Our gynaecology services are provided by a highly specialised team of medical and nursing staff.
A comprehensive range of outpatient services are offered, mainly on the Warrington site.
The majority of non emergency day case gynaecology surgery is performed at the Halton site.
The main gynaecology department is in the Croft Wing of Warrington Hospital. We also have gynaecology clinics at Halton Hospital.
The colposcopy service is provided by a multidisciplinary team, of doctors, nurses, and cytologists. The service sees an average 100 patients each week. It offers nurse run diagnostic colposcopy clinics; post coital bleeding clinics and results clinics, and mixed diagnostic/treatments clinics by medical staff; where patients can be offered treatment at the same visit if required. The nurse colposcopists also provide an advisory service to patients, GPs, practice nurses and other health professionals. The service is open Monday to Friday normal working hours, with 3 weekly nurse telephone results clinics (2 in the evenings).
Rapid Access Pelvic Assessment Clinics (RAPAC)
Rapid Access Pelvic Assessment Clinics (RAPAC) is for the assessment of women (usually within two weeks) with post-menopausal bleeding or suspected ovarian cysts. Ultrasound scans and blood tests may be performed after the patient is seen by a Nurse. Some patients seen in this clinic have serious and fairly urgent medical conditions and require treatment at Warrington or Liverpool Women’s Hospital within a few weeks of being seen.
We offer an outpatient hysteroscopy service for women with heavy or irregular periods and other problems concerning the womb lining or cavity. Patients are referred to the outpatient hysteroscopy clinic either from women’s outpatients, or the Rapid Access Clinic. The clinic is situated in Women's Daycare in Croft Wing. There is a comfortable waiting area.
Ambulatory Hysteroscopy Service
Hysteroscopy involves inserting a thin telescope into the womb through the vagina. This can be done without an anaesthetic as an especially thin telescope is used, which causes minimal discomfort and is usually well-tolerated. It provides diagnosis and management of women with heavy or irregular periods.
diagnosis and management of women found or suspected to have womb
polyps or thickened lining, fibroids or scar tissue within the womb cavity
taking samples or biopsies from the womb lining
treatment of polyps (womb growths) and scar tissue (adhesions)
insertion of a contraceptive Mirena coil for treatment of heavy periods
Urogynaecology covers all aspects of female urinary incontinence and vaginal prolapse. We offer a comprehensive assessment and investigation service, with drugs, physiotherapy and if appropriate surgery. This sub-specialty investigates conditions such as stress-incontinence and continence related problems. This is undertaken by a multi-disciplinary team including doctors, nurses and physiotherapists.
The department receives referrals from GP or from the Community Continence Service for a variety of problems related to the female pelvic floor. This includes incontinence, difficulty passing urine, urinary tract infections (cystitis) and vaginal prolapse. The Urogynaecology Department is based in Croft Wing Outpatient department.
The gynaecology physiotherapist service is provided to help women with bladder and bowel problems or women with prolapsed pelvic organs.
The aim of the service is to teach woman how to improve and gain control over their condition by the teaching of correct pelvic floor muscle exercises, and practical advice on how to manage and improve their symptoms.
All women are seen on an individual basis and in a private room for their initial assessment and any further treatments. We also have an introductory pelvic floor information class for small groups.
The department receives referrals to Warrington Hospital from our hospital consultants/doctors and specialist nurses with Halton Hospital accepting referrals from hospital doctors and local Halton GP’s.
The clinic is run in Halton Hospital.
The department offers out-patient tubal testing services in the form of either Hysterosalpingogram (HSG) or Hystero Contrast Sonography (HyCoSy). Ovulation induction with clomifene is offered and referral on to HFEA registered tertiary centres for more intensive infertility management.
Clinics run daily with the consultant & team in attendance. There are designated trained nurses and experienced health care assistants on duty. At the first consultation the patient may or may not need to be examined & may not necessarily be seen by the consultant but by one of their team, who will then report to the consultant.
Once you have seen your GP, appointments are made through Choose & Book or direct referral by them.
Our WHH GAU is for women with a range of conditions and concerns including acute pelvic pain, heavy, irregular vaginal bleeding, issues related to coils or abscesses. We are also available to women who have concerns during early pregnancy outside of normal clinic hours.
Appointment is by referral only. Referrals can be made by GPs, midwives or through contacting NHS 111 first. NHS 111 can now book time slots direct with our GAU service without patients needing to go via A&E.