Mr David Iles is a Consultant Subspecialist Urogynaecologist with over 20 years of experience in clinical practice. Since commencing his specialty training in Obstetrics and Gynaecology in 2007, he has developed a broad and robust foundation in women’s health. Over the last decade, his clinical practice and academic work have focused specifically on the management of pelvic floor dysfunction. He currently serves as Clinical Lead for Urogynaecology at the Warrell Unit, Manchester University NHS Foundation Trust, where he works within a dedicated multidisciplinary team delivering care across the full spectrum of pelvic floor disorders, from routine pelvic health concerns to highly complex cases.

Mr Iles completed his undergraduate medical training at the University of Manchester, following a BSc in Medical Science at the University of St Andrews. He undertook formal subspecialist training in urogynaecology, completing this in 2018, and is on the General Medical Council Specialist Register with Subspecialist Accreditation in Urogynaecology. This represents the highest level of formal training in the field in the UK.

His surgical practice includes the use of minimally invasive and robotic-assisted techniques, including the Da Vinci system, where appropriate. He regards these as valuable tools that can enhance surgical precision and recovery when used judiciously alongside established techniques. His overall approach is firmly conservative-first, and he works closely with specialist pelvic floor physiotherapists and bladder health nurses to ensure that non-surgical options such as pelvic floor rehabilitation, lifestyle modification, and medical management are fully explored before surgery is considered. Central to his practice is tailoring treatment to the individual woman’s symptoms, circumstances, and priorities.

Mr Iles’ clinical approach is informed by his doctoral research (MD) at the University of Manchester, which explored the relationship between pelvic floor dysfunction, perineal trauma, and body image. This research provided him with extensive experience in the assessment of perineal problems and recovery following childbirth, highlighting the profound impact these issues can have on a woman's emotional well-being and self-confidence. These insights remain a cornerstone of his practice at The Alexandra Hospital, where he emphasizes a holistic, patient-centered approach, prioritizing unhurried consultations where women feel heard and supported.

Mr Iles’ clinical approach is informed by his doctoral research (MD) at the University of Manchester, which explored the complex relationship between pelvic floor dysfunction, body image. While this research gave him specific expertise in perineal trauma and recovery following childbirth, the broader insights he gained regarding the emotional and psychological impact of pelvic health issues are now a cornerstone of his practice for all patients. Whether managing routine bladder concerns or complex reconstructive needs, he emphasizes a holistic, patient-centred approach, prioritizing unhurried consultations where women feel heard, understood, and supported.

In addition to his clinical role, Mr Iles is the Subspecialty Training Programme Supervisor for Urogynaecology at the Warrell Unit. He also contributes nationally to urogynaecology education and training as Chair of the Training Committee for the British Society of Urogynaecology and as the Society’s representative on the Royal College of Obstetricians and Gynaecologists Subspecialty Training Committee.

As a core member of the St Mary’s Mesh Complications Service, the largest service of its kind in the UK, Mr Iles has extensive experience in the assessment of women with mesh-related concerns. In private practice, he provides expert assessment and counselling for these issues and ensures that patients are appropriately referred to designated NHS mesh centres.

 

Clinical Interests 

Mr Iles provides a comprehensive service for the assessment and management of female pelvic floor disorders. He is dedicated to a multidisciplinary approach, often working collaboratively with colorectal and urological colleagues to manage complex cases involving the entire pelvic floor. His specific interests include:

• Pelvic Organ Prolapse: Expert assessment and management of all types of prolapse, with a focus on restoring function, comfort, and quality of life.
• Urinary Incontinence & Bladder Health: Investigation and treatment of stress incontinence, overactive bladder, and voiding dysfunction.
• Recurrent Urinary Tract Infections (UTIs): Specialized management and preventative strategies for chronic or recurring bladder symptoms.
• Perineal Problems & Childbirth Recovery: Specialist assessment and management of perineal trauma, discomfort, and pelvic floor issues following childbirth.
• Conservative & Non-Surgical Management: A strong emphasis on non-invasive options, including medical therapies and working closely with specialist pelvic floor physiotherapists to avoid surgery where possible.
• Minimal Access & Robotic-Assisted Surgery (RAS): Utilizing advanced surgical techniques, including the Da Vinci robotic system, to provide precise treatment with a focus on enhanced recovery and reduced post-operative pain.
• Complex & Recurrent Pelvic Floor Problems: Management of persistent or returning symptoms that require a highly specialized subspecialist perspective and a multidisciplinary approach.
• Mesh Assessment: Expert clinical assessment and counseling for women with mesh-related concerns, providing a clear pathway for referral to specialist NHS mesh complication centres where indicated.

 

• General Medical Council (Specialist Register with Subspecialist Accreditation in Urogynaecology)
• Royal College of Obstetricians and Gynaecologists
• British Society of Urogynaecology
• International Urogynaecological Association
• British Society of Gynaecological Endoscopy
• International Continence Society
• British and Irish Association of Robotic Gynaecological Surgeons
• United Kingdom Continence Society