Gynaecology

At Cleveland Clinic London, women can find comprehensive, compassionate gynaecological care. Our consultants have the specialised skills and knowledge to give you the best possible care, no matter what your needs are.

From endometriosis to pelvic floor problems to hormonal and menstrual disorders, you will receive personalised, coordinated, supportive care that fits your life. Our team provides expert diagnostics and treatment while doing everything possible to improve your quality of life.

Our extended teams deliver holistic care for women throughout their lives. We are here to help you with a range of gynaecological conditions. When you turn to us, you’ll find:

• Extensive experience: With experience in diagnosing and treating common and rarer gynaecologic conditions, our highly qualified team members are leaders in their fields. Most come from the U.K.’s top teaching hospitals and have participated extensively in research. They bring their training, skills and education to finding the right care plan for you.
• International leaders: You are in the hands of some of the world’s leaders in gynaecological care. Many of our surgeons run national and international workshops for conditions such as endometriosis and pelvic floor problems. Many also have leadership roles in national/international societies for gynaecological diseases. We use our expertise to provide the right diagnosis and treatment for you.
• Advanced technology and state-of-the-art facilities: Our hospital and outpatient centres are equipped with the latest technology and most sophisticated software in the world. We designed our facilities for the best possible patient experience and to ensure maximum privacy for you.
• Customised care: There are many gynaecologic symptoms women can experience. Some are worrying, some can affect your quality of life, and some may even be life-threatening. At Cleveland Clinic London, you are the centre of our attention. We discuss your symptoms, perform a thorough assessment, provide expert diagnosis and customise a care plan specifically for you.
• On-site diagnostics and imaging: We can do all diagnostic testing and imaging immediately on-site. This process ensures you are diagnosed quickly and can start treatment as soon as possible.
• Collaborative team: A team of experts guides your experience. We are one of the few private centres in the U.K. offering multidisciplinary meetings to discuss gynaecological conditions. Gynaecologists also work with specialists in other departments to offer the personalised, effective care you need, including breast cancer services, colorectal surgery, gastroenterology, urology, pain management and radiology.

Our gynaecologic team treats a range of conditions and symptoms, including:

• Endometriosis.
• Pelvic floor dysfunction.
• Urinary incontinence.
• Vaginal prolapse.
• Heavy periods / Abnormal Bleeding.
• Ovarian cysts.
• Fibroids.
• Hormone replacement therapy.
• Menopause.

Gynaecological Treatment

Your care begins at our gynaecology diagnostic and treatment unit. This is where we develop your treatment plan, arrange relevant investigations, start your treatments and organise surgical procedures, if required.

Learn about the wide range of services we offer:

Specialty clinics and services

• General gynaecology: Women who need any gynaecological care can receive expert, skilled services.
• Coil (intrauterine system) insertion: We provide insertion services for this IUD contraceptive device, which is placed inside the womb. An ultrasound helps us confirm that the coil has been correctly placed.
• HPV vaccine administration: We offer an HPV vaccination service to help protect you against high and low risk HPV.
• Acute gynaecology clinic: At this fast-track service, women with suspected gynaecological cancer receive prompt care.
• Endometriosis treatment: Our renowned team of gynaecologists works together to provide comprehensive, multidisciplinary treatment for people with endometriosis. The team trains surgeons around the world and is actively involved in national and international societies for improving endometriosis care. Expert bowel and urology teams, radiologists, physiotherapists and pelvic pain physicians work together to offer you customised care. Your treatment plan may include medical (non-surgical) or surgical treatments, including laparoscopic (keyhole) excisional surgery.
• Physiotherapy after gynaecologic surgery: After you have surgery for a gynaecologic condition, our expert physiotherapists can help you regain strength and function.
• Urogynaecology services: We offer special expertise in urogynaecology, which focuses on pelvic medicine and reconstructive surgery. Our urogynaecology experts, with the support of nursing and physiotherapy colleagues, bring you a range of conservative and surgical treatments and services.
• Urogynaecology assessment, diagnosis and treatment can help women with pelvic floor or bladder conditions, including urinary incontinence, vaginal prolapse, urinary tract infections and pelvic floor injury. This service can also help people who experienced severe tears during childbirth.
• Overactive bladder treatments may include medical and surgical treatments, including botulinum toxin injections and sacroneuromodulation.
• Stress incontinence treatments may include urethral bulking, rectus fascial sling and colposuspension, which we can perform laparoscopically.
• Minimally invasive treatments and vaginal surgery can help correct problems related to prolapse and incontinence. We may use mesh implants, but we can offer alternatives. Your team will talk to you about your options. We also have multidisciplinary meetings where many experts discuss the most appropriate treatments so we can make sure we are recommending the best care plan for your needs.

Diagnostic tests

• Diagnostic hysteroscopies: We can do this as an outpatient procedure to investigate and treat common causes of bleeding problems in women.
• Hormonal assessments: These assessments can help us figure out problems related to your menstrual cycle, such as bleeding problems, premenstrual syndrome and menopause symptoms.
• Pelvic ultrasound: An ultrasound helps diagnose a wide range of gynaecologic diseases and conditions. We usually perform this internally (through the vagina) to provide more accurate images. We may combine a pelvic ultrasound with an abdominal scan. This scan has no ionising radiation, so it is very safe.
• MRI: This specialised high-level scan helps diagnose complex gynaecological problems and plan treatments. We have the latest high-definition MR scanners at Cleveland Clinic London, with dedicated radiologists who are experts in interpreting gynaecological conditions. This scan has no ionising radiation, so it is very safe.
• Urodynamics: We provide a comprehensive assessment of bladder function and symptoms to investigate urinary problems.
• Bowel function tests: We work with colleagues in functional gastroenterology and colorectal surgery to investigate troublesome bowel symptoms. Our team works together to make tailor-made recommendations to help treat you.

Surgeries

Our surgical team performs procedures using minimally invasive (keyhole) and open techniques. We discuss what to expect before, during and after your procedure, so you are fully prepared.

• Hysteroscopy: We use this procedure to investigate or treat a condition affecting the endometrium (womb lining), including menstrual problems and fibroids. We run both an outpatient and inpatient service for women needing hysteroscopy.
• Vaginal repair: A repair can correct weaknesses in the supporting muscles of the vagina, such as those that occur with prolapse.

Laparoscopy (keyhole surgery) uses small incisions and thin instruments to perform the operation. These surgeries often lead to a shorter, easier recovery. Keyhole procedures we perform include:

• Hysterectomy: Surgeons remove the womb, which may also include removal of the cervix, fallopian tubes and ovaries.
• Ovarian cystectomy: During this surgery, our reproductive surgeons remove ovarian cysts.
• Hysteropexy: This operation helps correct uterine prolapse in women who do not wish to have a hysterectomy. We offer both mesh and meshless surgery.
• Sacrocolpopexy: This operation lifts the top of the vagina in women who have severe prolapse despite having had previous surgery.
• Laparoscopic excision of endometriosis: This surgery removes endometriotic deposits. In complex cases, we may do this together with a bowel surgeon to shave or remove deposits on the bowel. We also work with urologists and pain medicine specialists. In addition, we have expert hepatobiliary surgeons with experience in treating endometriosis. This expertise enables us to manage diaphragmatic endometriosis and endometriosis present in other sites, such as the liver or kidney.
• Oophorectomy: Surgeons remove one or both ovaries. For some women, this can help treat underlying diseases. We may also do this preventively, for women at high risk of breast or ovarian cancer.
• Colposuspension: We typically perform this surgery to help treat female stress urinary incontinence.
• Myomectomy: Surgeons use this procedure to remove fibroids.
• Other complex gynaecological surgical procedures: We offer minimally invasive surgical options to treat other gynaecological conditions such as repair of Caesarean scar defects (niche), complex adhesions and oophoropexy — fixing ovaries to prevent recurrent ovarian torsions (twisting).

Most of these surgeries may be done using either keyhole or open techniques. We discuss with you which approach will offer you the best results and long-term outcomes.

Learn More

Contact us or call +44 20 3423 7500 to make an appointment or learn more about our gynaecology services.