Services & Treatments provided
I offer outpatient clinic appointments and also perform operations privately at the Spire Hospital, Bristol. Please contact my secretary Patricia Harvey (Trish) 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.
Hysteroscopy / Biopsy / Polypectomy (camera test of the uterus or womb)
Mirena Intrauterine system (coil)
Endometrial ablation (burning of the inner lining of the womb)
Hysterectomy (surgery to remove the womb)
Laparoscopy (key hole examination of the inside of the tummy)
Gynaecological scanning (transvaginal scanning)
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
Use of vaginal pessaries for pelvic organ prolapse
Surgical treatments for Pelvic organ prolapse
Anterior repair (cystocele repair) (repair of the front wall of the vagina)
Vaginal hysterectomy (removal of the uterus or the womb through the front passage)
Posterior repair (rectocele repair) and perineal body reconstruction (repair of the back wall of the vagina)
Colpocleisis (vaginal closure for women who are not sexually active)
Uterine preserving surgery for prolapse - Laparoscopic Sacrohysteropexy or Sacrospinous fixation
Surgery for vault prolapse (prolapse of the top of the vagina after a hysterectomy)
Sacrocolpopexy (Laparoscopic or key hole)
Management of Urinary incontinence
Surgical options for managing Stress urinary incontinence
Insertion of mid urethral sling (Mesh or tape procedure)
Urethral bulking (Injection )
Colposuspension – Laparoscopic (key hole) / Laparotomy
Cystoscopy (Camera test of the bladder)
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.
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.