Services & Treatments provided

 

I offer outpatient clinic appointments and also perform operations privately at the Spire Hospital, Bristol. Please contact my secretary Faye Dunn for a date and time convenient for a consultation.

Please click on individual treatments for more information.

Conditions treated and procedures offered

This section will provide you with information on the various gynaecological conditions and treatment options that I am able to offer you. Most of the procedures are minimally invasive and can be done either vaginally (through the front  passage) or laparoscopically (through a key hole). I offer minimal access (laparoscopic) and mesh free options for the treatment of prolapse and urinary incontinence. 

I have chosen information leaflets from various professional organisations, which are carefully prepared to help you understand these conditions and treatments. Click on the conditions and treatment options to get more information on them. The link will open in a new window, please close it to come back to this website.

Please ensure that you ask me for any further information or clarify any doubts you may have at your consultation. 

General Gynaecology

Conservative treatments for Pelvic organ prolapse

Please click on the links below to understand about the non surgical options for managing pelvic organ prolapse

Pelvic floor exercises

      Click here for more information from patient.info

      Click here for more information from the national health service (NHS UK)

      Click here for more information from the international Urogynaecological Association (IUGA)

Use of vaginal pessaries for pelvic organ prolapse

      Click here for more information from patient.info

      Click here for more information from the international Urogynaecological Association (IUGA)

Surgical treatments for Pelvic organ prolapse

Anterior repair (cystocele repair) (repair of the front wall of the vagina)

      Click here for more information from the international Urogynaecological Association (IUGA)

Vaginal hysterectomy (removal of the uterus or the womb through the front passage)

      Click here for more information from the international Urogynaecological Association (IUGA)

Posterior repair (rectocele repair) and perineal body reconstruction (repair of the back wall of the vagina)

      Click here for more information from the international Urogynaecological Association (IUGA)

Colpocleisis (vaginal closure for women who are not sexually active)

      Click here for more information from the international Urogynaecological Association (IUGA)

Uterine preserving surgery for prolapse - Laparoscopic Sacrohysteropexy or Sacrospinous fixation

      Click here for more information from the international Urogynaecological Association (IUGA)

Surgery for vault prolapse (prolapse of the top of the vagina after a hysterectomy)

      Sacrocolpopexy (Laparoscopic or key hole)

      Click here for more information from the international Urogynaecological Association (IUGA)

      Sacrospinous fixation

      Click here for more information from the international Urogynaecological Association (IUGA)

Management of Urinary incontinence 

Surgical options for managing  Stress urinary incontinence

Insertion of mid urethral sling (Mesh or tape procedure)

          Click here for information from the International Urogynaecological Association (IUGA) 

         

          Click here for information from the British Association of Urological Surgeons (BAUS)

          Click here for information from patient.info

Urethral bulking (Injection )

          Click here for information from the International Urogynaecological Association (IUGA) 

         

          Click here for information from the British Association of Urological Surgeons (BAUS)

Colposuspension – Laparoscopic (key hole) / Laparotomy

          Click here for information from the International Urogynaecological Association (IUGA) 

         

          Click here for information from the British Association of Urological Surgeons (BAUS)

Urodynamics

          Click here for information from the International Urogynaecological Association (IUGA) 

         

          Click here for information from the British Association of Urological Surgeons (BAUS)

Overactive bladder

          Click here for information from the International Urogynaecological Association (IUGA) 

         

          Click here for information from the British Association of Urological Surgeons (BAUS)

Bladder retraining

          Click here for information from the International Urogynaecological Association (IUGA) 

         

          Click here for information from the British Association of Urological Surgeons (BAUS)

Cystoscopy (Camera test of the bladder)

          Click here for information from the International Urogynaecological Association (IUGA) 

         

          Click here for information from the British Association of Urological Surgeons (BAUS)

Use of mesh in Urogynaecology

Meshes are not routinely used in urogynaecological practice. It is used in a very selective group of patients with stress urinary incontinence or pelvic organ prolapse. Non-mesh alternatives are available for all the conditions and will be discussed with you in detail. Take your time to go through the information provided at the consultation and also on this website to make your decision. Mesh are either synthetic (do not dissolve) or biological (derived from plant or animal sources and dissolve).

 

The following links provide expert opinions and reviews on the use of mesh.

NHS England Mesh Oversight Group Report

Information on the use of mesh from the Royal College of Obstetricians and Gynaecologists (RCOG)

International Urogynaecological Association (IUGA) position statement on Mid-Urethral Slings for Stress Urinary Incontinence

European Commission Scientific Committee report on surgical meshes 

Please discuss and clarify any doubts at your consultation prior to having any surgery. The table below will provide you with a overview of the conditions that are treated with meshes and the available alternative operations without using mesh. 

Please note: I do not offer mesh removal surgery privately

Spire Hospital Bristol

Redland Hill, Durdham Down

Bristol

BS6 6UT

Tel:

0117 9804075

Email:

Faye.Dunn@Spirehealthcare.com

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