Gynaecology

Women experience many changes throughout their life and Dr Larwood is here to provide experienced care at all stages. From teenagers with pelvic pain to women with period problems, prolapse, incontinence, ovarian masses and menopausal problems Dr Larwood is easy to talk to and combines a kind caring approach to your care with expert surgical skills when needed.

You can be confident that I will listen to you, be respectful and understanding of your situation. I believe in providing women with accurate information, outlining the possible treatment options available enabling you to make informed and good decisions about your care. Where possible and effective non-surgical options should be considered but there are circumstances where surgery may be the best option.

I aim to provide you with excellent care and treatment that is evidence based, up to date and safe.

Gynaecological services

  • Abnormal pap smears and colposcopy
  • Contraception
  • Period problems – managing Irregular periods/Painful periods/Heavy periods
  • Early pregnancy problems – miscarriage, ectopic
  • Pelvic pain
  • Ovarian cysts and pelvic masses
  • Polycystic ovarian syndrome (PCOS)
  • Prolapse
  • Urinary incontinence
  • Menopause
  • Post-menopausal bleeding

What happens at a gynaecolocical consultation?

Initially I plan to listen to you, I would have already seen the letter from your GP but I am interested in what you are experiencing and want to hear this from your perspective. I will ask you a number of questions in order to understand your situation and know about your medical and surgical history.

Depending on your situation I may need to do a physical and pelvic examination. I don’t always do a pelvic examination but if needed, I will be able to explain why I would like to do this examination, what information I will get form the examination and how it will guide your treatment and recommendations for care. Examinations should not be painful and shouldn’t take more than a few minutes.


Laparoscopic, Pelvic and Vaginal Gynaecological Surgery

Dr Larwood has a special interest in surgery and throughout his training was fortunate to have excellent opportunities to develop his surgical skills. Kelvin has gained extra surgical skill and experience in laparoscopic, pelvic, vaginal prolapse and stress incontinence surgery. Kelvin is also regularly involved in teaching surgical skills to other doctors. This ongoing experience ensures his skills are maintained and continually being developed.

Kelvin’s approach to surgery includes:

  • Where possible and safe to do so non-surgical options should be considered and are preferable.
  • The decision for surgery is always a balance between weighing up the expected benefits of surgery against the potential risks.
  • I always try to perform laparoscopic ‘key hole’ surgery which is minimally invasive and aids recovery.
    • I am able to perform total laparoscopic hysterectomy and advanced laparoscopic procedures for conditions such as endometrosis
  • The operations I perform I do regularly – this ensures that my skills are maintained at a high level and reduces the chance of complications. I want to do all I can to ensure your operation is safe.
  • I operate efficiently. I am not trying to operate quickly for the sake of being fast but rather operating efficiently reduces you anaesthetic time, potentially faster recovery with less pain.
  • I operate being respectful of tissue and am gentle handling tissue to reduce bleeding and pain which also aids recovery.

Laparoscopic ‘key hole’ surgery has many advantages over ‘open’ surgery for patients and whenever possible and safe to do so Dr Larwood will always try to perform a laparoscopic procedure.

I regularly perform the following operations.

Laparoscopic ‘key hole’ surgery

  • Hysterectomy (Total Laparoscopic Hysterectomy, TLH)
  • Oophorectomy (removal of ovaries) can be done with or without removal of the uterus
  • Ovarian cystectomy – removal of ovarian cysts without removal of the ovary
  • Endometrosis – removal of
  • Division of adhesions
  • Ectopic pregnancy
  • Cancer risk reduction surgery (BRCA 1, BRCA 2, Lynch/HNPCC) – for some women removing ovaries and/or uterus can significantly reduce your risk of developing certain cancers:
    • Breast cancer
    • Ovarian cancer
    • Uterine cancer

Vaginal surgery

  • Vaginal prolapse surgery (I don’t use mesh for prolapse surgery)
    • Anterior repair
    • Posterior repair
    • Sacrospinous ligament fixation
  • Urinary incontinence surgery – TVT