The following is a list of TPFS & ACPGBI members with a stated interest in pelvic floor disorders.
Denotes Member The Pelvic Floor Society
* Denotes member ACPGBI
Aberdeen [BSGE accedited endometriosis centre]
Basingstoke [PF Centre offers expertise in dealing with mesh complications]
Mr Kourosch Khosraviani*
Queen Elizabeth [PF Centre offers expertise in SNS]
Arvin Pallan (Radiologist)
Bill Rae (Chronic Pain Physician)
Sandwell Hospital [PF Centre offers expertise in SNS]
Kelly Stackhouse (Specialist Nurse)
Sutton Coldfield [PF Centre offers expertise in SNS]
Annette Woodward (Physiotherapist)
Carmel Ramage (Urogynaecologist)
Pia Hughes (Specialist Nurse)
Bristol - pan Bristol MDT
University Hospital Bristol [PF Centre offers expertise in SNS]
Dr Jim Virgee (Radiologist)
Southmead Hospital (Reference Centre for LVMR, Gynae, Urology Mesh related problems, Revision surgery for Urinary Incontinence, Pudendal nerve decompression & Chronic pelvic & visceral pain & Endometriosis) www.bristolsurgery.com
Madu Chendrmada (Urogynaecologist), Mr Marcus Drake, Hashim Hashim (Urologists)
Dr Gareth Greenslade (Chronic Pain Physician) As from 7/17 can only be accesed via private sector
Miss Laura Thomas (Physiologist)
Dr Eric Loveday (Radiologist)
Nikola Say PF Secretary & MDT Co-ordinator Contact me
Cambridge [PF Centre offers expertise in SNS and expertise in Uroynaecology Mesh Complications]
Mark Slack (Urogynaecologist)
Mr Simon Phillips
Jane Turner (Specialist Nurse)
Mr James Thomas, Mr Wolf Gelman (Urogynaecologists)
Dawn McWilliams (Specialist PF Nurse)
Mr Chris Harmston
Abdul Sultan (Urogynaecologist)
Mr Rakesh Bhardwaj
Mr Jacek Adamek
Jane Curtis (Specialist Physiotherapist)
Dundee [PF Centre offers expertise in SNS & dealing with urogynaecology mesh complications]
Durham [PF Centre offers expertise in SNS, revision neuromodulation & constipation]
Prof Yan Yinniakou* (Neuro-Gastroenterologist)
Exeter [PF Centre offers expertise in SNS]
Miss Cindy Chew*
Gloucester & Cheltenham
Mr Tom Roe*
Beverly Grey (Clinical Scientist)
Hull [PF Centre offers expertise in SNS]
Prof Graeme Duthie*
Lantrisant, Royal Glamorgan, S Wales
Leeds [PF Centre offers expertise in SNS, fenix]
Mr Justin Young*
Diane Stark (Physiotherapist)
Prof Doug Tincello (Urogynaecologist)
Dr Vikas Shah (Radiologist)
Wirral [Centre for Endometriosis]
Mr Mark Doyle (Urogynaecologist)
Mr Steven Mann*
Simona Di Caro
Barts & Royal London [PF Centre offers expertise in SNS & revision neuromodulation]]
Dr Marc Scott (Physiologist)
Mr Alistair Myers
Kings College Hospital
Mr Stergious Donmouchtsis (Urogynaecologist)
St Mark's [PF Centre offers expertise in SNS & in dealing with mesh complications]
Patricia Evans (Clinical specialist biofeedback)
Guy's & St Thomas' [PF Centre offers expertise in SNS]
Mr Ugochukwu Ihedioha
The London Clinic
UCHL [PF Centre offers expertise in SNS, GI motility disorders and reference centr for Urogynae mesh complications & Endometriosis]
Tamsin Greenwell (Urologist)
Stuart Taylor (Radiologist)
Prof Anton Emmanuelle (Neuro-Gastroenterologist)
Miss Katherine Brown
Mr Pradeep Basnyalt
Manchester [PF Centre offers expertise in dealing with mesh complications]
University Hosp South Manchester
Clare Molyneux (Specialist Physiotherapist)
Domini Mullins (Nurse Specialist)
James Pearson (Clinical Scientist)
Dr Winston De Mello (Pain Physician)
Karen Ward (Urogynaecologist The Warrell Unit, St Mary’s Hospital)
Tameside, Gt Manchester
Gateshead [PF Centre offers expertise in SNS & in dealing with mesh complications]
Mr Mark Mercer-Jones*
Nottingham [PF centre offering epertise in SNS]
Oxford Churchill Hospital [Reference centre for LVMR, Gynae & Urogynae mesh complications]
Tel: 01865 220948 www.oxfordpelvicfloor.co.uk
Miss Kim Gorrissen*
Ana-Simona Fourie, Karen Curran, Chris Rigozzi (Specialist Nurse Practitioners)
Poole [PF Centre offers expertise in dealing with mesh complications]
Mrs Debra Clarke (Physiotherapist)
Tim Hillard (Urogynaecologist)
Dr David Tarver (Radiologist)
Dr Tony Higginson (Radiologist)
Plymouth [PF centre offering expertise in SNS]
Anne Cornelius (Specialist Nurse)
Sheffield [PF Centre offers expertise in SNS & dealing with mesh complications] Contact Michelle 01142 266292
Sarah Kelly & Lynn Smith (GI Physiologists)
Kath Hanwell (Specialist Nurse)
Dr Swati Jah, Steve Radley, Andrew Farakas (Urogynaecologists)
Mr Richard Foon (Urogynaecologist)
Southampton [Reference centre for SNS, Uro-gynaecological & LVMR mesh complications & Endometriosis]
Mr Thomas Dudding* Contact us: 023 8120 6606
Janet Hicks* (Pelvic Floor Specialist Nurse)
Kathleen Vits (Physiotherapist)
Mr Ash Monga (Urogynaecologist)
Mr Bandipalyam Praveen*
Dr Deepa Gopinath (Urogynaecologist)
Stockton on Tees
Stoke on Trent [PF centre offering expertise in SNS]
Mr Robin Dawson
Jason Cooper (Urogynaecologist)
Stoke Mandeville/High Wycombe
Taunton [PF Centre offering expertise in SNS]
Miss Louise Hunt*
Torbay [PF Centre offering expertise in SNS]
Truro [Endometriosis Centre]
Mr Alex Slack
Mr Dinesh Balasubramaniam
Funmi Odofin (Physiotherapist)
Mr Serban Gheorghiu*
Have you found the right surgeon?
This may seem a strange question to pose if you are having your operation as an NHS patient as you are normally expected to take what is offered locally. However, via the NHS patient choice initiatives you do have a greater choice, especially when you live in a city where there are a number of surgeons practicing.
The decision to have major surgery can often be stressful. Patients interested in any pelvic floor interventions should find a surgeon who is experienced in this type of surgery. When meeting with the surgeon, the patient should consider bringing a friend or family member to take part in the discussion with the surgeon and to help take notes. The private option will enable you to seek a surgeon who is more skilled in the operation you wish to have and for it to fit in more easily with your own time frame.
So, you've found the names of several surgeons and you need to decide which one to consult. Here are some pointers to guide you through this decision making process.
How conveniently located is your surgeon?
In the event that something goes wrong, you need to be able to get in contact with your surgeon immediately for advice and if necessary treatment; If you have chosen a private surgeon 200 miles away because the price of the operation was cheaper, this may become a problem if you need help urgently.
If you underwent an operation that is not available locally, the staff in your local hospital may not know how best to help you should you run into difficulties. It is thus very sensible to choose a local surgeon provided that they have all the skills that you require close to where you live.
What operations does your surgeon do most often?
Common sense would dictate that any surgeon will achieve greatest technical expertise in the operation they perform most often. Beware of the surgeon who says they will "have a go" and if you are one of the first patients to undergo this surgery locally, ask if your surgeon is planning to have a more experienced surgeon to supervise him/her.
Q: How many cases do you treat annually?
Q: Have you received advanced training in the techniques?
Q: How many minimally invasive LVMRS have you performed overall? How many per year?
Q: What are your results ?
Q: Will you deal with my mesh complication laparoscopically? if not WHY?
Most sensible and forward thinking surgeons will maintain a database of all patients undergoing PF surgery (indeed it is a prerequit of being a member of TPFS) and undertake regular audits of their practice. He/she should be able to tell you their short and medium term results and also how many have had side effects, complications etc.
Q: What have you seen in terms of patient outcomes with this procedure?
Q: What is the most common complication you have encountered with this procedure?
Q: Is his/her choice of private hospital an accredited provider for colorectal and urological cancer services? Does it have high dependency facilities?
Q: Does your surgeon work in a multidisciplinary team?
Avoid a surgeon who does not work in a multidisciplinary team - works with colleagues where appropriate (urologist, gynaecologist & coloproctologist), specialist nurses, dietician, specialist radiologist and physiotherapist etc. Remember, some of the best results are obtained when your surgeon has a close working relationship with an individual anaesthetist.
Remember that pelvic floor problems can be quite complex!
Q: How long they have been doing LVMR or neuromodulation, where were they trained and how many operations have they performed?
Q: Is there a local support group?
A sensibly structured support group can make a huge difference and the better ones have the input of a local surgeon in them. The support group should do more than meet socially for a chit chat (there is a lot of good that will come from such a meeting, don't get us wrong) but a group that has guest speakers and a proper education–based agenda will be much more useful to you.
Q: Is your surgeon a member of the pelvic floor society and subscribes to its goals?
Do you like your surgeon?
This may seem like a silly question but remember, you are entering into a professional relationship and you will need to be completely open and honest with them.
If you don't like your surgeon, you are unlikely to trust and respect him/her and you will find it harder to comply with the post–op instructions, disappointments etc.
If you have an experience that leaves you concerned, make sure you have not just met him/her on a bad day - speak to your GP, the nurses or other patients if you are at all concerned.
Remember that at the end of the day, it is the surgeons experience and technical expertise that counts