Services & Treatments provided

I offer outpatient clinic appointments and also perform operations privately at the Spire Hospital, Bristol. Please contact my secretary Natalie Curtis to arrange a consultation.

Please click on individual treatments for more information.

Make An Appointment

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

Period problems

Click here for more information from patient.info

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

Hysteroscopy / Biopsy / Polypectomy (camera test of the uterus or womb)

Click here for more information from patient.info

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

Mirena Intrauterine system (coil)

Click here for more information from patient.info

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

Endometrial ablation (burning of the inner lining of the womb)

Click here for more information from patient.info

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

Hysterectomy (surgery to remove the womb)

Click here for more information from patient.info

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

Pelvic pain

Click here for more information from patient.info

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

Laparoscopy (key hole examination of the inside of the tummy)

Click here for more information from patient.info

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

Gynaecological scanning (transvaginal scanning)

Click here for more information from patient.info

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

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) - CURRENTLY NOT AVAILABLE IN THE UK

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

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.