The Alexandra Hospital Endometriosis Centre Manchester

Endometriosis is a common condition in which small pieces of the lining of the womb (the endometrium) are found outside the womb. This could be in the fallopian tubes, ovaries, bladder, bowel, vagina or rectum. 

Endometriosis causes a variety of symptoms and people experience the condition very differently. Common endometriosis symptoms can include: 

• Painful periods that get worse over time
• Chronic pain in your lower back and pelvis, which might radiate down your legs
• Pain during or after sex 
• Pain in your intestines
• Painful bowel movements or pain when you wee  (especially during your period) 
• Stomach problems such as diarrhoea, constipation or bloating (especially during your period)
• Heavy or long periods 
• Spotting or bleeding between periods 
• Infertility or subfertility 
• Fatigue. 

All these symptoms can point to other conditions, making endometriosis difficult to diagnose and commonly leading to a missed diagnosis for a lot of people.

It is important to see a specialist if you think you might be suffering from endometriosis. 

Every person we see at The Alexandra Hospital Endometriosis Centre will have an initial consultation, where our consultants will get to know you and your symptoms.

We are keen to confirm an endometriosis diagnosis as quickly and efficiently as possible, and we do so using some or all of the following methods

• Physical examination 
• Assessment of medical history 
• Ultrasound scans
• MRI scans 
• A laparoscopy (keyhole surgery to look inside your womb) 

The aim of surgery is to remove as much of the endometriosis as possible while still enabling the patient to go on and have children. Surgery may be required if: 

• The patient has severe pain and isn't responding to painkillers or hormonal medicines. 
• The patient wishes to have children but is having trouble conceiving. 
• Examination showed that endometriosis is larger than 4 to 5cm (1.5 to 2 inches) 
• The endometriosis is interfering with the normal workings of organs such as the bowel. 

Endometriosis may be cut away or destroyed with heat from an electric current or a laser (endometrial ablation). This is usually performed with a laparoscopy in which the consultant will make small cuts in the abdomen and then use a laparoscope to view the inside of the pelvis and remove the endometriosis. This is also referred to as keyhole surgery. 

There is a possibility that the consultant may need to converts to open surgery, and this is only done if it is impossible to complete the operations safely using the keyhole technique. 

If you are living with the pain of endometriosis, or any other difficult symptoms that come with this condition, our dedicated team of experts is here to help you. 

At The Alexandra Hospital Endometriosis Centre, we have assembled a highly skilled multidisciplinary team of specialists who work together to help manage, reduce and even eliminate the effects of endometriosis. Our team includes gynaecologists, general and colorectal surgeons, urologists, cardiothoracic surgeons, hepatobiliary surgeons and with pain management experts also on hand, our holistic approach gives truly head-to-toe treatment for endometriosis.

We hold full BSGE (British Society for Gynaecological Endoscopy) accreditation.

We treat many people from Manchester and across the north. But we also see patients from all across the UK. People travel to us because of the strong reputations our hospital has built both for expertise and for compassion. 

Why choose us? 

The Alexandra Hospital is a BSGE-accredited centre for the surgical treatment of endometriosis. This accreditation is awarded only to centres that show the highest standards of minimal access surgery techniques in the treatment of gynaecological conditions.

This means we are practicing the best and latest techniques in the surgical treatment of endometriosis, in particular very advanced or severe endometriosis (sometimes referred to as stage four endometriosis).

When it comes to endometriosis, the BSGE also acknowledges that The Alexandra Hospital Endometriosis Clinic hosts a multidisciplinary team, with consultants from different medical specialities available to support our patients throughout their treatment journey.

An integrated approach for the best outcomes

We favour laparoscopic (keyhole) surgery wherever possible. Laparoscopic procedures are not only highly effective but also lead to a faster recovery. Our methods lead to long term relief from symptoms.

Our aim is to alleviate the need for long-term medication, whether hormonal drugs that manipulate your menstrual cycle, or major painkillers.

There is no one-size-fits-all treatment plan at our clinic. Every time we see a new patient, we build a bespoke treatment plan around their individual symptoms, circumstances and needs.

We have a highly experienced multidisciplinary team of consultants who work on behalf of The Alexandra Hospital Endometriosis Centre, who will be able to help patients every step of the way. 

• Dr Edmond Edi-Osagie, Lead Gynaecologist 
• Dr Kingshuck Majumder, Consultant Gynaecologist
• Mr Finlay Curran, Consultant Colorectal Surgeon
• Mr Bachar Zelhof, Consultant Urological Surgeon
• Dr Bharati Vyawahare, Consultant in Pain Management
  
• Mr Felice Granato, Consultant Thoracic Surgeon
• Mr Rama Mohan, Consultant Orthopaedic Surgeon
• Mr Suku George, Consultant Gynaecologist
• Sarah Brennand, Women's Health Physiotherapist 
• Dr Bala Rajashanker, Radiologist
• Antonia Slater, Endometriosis Specialist Nurse

Mr Suku George offers da Vinci robotic surgery for all major gynaecological operations where appropriate.