Most consultants offer general gynaecology services. Specialist services include:
Gynaecology cancer and colposcopy.
The Royal Free Hospital is the pre-eminent site for pre-invasive disease within the North London Cancer Network.
Mr Patrick Walker leads the service as the immediate past president of the British Society for Colposcopy and Cervical Pathology (BSCCP).
- The colposcopy service offers five diagnostic colposcopy clinics under the care of Mr Walker, Miss Evans, Miss Radhakrishnan or Sister Flynn, one out-patient treatment clinic and one cytology clinic per week.
Staff that are accredited by the BSCCP or are undergoing direct supervised training does all the clinics.
In-patient laser treatment is offered to those who are unsuitable for out-patient treatment.
The colposcopy service has a national reputation for its contribution to translational research within the NHSCSP over the last twenty years.
- Vulval service is led by Professor MacLean who is President Elect of the International Society for the Study of Vulvo-vaginal disease and is the past president of the British Society for the Study of Vulval Diseases. The Royal Free is a specialist centre that receives referrals not only from the Network but also from other centres nationally. Patients with vulval pain are seen by Miss Reid who has international recognition in this field.
- Gynaecology cancer. Mr Walker and Miss Evans offer two rapid access clinics and one follow-up clinic per week for women with suspected gynaecological malignancy. We treat early stage gynaecological malignancies at the Royal Free and refer advanced cases to the cancer centre at UCH as per network guidelines
- Ovarian cancer services. The Royal Free is one of the twelve national satellite units for the MRC United Kingdom Collaborative Trial of Ovarian Cancer (UKCTOCS).
Urogynaecology and pelvic floor
The service is delivered by Mrs Hockey and Miss Reid and is supported by physiotherapy.
- Urogynaecology services include the care of women with incontinence, bladder problems including recurrent UTI, bladder pain and voiding difficulties.
Urodynamics is offered as a one-stop consultant delivered clinic once a week.
- Pelvic floor clinic is for women with recurrent or complex pelvic organ prolapse. A multidisciplinary approach including urology and colorectal surgeons is involved in the care of these women.
Minimal access surgery
This service is delivered by Mr Magos who is a national figure in this field. The service encompasses
- Diagnostic hysteroscopy to investigate abnormal uterine bleeding. This is either done as day surgery or in a “one stop” out-patient clinic
- Operative hysteroscopy for hysteroscopic myomectomy, endometrial ablation, metroplasty and adhesiolysis
- Complex operative laparoscopy for ovarian cysts, endometriosis, adhesions, infertility, pelvic pain and fibroids.
Mr Magos has an interest in vaginal surgery and the management of uterine fibroids.
For fibroids unsuitable for endoscopic surgery we offer open myomectomies. We also offer uterine artery embolisation in conjunction with Dr Neil Davies, consultant radiologist.
The service is delivered by Mr Economides and supported by a clinical fellow and gynaecology nurse.
A multidisciplinary approach is provided to the investigation and management of recurrent miscarriages. Referrals are accepted for women who have had three or more miscarriages. The clinic runs twice a month on Tuesday afternoons. The staff involved also work in the early pregnancy unit (emergency gynaecology) so that continuity of care and support for the patients can be provided when they are pregnant. There are close links with other hospital departments: the women’s health counselling services, the haemophilia and haemostatis unit and the immunology department
The emergency gynaecology unit opened in April 2006. It is located on the 5th floor, next door to the gynaecology ward. This is a nurse-led, consultant-directed specialist unit for women who need emergency care for gynaecological problems and problems in early pregnancy.
The unit is open from 8.30am to 8pm with scanning facilities from 9am to 5pm (1pm on Friday)
Referrals are either from GP or the accident and emergency unit. Every effort is made to see any urgent GP referrals with abdominal pain in early pregnancy on the same day and non-urgent referrals the same or the next day, as much as possible. All GP referrals need to register in the accident and emergency department before attending the emergency gynaecology unit.
Contact: 020 7472 6374
020 7794 0500 ext 38205
This service is delivered by Miss Sheila Radhakrishnan
Community gynaecology is located on the service level at the back of Malborough department and can be accessed from Pond Street.
The services provided are
- contraceptive advice – this is a self or doctor referral and the clinic is held on a Tuesday or Thursday afternoon. Counselling and provision of different contraceptive choices such as contraceptive pills, contraceptive injections, coils (IUD &IUS) and implants are offered
- menopause and specialist psychosexual clinic – this a doctor referral only
- termination of pregnancy – this is a GP/family planning clinic referral. This offers pre-assessment and counselling. We are also a tertiary referral centre for management of patients with complicated medical problems.
- emergency contraception – this is a walk in service.
The unit is open Monday – Friday
Contact: 020 77830495
020 7794 0500 ext 37087
The following consultants undertake private practice.
Each consultant's secretary can be contacted on the following numbers:
|Consultant contact numbers|
|Miss Abdul Kadir
||020 7794 0500|
||020 7435 5417|
||020 7830 2562 |
||020 7830 2563|
||020 7830 2563|
||020 7431 1321|
||020 7830 2563 |
||020 7830 2565|
||020 7224 3054|
See also: Malborough clinic