive VR and AR consent tools significantly improve patient comprehension of procedures and associated risks directly supporting the standard required. Surgassists should be used alongside, and documented as part of, your existing consent pathway.

  • Virtual Reality (VR) immerses the patient in a fully computer-generated environment using a headset. The patient is transported into a calm, 3D clinical setting where they can visualise the procedure from a first-person perspective, including life-size anatomical structures and instrument pathways.

    Augmented Reality (AR) overlays 3D anatomical content onto the real world for example, projecting a life-size kidney or bladder into the consultation room via a tablet or AR glasses. 

  • Yes. Modules can be shared with patients via a secure link prior to their clinic or procedure date, allowing them to watch at home on a smartphone, tablet, or compatible VR headset if they have one. Providing the module ahead of attendance means patients arrive better prepared, with more informed questions — improving the quality of the consent conversation and reducing avoidable cancellations.

  • Surgassists modules do not require patients to create an account or enter any personal data to access the content. Usage analytics (such as module completion rates) can be collected at a departmental level for reporting purposes, but no patient-identifiable information is stored within the Surgassists platform. Full data processing documentation is available on request for your Information Governance and DTAC submission.

  • Each Surgassists procedure module is 2–5 minutes in length specifically designed to fit within a standard outpatient appointment. Modules can be viewed in the waiting area prior to the clinician consultation, or sent to the patient digitally to watch at home before attending. This approach means the clinician's consent conversation can focus on questions and shared decision-making, rather than basic procedural explanation.

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