Mr Tyrone Carpenter MB BS BSc MD MRCOG
Mr Carpenter has been a consultant Obstetrician and Gynaecologist in Poole since May 2006 and is the lead gynaecologist for minimal access surgery (keyhole surgery). He is also on the training faculty for minimal access surgery at the University of Surrey and Honorary Senior Clinical Lecture for Southampton University.
Prior to his appointment he was the Clinical Fellow in Advanced Minimal Access Surgery at the Minimal Access Therapy Training Unit (MATTU), Guildford, which is one of the leading centres for laparoscopic surgery both in the UK and worldwide. Whilst there, in addition to training in advance laparoscopic techniques, he completed a research thesis (medical doctorate) into endometriosis. This investigated various aspects of the disease including it’s natural history and the efficacy of drugs to alter blood supply and local hormones in causing disease regression. It also described a new technique for quantifying endometriosis.
In addition he conducted a trial into the efficacy of the carbon dioxide laser and harmonic scalpel in treating endometriosis surgically and this work is soon to be published.
Mr Carpenter undertakes all advanced laparoscopic gynaecological procedures currently available and has a special interest in endometriosis surgery. This includes radical excision of endometriosis using electro-surgery or harmonic scalpel as well as laser ablation of the condition. In severe cases with bowel involvement he operates with Mr Andrew Clarke, consultant surgeon who specialises in laparoscopic bowel surgery.
Contact Mr Carpenter via his secretary on (NHS) 01202 442188, and (Private) 01202 688380
Mr Andrew Clarke MD FRCS (Gen Surg)
Endometriosis is a common cause of abdominal pain in women of child bearing age. Since deposits of the disease usually develop within the abdominal and pelvic cavity, the bowel may become affected. This may involve loops of bowel becoming matted together and stuck in the pelvis or disease developing between the rectum and vaginal.
The later is called rectovaginal endometriosis and may be found in to 5-10% of ladies with endometriosis. With time scarring develops and the endometriosis can actually begin to invade the bowel wall itself. This sort of disease response very poorly to drug treatments and surgery is the treatment of choice is symptoms warrant it. In cases where the disease has invaded into the bowel removal of this piece of bowel is required to remove all the disease. Surgical removal with or without bowel resection can usually be achieved laparoscopically (by key hole) so expediting recovery. This form of intervention lends itself naturally to a combined operation with Gynaecologists and Surgeons with an interest in this field.
Mr Clarke is a laparoscopic colorectal surgeon with a sub-speciality interest in pelvic floor disorders. Nearly all his general surgical practice is laparoscopic including bowel resections and abdominal wall hernia repair. He has worked closely with Mr Carpenter in developing key-hole surgery in Poole treating pelvic floor prolapse by reconstruction and endometriosis.
Dr Naeem Ahmed
Consultant Anaesthetist and Sub Specialist in Pain Management
Dr Naeem Ahmed was appointed as a Consultant in Anaesthesia and Pain Medicine at Poole Hospital in May 2008. He did his higher training in Oxford and a clinical fellowship in Pain Medicine at St Mary’s Hospital in London. He has a special interest in chronic pelvic pain.
Chronic pelvic pain (CPP) refers to pain of at least six months' duration that occurs below the umbilicus and is severe enough to cause functional disability or require treatment. A survey of patient records of 136 primary care practitioners in the United Kingdom observed a 4% prevalence of CPP. The prevalence of CPP in this population was similar to that of migraine, back pain, and asthma. Endometriosis is by far the most common cause of gynaecological CPP.
A multidisciplinary approach is beneficial and preferred in the management of these often complex and difficult cases. Pain services can help develop a multimodal treatment plan including drugs, injections (local anaesthetics, steroids, botox etc), acupuncture, behavioural and relaxation therapies, transcutaneous electrical nerve stimulation and implantable nerve stimulation devices.
Dr Catherine Lee-Elliott MB ChB MA MRCP FRCR
Consultant Radiologist
Dr Lee-Elliott is a Consultant Radiologist with special expertise in gynaecological MRI (magnetic resonance imaging). MRI provides outstanding images of deeply invading endometriosis allowing better counselling regarding risks of surgery, as well as better planning of surgical procedures. Using special MRI sequences specifically designed to look for invasion of endometriosis, information on the disease is maximised.
