Special Clinical Interest

Mr Furtado is on the General Medical Council Specialist Register for Gynaecology and Obstetrics, and so is able to diagnose and manage the full range of gynaecological conditions and obstetric procedures.

In addition he has special interest in:

• Urogynaecology
• Minimal access (keyhole surgery)
• Acute gynaecology(Consultation and scanning)
• Advanced hysteroscopic procedures

Diagnostic procedures

• Urodynamic studies for urinary incontinence problems
• 2D scanning in early pregnancy and acute gynaecology
• Endoanal ultrasound scans and ano rectal physiology for anal spincter defects

Operative procedures

• Vaginal prolapse surgery and pelvic floor reconstruction
  • Anterior vaginal repair (surgical procedure to repair or reinforce the fascial support layer between the bladder and the vagina)
  • Posterior vaginal repair (surgical procedure to repair or reinforce the fascial support layer between the rectum and the vagina)
  • Perineorrhaphy and perineal body reconstruction reconstruction (Perineal body is the supporting tissue between vaginal and anal openings. This also helps to support the back wall of the vagina. The perineum is the area that is often damaged when tears or episiotomies occur during childbirth. This area may need to be repaired along with the back wall of the vagina to give perineal support and in some cases reduce the vaginal opening)
  • Sacrospinous fixation (Operation designed to restore support to the uterus or vaginal vault in a woman who has had a hysterectomy)
  • Sacrocolpopexy (surgical procedure to correct prolapse of the top of the vagina in women who have had a previous hysterectomy)
  • Colpocleisis (operation which treats the symptoms of the prolapse by sewing the front and back walls of the vagina together)
  • Colposuspension/perirurethral bulking and autologous fascial slings for stress urinary incontinence. 
• Vaginal hysterectomy (Removal of the womb through the vaginal route
• Total Laparoscopic Hysterectomy (Removal of womb exclusively by keyhole surgery).
• Laparoscopic Assisted Vaginal Hysterectomy (Removal of the womb vaginally but assisted by the laparoscopic route)
• Tension-free vaginal tapes (transobturator and retropubic) ie insertion of tapes for urinary incontinence
• Intravesical Botolinum toxin injections for Refractory Overactive Bladder.
• Open abdominal hysterectomy (removal of the womb)
• Myomectomy (removal of fibroids)
• Laparoscopic ovarian cystectomy (removal of ovarian cyst via keyhole surgery)
• Laparoscopic bilateral salpingo-oophorectomy (removal of both ovaries and tubes)
• Hysteroscopic resection of polyps/fibroids(removal of pathology via a camera through the womb)