Dr Nigel Hacking, Consultant Radiologist

Southampton University Hospitals NHS Trust

Specialist in Fibroid Embolisation and Prostate Artery Embolisation (PAE)

Dr Nigel Hacking is a Consultant Radiologist in the Southampton University Hospitals NHS Trust. He specializes in Interventional Radiology and is one of the world pioneers in both Uterine Fibroid Embolisation (UFE) and more recently Prostate Artery Embolisation (PAE). He is the Founder and Medical Director of ‘Fibroid Caribbean’ and ‘UK Fibroid Experts’ groups and performs UFE in Southampton, in the Caribbean in Trinidad at the St Claire Medical Centre and in Nairobi at the Aga Khan University Hospital. He has also has set up UFE services around the UK and overseas in several centres

Dr Hacking has a strong interest in non vascularRelating to blood vessels. Interventional Radiology and particularly embolisation in a variety of different tumours. He has one of the largest UK experiences in Trans Arterial Chemo Embolisation using Drug-eluting Beads (DEB-TACE) for liverA large abdominal organ that has many important roles including the production of bile and clotting factors, detoxification, and the metabolism of proteins, carbohydrates and fats. cancers and is one of the first Interventional Radiologists to offer embolisation for bony and soft tissueA group of cells with a similar structure and a specialised function. metastasesSecondary tumours’ that result from the spread of a malignant tumour to other parts of the body. from kidneyOne of two bean-shaped organs that are located on either side of the body, below the ribcage. The main role of the kidneys is to filter out waste products from the blood. as well as liver cancers.

UFE was first described in 1995 and introduced into the UK in 1997. Starting in the UK in 1998 and the Caribbean in 1999 Dr Hacking has gained one of the most extensive experiences in UFE in the world. Over 2000 cases have been treated to date. ‘Fibroid Caribbean Ltd’ was founded in 2004 to coordinate UFE throughout the Caribbean region and offer advice to Caribbean women living at home or overseas.

Dr Hacking presents his findings regularly at UK and International conferences throughout the world, is widely published in peer-reviewed journals and acts as a reviewer for many journals himself. He runs a very successful Fellowship in non-vascular Interventional Radiology in Southampton and provides extensive training for established consultants in Interventional Radiology in UFE both in Southampton and through regular workshops in the Caribbean and Kenya.

Dr Hacking has worked extensively in the fields of Hepatobiliary, Urological, Pancreatic and Gynaecological diagnostic and Interventional Radiology since 1987. Following training at the Middlesex and St Mary’s Hospitals in London he received his Radiological training in Southampton. He was appointed as a Consultant at Southampton University Hospitals in 1991 in Interventional and Abdominal Radiology. He has pioneered all the latest advances in Obstetric, Gynaecological, Liver, Biliary and Pancreatic, Urological and Oncological Interventional Radiology since that time.


  Specialises in:
  • Introduction to Benign Prostatic Hyperplasia (BPH)

    By Contact


    •   Introduction to benign prostatic hyperplasiaEnlargement of the prostate, which may cause difficulty in passing urine.

    •   Symptoms of BPHAn abbreviation for benign prostatic hyperplasia, which is enlargement of the prostate that may cause difficulty in passing urine.

    •   Treatment of BPH

    •   Trans Arterial Embolisation

    •   Prostate Artery Embolisation

    Introduction to Benign Prostatic Hyperplasia or BPH

  • Prostate Artery Embolisation for BPH

    By Contact

    Benign prostatic hyperplasia/hypertrophyAn increase in the size of the tissue of an organ resulting from an increase in the size of its individual cells. (BPHAn abbreviation for benign prostatic hyperplasia, which is enlargement of the prostate that may cause difficulty in passing urine.), an increase in the size of the prostateA gland that surrounds the urethra near the bladder. It produces a fluid that forms part of the semen., is one of the most common causes of Lower Urinary Tract Symptoms (LUTS) affecting men. The process by which the prostate begins enlarging begins around the age of 30 and up to 50% of men will have histological evidence of BPH by 50 years of age. By 80 years of age this rises to 75%, although not all of these men will have symptoms.

    This article presents an overview of a new and emerging treatment for benign prostatic hyperplasiaEnlargement of the prostate, which may cause difficulty in passing urine./hypertrophy known as Prostate Artery Embolisation. 

  • What is involved in Uterine Fibroid Embolisation (UFE)?

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    Uterine Fibroid Embolisation (UFE) is a non-surgical, minimally-invasive, procedure that blocks off the arteries that supply the fibroidsBenign tumours, most often in the uterus. with bloodA fluid that transports oxygen and other substances through the body, made up of blood cells suspended in a liquid. (the uterine arteries), therefore shrinking the fibroids. It is performed by an interventional radiologistA doctor specializing in the interpretation of imaging techniques for the diagnosis and assessment of disease. with the patient sedated and results in shrinkage of fibroids by an average of 60%.

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