Tim Hookway
Tim Hookway

Gynaecologist and Endometriosis Specialist

Plymouth, Cornwall & Devon

07377... Reveal phone no. >

Treatments provided by Tim Hookway

Mr Tim Hookway can provide patient treatment on any day to suit the patient.

He provides expert investigation and treatment for a range of gynaecological conditions, including:

  • Pelvic pain
  • Endometriosis
  • Heavy periods
  • Painful periods
  • Irregular periods
  • Painful sex

Fees

Mr Hookway sees private patients by appointment at the Nuffield Health Plymouth Hospital. He is 'fee assured' with several leading insurance providers, meaning that there should be no excess to pay. For patients choosing to self-fund, his fees are:

Self-pay initial consultation: £200

Private medical insurance - fee assured consultation fee: £136

Follow up consultation:  £87

Treatments, operations and tests

Cervical smear

Cervical Smear (or Pap smear) is a screening test used in gynecology to detect premalignant and malignant (cancerous) processes in the ectocervix. Significant changes can be treated, thus preventing cervical cancer.

Cervical smear plus HPV test

Cervical cancer have rarely, if ever, been screened. These women may not obtain pelvic examinations partly because of the cost. The use of liquid-based cytologic screening adds upfront costs, and, therefore, could lead to a paradoxical increase in mortality from this disease if this cost prevented more women from being screened. For example, most women in the United States who die from cervical cancer have rarely, if ever, been screened.

Dilatation and curettage (D&C)

Dilation (or dilatation) and curettage (D&C) refers to the dilation (widening/opening) of the cervix and surgical removal of part of the lining of the uterus and/or contents of the uterus by scraping and scooping (curettage). It is a therapeutic gynecological procedure as well as a rarely used method of first trimester abortion.D&C normally is referred to a procedure involving a curette, also called sharp curettage.[1] However, some sources use the term D&C to refer more generally to any procedure that involves the processes of dilation and removal of uterine contents.

Ectopic pregnancy removal

An ectopic pregnancy, or eccysis, is a complication of pregnancy in which the pregnancy implants outside the uterine cavity. [1] With rare exceptions, ectopic pregnancies are not viable. Furthermore, they are dangerous for the mother, internal bleeding being a common complication. Most ectopic pregnancies occur in the Fallopian tube (so-called tubal pregnancies), but implantation can also occur in the cervix, ovaries, and abdomen. An ectopic pregnancy is a potential medical emergency, and, if not treated properly, can lead to death.

Endometrial ablation

Endometrial ablation is a medical procedure that is used to remove (ablate) or destroy the endometrial lining of a woman's uterus. This technique is most often employed for women who suffer from excessive or prolonged bleeding during their menstrual cycle but can not or do not wish to undergo a hysterectomy. The procedure is most commonly done on an outpatient basis. Approximately 90% of women who undergo this procedure will have reduced menstrual bleeding. Of those, approximately 45% will stop having periods altogether

Endometriosis - laparoscopic surgery

Laparoscopic surgery (keyhole surgery) is a common procedure used to treat endometriosis. Small cuts (incisions) are made in the abdomen so the endometriosis tissue can be destroyed. Very fine instruments are used to apply heat, a laser, an electric current (diathermy) or a beam of special helium gas to the patches of tissue in order to destroy or remove them.

Female sterilisation (Keyhole surgery)

The operation is performed under general anaesthetic and a small camera on a laparoscope is passed into your abdomen just below the navel. A second cut is made lower down, the fallopian tubes are found and a clip placed onto each one, blocking it. The operation usually takes less than half an hour. Permanent and irreversible. This type of contraception should only be considered when you have definitely finished your family. Whilst reversal operations may be performed, they are difficult, are not always successful and are not usually funded

Female sterilisation (Tubal litigation)

Sterilisation is a form of birth control, used to prevent unwanted pregnancy. Tubal litigation involves trying and cutting the tubes or otherwise sealing them, preventing eggs travelling to the womb. This operation is performed under anaesthetic and will require an incision.

Hysterectomy (Total Laparoscopic Hysterectomy)

A Total Laparoscopic Hysterectomy (TLH) means that the whole operation is performed by keyhole. After a TLH, if there are no complications, patients usually stay in hospital for 24-48 hours and they are back to work after 2-6 weeks. This technique is often not possible for patients with a large uterus.

Myomectomy (Laparoscopic)

A laparoscopic (key-hole) myomectomy is a surgical procedure to remove the fibroids from the wall of the womb. This procedure is often considered instead of a hysterectomy. It usually involves some small incisions, or one larger one, in the patient's tummy, depending on the size of the fibroids. This surgery is performed under general anaesthetic and requires a few days in hospital.

Ovarian cyst removal (Laparoscopic)

Ovarian cystectomy is performed in those benign conditions of the ovary in which a cyst can be removed and when it is desirable to leave a functional ovary in place. This is particularly true in women of reproductive age. Therefore, if it is technically feasible and where one is assured that there is no malignant tissue present, it is best to perform an ovarian cystectomy in preference to oophorectomy.

Uterus examination by camera (hysteroscopy)

Laparoscopy is an operation performed in the abdomen or pelvis through small incisions (usually 0.5–1.5 cm) with the aid of a camera. It can either be used to inspect and diagnose a condition or to perform surgery. There are two types of laparoscope: (1) a telescopic rod lens system, that is usually connected to a video camera (single chip or three chip), or (2) a digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system.

Vaginoscopy

A Vaginoscopy is a viewing instrument to visualize the vaginal canal. Most commonly, it is a form of endoscope. A Vaginoscopy is performed to diagnose anatomical abnormalities or lesions affecting the vaginal wall. The procedure is most commonly performed in children.

Womb examination by camera

A hysteroscope, is a thin tube with a built in camera that is inserted through the cervix into the uterus. A gynaecologist uses a hysteroscope for diagnosing and treating problems that cause infertility, miscarriages, and abnormal menstrual bleeding. The procedure is normally done as an outpatient procedure.

Womb removal

A hysterectomy is an operation to remove a woman's womb (uterus). It is estimated that, by the age of 55, one in five women will have had their womb removed. The hysterectomy operation is used to treat problems such as heavy periods, fibroids, prolapse of the uterus, endometriosis and cancer of the uterus, cervix or ovaries. The most common type of hysterectomy is a complete or total hysterectomy where the cervix is removed as well as the uterus. A partial hysterectomy removes the upper part of the uterus and leaves the cervix in place. A radical hysterectomy removes the uterus, part of the vagina, and the fallopian tubes. Hysterectomies are carried out through a cut in the abdomen (abdominal hysterectomy) or the vagina (vaginal hysterectomy). Abdominal hysterectomies are more common than vaginal hysterectomies and usually require a longer recovery.

I specialise in...

  • Laparoscopic surgery
  • Hysteroscopy and hysteroscopic surgery
  • Pelvic pain
  • Endometriosis
  • Menstrual disorders
  • Laparoscopic hysterectomy