I offer -
DIAGNOSIS OF THE PROBLEM - which is extremely
important as this then impacts on further tests and
treatments. For example - if the diagnosis is not completely
accurate it may lead to a line of treatment including
surgery, which may not resolve the problem. Some diagnosis
is straightforward but some are more subtle and may
require repeated review before a firm conclusion is
determined and a treatment plan can be made. If surgery
is needed - I am in a position to decide which of the
available techniques is the best one for you.
A SECOND OPINION - this may reassure you that
what is being proposed is the correct approach, or alternatively
in some cases, may result in a completely different
approach to a problem - eg an alternative surgical or
non-surgical technique may be considered.
Having a second opinion may also prevent unnecessary
or inappropriate surgery - this is usually unintentional
but can happen if there is not a clear diagnosis and
understanding of the condition or an understanding of
the non-surgical alternatives.
CHOICE OF PUBLIC OR PRIVATE HOSPITAL CARE
I work in the PUBLIC SECTOR at both Gosford
Hospital and Wyong Hospital as a senior Consultant Obstetrician
/ Gynaecologist with Central Coast Area Health Service.
This enables me to provide a service for the non-insured
patient and also to teach and share my knowledge with
the trainees in my specialty.
Please note: being under my care in the public sector
does not guarantee that I will personally perform the
surgery - often this would be performed under my supervision
directly or indirectly.
In the PRIVATE SECTOR I operate at Gosford Private
Hospital at North Gosford and also Brisbane Waters Private
Hospital at Woy Woy.
CONFIDENCE AND REASSURANCE IN YOUR CHOICE OF
SPECIALIST In most gynaecological conditions there may
be a number of options and the options offered are determined
by the experience of the specialist involved. Not all
specialists have the same range of solutions. I offer
you confidence that whether a surgical or non-surgical
solution to your problem is required, it will be performed
to the highest level of expertise.
URINARY INCONTINENCE - DIAGNOSTIC SERVICE / NON-SURGICAL
AND SURGICAL MANAGEMENT
I commenced CENTRAL COAST URODYNAMICS FOR WOMEN - the
first Practice of its kind on the Central Coast dedicated
to helping women with the problem of urinary incontinence
This assists in the diagnosis and enables me to select
the correct treatment for patients suffering with urinary
Hundreds of patients have benefited from this.
The Urodynamics test is performed in my rooms with
a Practice Nurse in attendance.
VAGINAL AND UTERINE PROLAPSE MANAGEMENT
Careful assessment is of paramount importance
Non-surgical management may result in resolution
stabilisation of the problem.
Surgical techniques may involve vaginal or laparoscopic
surgery, utilising your tissue or tissue substitutes
if the tissues have deteriorated.
When surgery is required there are many different techniques
- old and new. Some of these techniques incorporate
utilisation of mesh ("tissue substitutes")
and the modern super light mesh is an excellent solution
when all of the tissues have deteriorated or disappeared.
New surgical approaches combined with the new mesh virtually
eliminate the problems.
If surgery is indicated, I have performed all the old
and new techniques and will help you choose the one
which is the most likely to resolve your problem.
Often the treatment required may not be surgical
ABNORMAL AND HEAVY VAGINAL BLEEDING MANAGEMENT
After complete analysis of your medical history, clinical
examination and other diagnostics tests, I am able to
advise you regarding the treatment, which may be surgical
Non-surgical treatment may involve hormonal treatment,
or when appropriate, insertion of an intra-uterine device
such as the Mirena. Depending upon the individual, this
may be inserted in the rooms or may require a light
anaesthetic as a "day surgery" procedure.
If surgery is needed, the techniques I use are "minimally
SURGICAL TREATMENT -
HYSTEROSCOPIC whereby an instrument is passed
inside the uterus and I operate inside the uterus to
treat the problem causing the bleeding. This is performed
as a "day surgery" under a light anaesthetic.
LAPAROSCOPIC - whereby keyhole incisions are
made and I operate inside the abdominal cavity to treat
the cause of the bleeding. If hysterectomy is the best
choice, it can still be performed with the "keyhole"
Depending upon the procedure, this may be a
"day surgery" or an overnight stay under light
PAP SMEAR PROBLEMS
A Pap smear is a screening test to check if abnormal
changes have occurred in the cells of the cervix. I
perform Pap smears in my rooms as part of your consultation
A colposcopy, which I perform in my rooms, is a visual
microscopic examination of the cervix, or indeed, any
part of the female genital tract, to check for pre-cancerous
changes. It is performed in the same position as when
a Pap smear is performed.
It is usually performed after an abnormal Pap smear
or further follow-up after treatment. It may pick up
changes that are not done by the Pap smear.
Other reasons for a colposcopy are to diagnose and
assist in the treatment of -
non-cancerous growths called polpys
genital warts, a sexually transmitted disease
that may suggest infection with human papilloma virus
(HPV) which is a risk factor for developing cervical
LLETZ PROCEDURE (Large loop electrosurgical
If the results of colposcopy indicate a high grade
abnormality (CIN 2 or CIN 3) I may recommend treatment
to remove the tissue from which abnormal cells arise.
This may involve a LLETZ procedure and excision of the
abnormal area, but treatment will depend on the type
and severity of the abnormal cells. This is usually
performed as "day surgery" in hospital but
occasionally I can perform it in my rooms under local