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Mr Raj Saha - Consultant Gynaecologist
Appointments : 07762601662
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PRIVATE SECRETARY
Ellie Lovell
07762601662


Patient Information

Looking after your health involves not only following a healthy lifestyle but also making an effective uses of the healthcare system for example your general practitioner and your specialist. Modern technology has brought about significant developments in gynaecology and obstetrics, looking after women’s health in general. I consider that this development along with understanding of the person specific health matters brings my patient in a unique position to avail the best possible care.

See patient journey below:

1. How to make an appointment to see a consultant?
2. How long do you have to wait to see the consultant?
3. What you would expect in your first consultation?
4. If you would require any test or investigation how that could be organised?
5. When will you know about the results of those investigations?
6. How the treatment will be organised?
7. Stay for operative procedures?
8. How you would be looked after your surgery (operation)?

 

1. How to make an appointment to see a consultant?

This is quite simple however if you have not seen a consultant before you may not know what to expect. You can phone the contact number in this web page below or you can email if that suits you. Ideally I recommend you to see your GP and ask for the specialist referral. You may refer directly for the consultation especially when you are funding your own treatment. The consultant will then update your GP regarding your treatment or progress. If you are insured, then your insurer may will require that you to discuss your condition with your GP and ask for private appointment to see the consultant.

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2. How long do you have to wait to see the consultant?

Usually it should take place within a week. If it is an emergency or you would like to see sooner for your clinical condition then there is a provision on the appointment to book this sooner within 48 hours. If you would like to see sooner then I would recommend you to contact my secretary directly with the appointment or your doctor (GP) could do so on your behalf.

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3. What you would expect in your first consultation?

It is better to attend 10-15 minutes before the appointment so that you could park your car on time and relax before your appointment. You would also require filling in some registration formalities for the appointment for example you and your GP’s contact details. Please ensure that you bring any previous consultation document or letter, scan and any other investigation that you had. A clinical history will be obtained by the consultant. You will have the opportunity to ask any specific question or matter that you feel important. Your partner / husband or next of keen could be present during consultation if that you wish. After obtaining the history and your specific concerns a clinical examination will be performed. This could require an internal (vaginal) examination and an internal (transvaginal) ultrasound examination after obtaining a verbal consent from you. A female chaperone will be always present during examination.

For menstrual (period) problems or bleeding after menopause and concern for ovarian cysts I offer my patients a “One Stop” service that include clinical examination, transvaginal ultrasound and could be an outpatient hysteroscopy and biopsy service. I was forefront of developing this service in the NHS and that I practice for my private patients as well. The benefit of this service is that you do not have to wait for the further investigations and results. In most of the occasions you would find an answer to your problem on the day of consultation or if it requires a biopsy of the endometrium (lining of the womb) or removal of the polyp or a blood test then you only have to wait for the biopsy or blood test. This service will incur an additional expense as the service will require additional time. You would require an authorisation from your insurer or you may consider funding yourself.

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4. If you would require any test or investigation how that could be organised?

You would be explained the necessary investigations that may require as well as the reasons for those tests. Often this would be organised following the consultation or you would be given the necessary documents for the investigations and would be asked to attend another time that is convenient to you.

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5. When will you know about the results of those investigations?

You will be given another follow up appointment to discuss the results of the investigation. Further management plan and treatment will be offered. This way you will have the opportunity to ask any question to the consultant.

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6. How the treatment will be organised?

You will be informed about the diagnosis and treatment plan including any surgery (operation) or medical management including any alternative options. You will be given an adequate time to think and decide. We understand that it is not always possible to make a decision and you may require additional time. In that situation you will be given a follow up appointment. If you require a surgery an informed consent will be obtained after further discussion with the benefits and risks of the procedure and a copy of the consent form will be provided. At any point if you do not want to go ahead with the surgical options you would have the opportunity to discuss that with myself. Usually the consent will be obtained in the clinic or could be before surgery after admission if that suits you.

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7. Stay for operative procedures?

Quite a significant number of procedures could be carried out as outpatient procedures or day case procedures. For example Colposcopy, treatment of abnormal cells (precancerous lesion from cervix) e.g. LLETZ, removal of polyps, hystereoscopy and biopsy could be carried out as outpatient procedures. On the other hand laparoscopy (key hole surgery), hysteroscopic removal of polyp and resection, endometrial ablation (for example Novasure, Endometrial balloon ablation (Thermachoice), sterilisation, treatment for stress urinary incontinence,  removal of small swelling from vulva and minor cosmetic surgery of genital tract performed as day case surgery under light anaesthetics. Major procedures like hysterectomy (abdominal, vaginal procedures or laparoscopic hysterectomy), pelvic floor repair, surgery for prolapsed pelvic organs or surgery for ovarian tumour or cysts, major cosmetic procedures would usually require an inpatient stay for 2 to 4 days, even less or sometimes more.

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8. How you would be looked after your surgery (operation)?

This will be discussed with you before discharging home. An appointment will be arranged with myself according to your convenient time taking in to consideration with the clinical requirements. You will also be provided with a contact number in case you would like to discuss anything over the telephone. In some operative procedures you would not require any further appointment. However you will have the flexibility to choose your options what you consider best.

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