Our multidisciplinary team offers top surgical expertise in excisional nerve sparing, radical and fertility preserving treatment options of severe infiltrating endometriosis. Our aim is to avoid multiple surgical operations for deep endometriosis and clear the disease in a single surgical procedure. We use principles of conservative radicality and nerve sparing and our target is to remove the disease and cause minimal collateral damage to other pelvic organs, nerves and blood vessels.
For suspected deep infiltrating endometriosis of the bowel we offer extensive pre-operative assessment including special MRI scan to asssess the extent of the disease before surgery. If deep infiltrating endometriosis of the bowel is confirmed by the MRI we offer surgical treatment options which may include bowel shaving, disciod stapler bowel resection or, for large or multiple bowel endometriosis nodules - economical segmental bowel resection. All these procedures are performed laparoscopically. Our surgical audit data shows excellent results in improving patients quality of life, pain levels and sexual function. Our serious complications rate for bowel endometriosis surgery is very low and we take enourmous efforts to maintain patients well being before, during and after surgery.
Our multidisciplinary team has vast experience in surgical treatment of deep infiltrating endometriosis of the bladder and ureters. If bladder endometriosis is confirmed by the MRI we offer excisional treatment which may include full thicknes bladder nodules excision, bladder reconstruction and ureteric re-implantation. All these procedures are performed laparoscopically. After surgery we offer bladder physiotherapy support to enhance post surgical recovery and speed up patients return to normality.
We offer excisional treatment for confirmed diaphragmatic endometriosis. These operations are performed by a joint surgical team involving gynaecology, upper GI and thoracic surgeons. Procedures are performed endoscopically.
Mr Daniel Wilby BM FRCS (Urol)
Mr Wilby is a consultant urological surgeon who completed his higher surgical training in Wessex as well as Guy’s hospital London, and undertook a fellowship in reconstructive urology at University College Hospital London. He has a sub specialist interest in laparoscopic (keyhole) surgery for renal disease and in robotic surgery for pelvic cancers and bladder reconstruction. He works closely with the endometriosis team when the disease involves either the bladder or ureters.
Mr Wilby is the lead cancer clinician for urology at the Queen Alexandra Hospital in Portsmouth and has published book chapters and scientific papers on a range of topics including reconstructive surgery and urological oncology.
His other interests include the investigation and management of benign prostate disease, haematuria, and inguino-scrotal disorders.
Dr. Nadine Di Donato is Consultant Gynaecologist and Laparoscopic Surgeon, at The Harley Street Endometriosis Centre and also in Queen Alexandra Hospital, Southern Endometriosis Centre, Portsmouth, United Kingdom. Nadine has completed her specialty training in 2015 at S. Orsola Malpighi Hospital Bologna, one of the busiest endometriosis hospital in Italy with a workload of more than 800 laparoscopies a year. She has an excellent academic record with strong independent research skills resulting in peer-reviewed published work. She has published more than 30 articles in endometriosis and benign gynaecology. She is member of the British Society Gynaecology Endoscopy and invited faculty at several national and international conferences.
Viorica joined Harley Street Clinic in 2005 and since then has worked in several medical and surgical settings across HCA’s hospitals. In 2007 she moved to the newly established Outpatient department and contributed to the development and implementation of various gynaecological diagnostic procedures. Whilst gaining vast expertise and knowledge in various roles and areas, Viorica developed great interest in women’s health and in 2016 stepped up to the position of Endometriosis CNS. She works closely with the Multidisciplinary Endometriosis team and serves as a key link between the patients and consultants for any questions or concerns that patients may have regarding their condition, treatment or surgery. Viorica provides ongoing support to patients and their family members throughout the care and treatment pathway, including pre-operative counselling, daily visits during their inpatient stay, post-operative support after the discharge, education and ongoing monitoring of the side effects from the medication treatments. Viorica is also involved in clinical education and audit to ensure that the care the patients receive is of the highest quality standards, incorporating the most up-to-date evidence and practices.
Since graduating from Cambridge University, and surgical training in London Deanery, awarded MD thesis (UCL) in dysfunctional voiding in women, published over 50 papers, including on Urodynamics and Fowler’s Syndrome, and a Visiting Professorship to the Cleveland Clinic for Female Urology. Original descriptions of Botulinum toxin for neuropathic bladder, cannabinoids in Multiple Sclerosis, Sacral Nerve Stimulation for voiding dysfunction and Sildenafil for Female Sexual Dysfunction.Clinical lead for Endourology at Imperial College Healthcare, subspecialist interest in upper urinary tract obstruction (benign and malignant).Other interests include management of haematuria (including upper tract renal malignancy), prostate disease (offering laser surgery and embolization) and comprehensive renal stone management (lithotripsy, laser treatment, and percutaneous surgery).
Mrs. Nadia Buleeva has graduaeted from Mechnikov Medical Academy in St-Petersburg in 2011 and currently is a practice manager and patient liaison at The Harley Street Endometriosis Centre.
Her responsibilies include booking patients appointments and surgical procedures, coordinating appointments with other practices within the HCA Healthcare UK network, confidential data entry, communication with Healh Insurance Companies and creation of medical reports and patient letters using principles of patient confidentiality and data protection. Nadia is primary point of contact in the clinic and
is a very friendly, responsible, and meticulous person putting the patients interests first and ensuring good clinical coordination, patient satisfaction, confidentiality and smooth running of a busy multidisciplinary clinic.
Harlet Street Endometriosis Centre
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