endometriosis-consultant.co.uk Report : Visit Site


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    The main IP address: 91.146.104.162,Your server United Kingdom,Maidenhead ISP:UK Webhosting Ltd  TLD:uk CountryCode:GB

    The description :endometriosis, endometriosis causes, endometriosis symptoms, endometriosis diagnosis, endometriosis treatment, endometriosis surgery...

    This report updates in 16-Jun-2018

Created Date:2003-10-15
Changed Date:2013-10-12

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Latitude: 51.522789001465
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-- home endometriosis causes & symptoms endometriosis diagnosis endometriosis treatment surgical treatment medical treatment publications & presentations awards & media coverage testimonials appointments & contact mr. trehan frcs frcog | mr. trehan frcs frcog is a specialist in the treatment of endometriosis. he has performed laparoscopic surgery for endometriosis for over 20 years, during which he has performed in the region of two thousand operations for endometriosis. patients frequently travel to the united kingdom from across the globe for endometriosis treatment with mr. trehan. mr. trehan does not agree with the widely held notion that endometriosis is an ‘incurable disease.’ indeed, his practice has demonstrated that the effect of endometriosis on a woman’s life can almost always be reduced, if not eliminated through appropriate surgery. mr. trehan has innovated (and was first in the world to perform) three surgical techniques in order to improve the outcome associated with endometriosis treatment surgery: total pelvic peritoneal excision – an extension of “conventional” excision surgery in order to reduce recurrence and improve outcomes after endometriosis surgery. after “conventional” excision, studies have shown that the chance of endometriosis returning (the ‘recurrence rate’) is approximately 30%-50%. however, mr. trehan’s data shows that the chance of endometriosis returning (the ‘recurrence rate’) after total pelvic peritoneal excision surgery by mr. trehan is less than 5%. furthermore, even in the less than 5% of patients where recurrence occurs, it is very mild (minimal stage 1 endometriosis), and usually located outside the excision margin. temporary ovarian suspension – to reduce the formation of ovarian adhesions (scar tissue which causes pain and infertility) after endometriosis surgery. laparoscopic post-hysterectomy vaginal vault excision – to treat patients with pain after a hysterectomy. mr. trehan performs all endometriosis surgery with no exceptions, no matter how advanced the endometriosis is (including endometrioma (chocolate) cysts, deep stage iv endometriosis, bowel/rectovaginal endometriosis and bladder/ureteric endometriosis), via laparoscopic (keyhole) surgery as it offers numerous advantages to the patient. mr. trehan never performs an oophorectomy (removal of the ovaries) in order to treat endometriosis , as he has demonstrated that thorough removal of endometriosis makes removal of the ovaries unnecessary. further, removal of the ovaries is associated with numerous adverse health effects ranging from increased risk of heart attack to bone fracture to dementia. in the last decade, mr. trehan has never removed both ovaries in a patient with endometriosis. a hysterectomy is not the solution to treating endometriosis: if childbearing is desired and the uterus is not diseased, a hysterectomy can always be avoided. mr. trehan has demonstrated that a hysterectomy should only performed if childbearing is completed and the uterus is diseased (eg. adenomyosis), and even if a hysterectomy is performed, thorough removal of all endometriosis must still be performed. mr. trehan’s surgical complication rates and outcome results (in terms of symptom reduction and fertility) are shown below. outcome results the technical skill, operative experience and techniques used by the surgeon are the most important factors which determine the outcome of endometriosis surgery. pain, menstrual, bladder and bowel symptoms are usually drastically reduced in the weeks-months following endometriosis surgery with mr. trehan. further, these benefits usually last as shown by a recent long-term follow-up of mr. trehan’s endometriosis patients 3.5 years after total pelvic peritoneal excision surgery (without hysterectomy) with mr. trehan. these symptom scores are shown below, and were established by asking patients to fill in a questionnaire before their surgery to rate their symptoms on a scale from 0 (no symptoms) to 10 (extremely severe symptoms). this questionnaire was then repeated an average of 3.5 years after their surgery. symptom average before surgery average after surgery average percentage reduction pelvic pain during periods 8.2 3.4 60% pelvic pain between periods 5.7 1.3 77% backache 6.2 1.9 69% pain with intercourse 4.7 1.6 67% pain with opening bowels 4.8 1.9 60% bladder problems 4.1 1.1 73% in addition, 98% of patients experienced an increase in quality of life (average before operation: 2.7/10; average 3.5 years after operation: 8.2/10). of patients under the age of 40 who were previously infertile/unable to conceive, 53% conceived naturally (without the need for ivf) after endometriosis surgery with mr. trehan. note that even if ivf is needed, successful endometriosis surgery increases the chance of ivf success. complication rates the table below shows mr. trehan’s surgical complication rates for common complications associated with endometriosis surgery. these figures are taken from an audit performed in 2012 of 169 consecutive private endometriosis patients undergoing total pelvic peritoneal excision (often alongside other complicated gynaecological procedures). these complication rates are amongst the lowest reported in the global medical literature for endometriosis surgery, despite many of mr. trehan’s patients having extremely complicated/severe cases of endometriosis requiring surgery lasting up to 9 hours, and around half having had at least one (sometimes as many as ten) previous failed, unsuccessful and abandoned operations elsewhere. complication description frequency laparoconversion conversion to open surgery from keyhole surgery 0/169 (0%) ureteral lesions damage to the ureters (kidney urine tubes) 0/169 (0%) bowel perforation damage/puncture of the bowels 0/169 (0%) stoma – ileostomy or colostomy bowel ‘spout’ to direct faeces to exit from a hole the abdomen 0/169 (0%) faecal peritonitis internal leakage of faeces 0/169 (0%) sepsis or pelvic abscess severe infection 0/169 (0%) rectovaginal fistula abnormal opening between bowel and vagina 0/169 (0%) post-operative bleeding requiring another short procedure to stop the bleeding (no associated adverse consequences) 1/169 (0.6%) urinary retention (less than 7 days) short-term catheter tube to drain urine from the bladder 2/169 (1.2%) urinary retention (more than 7 days) long-term catheter tube to drain urine from the bladder 0/169 (0%) chronic functional bowel disturbances long-term problems with bowel movements due to surgery 0/169 (0%) thank you for your care and patience. we are blessed to have found a doctor like you. patient, mauritius thank you for your care in treating my endometriosis. your advice, care support and surgery have been second to none. patient, bradford mr trehan is the only doctor who has ever listened to me and understood the cause of my symptoms. i feel better than i have done in years. patient, sheffield i would like to express our sincere thanks and gratitude for the treatment we received under your care. it has been 3 months and my wife regained her strength and well being. patient, oman my husband and i wish to express our gratitude for everything you have done for us. your skill, care attention, patience and understanding are amazing. patient, aberdeen thank you for all your kindness. words cannot express my gratitude. patient, londonderry (northern ireland) mr trehan i will never forget your kindness. patient, cyprus it has been my first day back at work and i have been inundated with people telling me how much happier i look. patient, grimsby you treated me successfully for endometriosis. i have utmost confidence in your experience and abilities. patient, gurnsey my quality of life has improved drastically and i can only thank you once more for what you have done for me. i am now managing to work 30 hours per week which would have been unthinkable only a short time ago. patient, sandbach i just wanted to say thanks to you

URL analysis for endometriosis-consultant.co.uk


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http://www.endometriosis-consultant.co.uk/endometriosis-treatment/
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http://www.endometriosis-consultant.co.uk/media-coverage-awards/
http://www.endometriosis-consultant.co.uk/endometriosis-treatment/surgical-treatment-endometriosis/
http://www.endometriosis-consultant.co.uk/publications-presentations/

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Domain name:
endometriosis-consultant.co.uk

Registrant:
Mr Ashwimi Trehan

Registrant type:
UK Individual

Registrant's address:
436 Oxford Road
Gomersal
Cleckheaton
Bradford
West Yorkshire
BD19 4LB
United Kingdom

Data validation:
Nominet was able to match the registrant's name and address against a 3rd party data source on 10-Dec-2012

Registrar:
Paragon Internet Group Ltd t/a Vidahost [Tag = THERMAL]
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Relevant dates:
Registered on: 15-Oct-2003
Expiry date: 15-Oct-2019
Last updated: 12-Oct-2013

Registration status:
Registered until expiry date.

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WHOIS lookup made at 11:32:02 01-Nov-2017

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  ARGS endometriosis-consultant.co.uk

  PORT 43

  TYPE domain

OWNER

  ORGANIZATION Mr Ashwimi Trehan

TYPE
UK Individual

ADDRESS
436 Oxford Road
Gomersal
Cleckheaton
Bradford
West Yorkshire
BD19 4LB
United Kingdom
Data validation:
Nominet was able to match the registrant's name and address against a 3rd party data source on 10-Dec-2012

DOMAIN

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  CREATED 2003-10-15

  CHANGED 2013-10-12

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