Professor Drake is an expert in diagnosing and managing urinary incontinence, painful bladder syndrome / interstitial cystitis and urinary tract infection. He is responsible for the complex cases at the world-famous urodynamic unit at Southmead Hospital, which is the regional referral centre. He provides a tailored service for continence, focussed on patient needs and comprehensive evaluation of the basic problem. Non-surgical interventions are followed where appropriate.
He undertakes the full range of operations for stress urinary incontinence in women, including tranvaginal tape (TVT), transobturator tape (TOT), autologous slings and colposuspension. For the overactive bladder, the comprehensive service provides all recognised forms of treatment, including botulinum injections (bladder botox), tibial nerve stimulation (TNS), sacral nerve stimulation (SNS) and surgery. He delivers a national referral service for idiopathic urinary retention in women (Fowler’s Syndrome). He provides the male continence service for the South West region of England, including surgery to place artificial urinary sphincters (AMS800). He manages bladder problems resulting from neurological disease such as spinal cord injury and multiple sclerosis (MS).
As a reconstructive surgeon, he provides the service for complex urological surgery including Mitrofanoff operations. In addition, he undertakes the full range of standard urinary procedures, including cystoscopy and prostate surgery. He is a lecturer on urodynamics, continence surgery and neurourology for several national and international courses and meetings.