Urogynaecology

Women’s

We are a multidisciplinary team of specialist nurses, midwives, physiotherapists, and doctors.

We provide a comprehensive assessment for all patients with urogynaecological problems. We are skilled in vaginal, open, laparoscopic (keyhole) and robotic urogynaecological surgery.

When there is a particularly complex case we operate together as a team performing advanced procedures safely.

At Liverpool Women’s University Hospital, we provide specialist services for women with urogynaecological and pelvic floor problems.

We practise in an environment of clinical excellence meeting high standards of clinical governance with an active programme of clinical audit and research ensuring that we can continue to lead future developments within urogynaecology.

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These are nurse-led clinics for women with vaginal pessaries as a treatment for pelvic organ prolapse.

Location

These clinics are held at Liverpool Women’s University Hospital Crown Street site and occasionally at the Aintree Centre for Women’s Health at Aintree University Hospital.

The Urogynaecology Clinic sees women who are experiencing urinary incontinence, pelvic organ prolapse or lower urinary tract disorders.

It offers a range of investigations and treatments for overactive bladder, stress urinary incontinence, pelvic organ prolapse, interstitial cystitis, recurrent urinary tract infections, perineal trauma, and urinary voiding dysfunction.

You can be referred to this clinic from your GP, another hospital consultant or from other continence service providers.

Location

These clinics are held at Liverpool Women’s University Hospital Crown Street site and occasionally at the Aintree Centre for Women’s Health at Aintree University Hospital.

What will happen

When we receive a referral for this clinic, we will send you an appointment letter with a date and time to attend the clinic. Depending on your condition, we may send you a bladder diary to complete and an instruction letter for you to complete an on-line questionnaire about your symptoms and quality of life, known as an ePAQ questionnaire.
A consultation consists of a urine test, weight and height assessment, a full medical history and physical examination
If you need to have urodynamic investigations, you will be given information before you leave about which tests are required and an appointment will be arranged for you
You may also be referred from your initial consultation to the physiotherapy department. Physiotherapy provides assessment, information, education and rehabilitation for your pelvic floor muscles. You can be referred here for your bladder symptoms, prolapse symptoms and for symptoms of pain.

Urodynamics are investigations to demonstrate how your bladder is working. Urodynamics are diagnostic tests that can help to identify the cause of incontinence problems so that the best treatment can be offered to you.

Location

These clinics are held at Liverpool Women’s University Hospital Crown Street site and occasionally at the Aintree Centre for Women’s Health at Aintree University Hospital.

This Clinic is for patient’s having uroflowmetry and residual urine ultrasound to assess bladder emptying.

Location

These clinics are held at Liverpool Women’s Crown Street site and occasionally at the Aintree Centre for Women’s Health.

This clinic is for women who have bladder problems during and after their pregnancy. A referral to this clinic is usually from your midwife or hospital consultant.

Location

These clinics are held at Liverpool Women’s University Hospital Crown Street site and occasionally at the Aintree Centre for Women’s Health at Aintree University Hospital.

This clinics is run by the urogynaecology specialist nurses. They see patients for bladder retraining, pelvic floor physiotherapy, clean intermittent self-catheterisation, bladder instillations and advice for interstitial cystitis and stoma care.

Location

These clinics are held at Liverpool Women’s University Hospital Crown Street site and occasionally at the Aintree Centre for Women’s Health at Aintree University Hospital.

Women attending the Perineal Clinic do so because they have had a third or fourth degree tear or other chronic perineal problems incurred during childbirth. The clinic combines the expertise of urogynaecology consultants and a specialist urogynaecology midwife.

Location

These clinics are held every week in the Urodynamic Department, located on the ground floor of Liverpool Women’s University Hospital Crown Street site.

Gillian Fowler, MBChB MD MRCOG, Consultant Urogynaecologist

Gillian Fowler.jpg — Miss Fowler qualified from University of Glasgow in 1998. She trained in Obstetrics and Gynaecology in the Glasgow and then Mersey Regions. She completed her MD thesis post at the University of Liverpool titled “Ultrasound Diagnosis of Anal Sphincter injury following Childbirth”. She completed Subspeciality Urogynaecology training at Liverpool Women’s Hospital and was appointed as a Subspecialist Urogynaecology Consultant at the Liverpool Women’s Hospital (LWH) in 2010. She has presented at international and national conferences and has published papers on the topics of OASI and postnatal bladder problems.

Ruben Trochez, MBBS MRCOG, Consultant Urogynaecologist

Ruben Trochez.jpg — Mr Trochez trained in Obstetrics & Gynaecology in the South West of England with a further 3 year Subspecialist training in Urogynaecology in Plymouth and Bristol. He has published in several aspects of Urogynaecology in peer-reviewed journals and Urogynaecology books; and presented his Research in National and International conferences. He is a former Clinical Director for Gynaecology in the Trust and has previously held other Senior positions in the Trust as well as in National bodies including the RCOG, BSUG and IUGA.

Emily Fairclough, MBBS MRCOG MPhil, Consultant Urogynaecologist

Emily Fairclough.jpg — Dr Fairclough qualified at the University of Newcastle Upon Tyne in 2005. She trained in Obstetrics and Gynaecology in the Northern and Mersey Regions. She completed her postgraduate research degree at the University of Manchester and Subspeciality Urogynaecology training at The Warrell Unit, St Marys Hospital, Manchester. She was appointed as a Subspecialist Urogynaecology Consultant at the Liverpool Women’s Hospital (LWH) in 2019. She has presented at international and national conferences and has published papers on the topics of prolapse and surgical technique. She is a member of the BSUG Training Committee and is the RCOG Gynaecology Tutor at LWH.

Mageed Abdelrahman, MBBCh BAO DIPM DFSRH MRCOG MSc, Consultant Urogynaecologist

Mageed Abdelrahman.jpg — Mr Abdelrahman qualified from Queen’s University Belfast in 2009. He trained in Obstetrics and Gynaecology in Northern Ireland. After undertaking a Urogynaecology Fellowship at Princess Anne Hospital, University Hospital Southampton, he underwent further Urogynaecology Sub Specialist Training at Liverpool Women’s Hospital. Mageed was appointed to his Consultant post in 2021. He has published in peer-reviewed journals and books and presented at National and International meetings.

Liverpool Women’s University Hospital

Address: Liverpool Women’s University Hospital
Crown Street
Liverpool
L8 7SS

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