Miss Michelle Fynes MD MRCOG DU: Consultant Urogynaecologist and Gynaecologist, London

A Consultant Urogynaecologist and Gynaecologist in London specialising in urogynaecology, prolapse, female urinary incontinence, childbirth related injury, general adult and adolescent gynaecology.

Miss Michelle Fynes MD MRCOG DU is the Lead Consultant for The Department of Reconstructive Pelvic Surgery and Urogynaecology at St George’s Hospital Medical School in London. This unit is one of the largest tertiary referral centres for Urogynaecology in the United Kingdom. She also holds several private clinics at Parkside Hospital, The Lister Hospital Chelsea and Alexander House in Wimbledon, SW19.

Miss Fynes is registered at Parkside Hospital (from 2003), The Lister Hospital Chelsea (from 2010) and Alexander House Wimbledon (from 2008). She holds regular private clinics at these centre’s and operates all day Saturday alternate weeks at Parkside Hospital (8-10 cases on average).

Miss Fynes is a member of British Society of Urogynaecology, International Continence Society, International Urogynaecology Association and International Society for Pelvic Floor Dysfunction. Miss Fynes is also an accredited subspecialty training programme Director for Urogynaecology (RCOG) based at St. George’s Hospital London. She also runs one to two Fellowships in urogynaecological surgery.

Miss Fynes is a sub specialty accredited Urogynaecologist and Reconstructive Pelvic Floor Surgeon with dual accreditation in the UK (RCOG) and Australia / New Zealand (RANZCOG).

Urogynaecological and gynaecological services available in London

Miss M Fynes provides a professional service for the assessment and treatment of a wide range of gynaecological issues which includes the following:

Bladder function:

Cystitis (urinary infection)
Urge / frequency (overactive or urgent bladder)
Urge incontinence (leak with urge)
Stress incontinence (leak with exercise or activity)
Voiding difficulty (problem with bladder emptying)
Painful bladder symptoms (interstitial cystitis)
Bedwetting
Coital incontinence (leaks during sex)

Bowel function:

Constipation / difficulty with bowel emptying
Bowel incontinence
Urgent / frequent bowel symptoms

Sexual function:

Painful sex
Too loose or too tight problems
Loss of libido (interest) and other difficulties
Vaginismus

Vaginal support:

Lax vagina or prolapse (vaginal bulge or lump)
Vaginal wind

Childbirth / pregnancy related issues:

Incontinence or other bladder problems
Painful perineum or wound healing issues
Sexual difficulties
Cosmetic vaginal issues after childbirth

General and adolescent gynaecology:

Painful or heavy periods
Enlarged or asymmetric labia
Polycystic Ovarian Syndrome
Contraception difficulties
Pre-menstrual syndrome / pelvic pain
Absent or infrequent periods

Investigations and treatment

After some consultations it may be necessary to have some form of investigation (test) to determine diagnosis or if further treatment is required. Investigations often involve blood tests, ultrasounds and gynaecology scanning and bladder tests.

If an operative procedure is required, Miss Fynes undertakes surgery on Saturdays and on occasional weekdays at the Parkside Hospital. Surgery may be arranged at other centres on request.

Outpatient clinics

The following investigations or treatments can be undertaken during an outpatient consultation:

Cervical smear
Fitting of an IUCD (Including Mirena System)
High Vaginal Swab (HVS)
Blood tests
HPV screening
Urine screening
Ultrasound

Outpatient investigations

The following investigations can be undertaken as an outpatient and you will be required to book a follow up appointment. Once you have had your investigations the results will be given to Miss Fynes.

Urodynamic assessment
Bladder scan
Anorectal manometry
Renal ultrasound
General gynaecological scanning
Assessment of childbirth injury
3D / 4D ultrasound

Treatment for gynaecological and urogynaecological conditions and female incontinence

The following operations require treatment in hospital and some can be carried out as a day procedure. Others may require you to stay overnight.

General gynaecology

Diagnostic laparoscopy
Hysteroscopy (+/- polypectomy, curettage, insertion of Mirena)
Treatment of Bartholin’s cyst
Abdominal hysterectomy
Ovarian cystectomy (removal of ovarian cysts)
Myomectomy (removal of fibroids)

Urogynaecology

Vaginal hysterectomy
Prolapse repair (bladder, bowel, combined, complex.
Prolapse repair correcting the uterus (uterine re-suspension)
Vault prolapse repair (sacrocolpopexy)

Incontinence

Botulinum Toxin (urge, frequency, bladder injections)
Mid-urethral sling (TVT, TOT)
Colposuspension
Bladder neck sling

Private clinics and appointments

You can book appointments for both Alexander House and Parkside Hospital directly by calling 020 8544 8041. Miss Fynes is happy to see self referred patients (no GP referral letter).

Hospital	Appointments
Parkside Hospital	Monday 14:00 – 17:00
Alexander House	Tuesday 16:00 – 20:00
Parkside Hospital	Alternate Wednesdays 17.30 – 20.30
Parkside Hospital	Friday 09.00 – 12.00
Alexander House	Alternate Fridays 16.00 – 18:00
The Lister Hospital	Alternate Fridays 14.00 – 17:00

All patients are advised to seek authorisation from their insurance company prior to their appointment. Some insurance companies may require a valid GP referral letter before authorising treatment.

Contact details

Private practices:

Private secretary:

Telephone:

Fax:

Miss Natalie Dyball

020 8544 8041

020 8544 8040

Miss Michelle M Fynes

Alexander House

15 Princes Road

Wimbledon

London

SW19 8RQ

Miss Michelle M Fynes

Parkside Hospital

53 Parkside

Wimbledon

London

SW19 5NX

Miss Michelle M Fynes

The Lister Hospital

Chelsea Bridge Road

Chelsea

London

SW1W 8RH

NHS practice:

(Letter of referral required from NHS General Practitioner)

Miss Michelle M Fynes

Lead Consultant

The Department of Reconstructive Urogynaecology and Pelvic Floor Dysfunction

Level 4 Lanesborough Wing

St Georges Hospital NHS Trust

Blackshaw Road

Tooting

London

SW17 9QE

Appointments: 020 8725 1336

Correspondence address:

Urogynaecology

Suit 109

Highland House

165 The Broadway

Wimbledon

SW19 1NE

Tel: 0208 544 8041

Email: urogynaecology@ymail.com

Websites: www.urogynaecology.org.uk

GMC Number	4149640	Check this doctor's GMC registration
Date of registration	5 Dec 1994

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