Mr David Iles

David Iles is a Consultant Urogynaecologist specialising in the assessment and treatment of pelvic floor disorders, including pelvic organ prolapse, urinary incontinence, bladder symptoms and complications following previous pelvic floor surgery. He is Clinical Lead for Urogynaecology at the Warrell Unit, St Mary’s Hospital, Manchester University NHS Foundation Trust, one of the UK’s specialist tertiary urogynaecology centres. His NHS practice includes the management of complex pelvic floor disorders and mesh-related complications, alongside a broad range of reconstructive pelvic floor surgery. David completed subspecialty training in urogynaecology and has a particular interest in surgical treatment of prolapse and stress urinary incontinence. His practice includes vaginal, laparoscopic and robotic approaches, allowing treatment to be tailored to the individual patient, their symptoms, priorities and previous surgery. He also has specialist expertise in problems following childbirth, including obstetric perineal trauma, and undertook postgraduate research into the effects of severe perineal injury. Alongside his clinical practice, David is actively involved in the training of future specialists in urogynaecology. He is Training Chair for the British Society of Urogynaecology and contributes to national subspecialty training and education through the Royal College of Obstetricians and Gynaecologists. He places particular emphasis on careful assessment, explaining the available treatment options clearly, and shared decision-making so that patients can choose the approach most appropriate for them.

Pelvic organ prolapse, including recurrent and complex prolapse Stress urinary incontinence Urinary urgency, frequency and overactive bladder Voiding difficulties and bladder emptying problems Recurrent urinary tract symptoms Vaginal, laparoscopic and robotic pelvic floor surgery Vaginal hysterectomy and uterine-preserving prolapse surgery Sacrospinous fixation and sacrospinous hysteropexy Anterior and posterior vaginal wall repair Colposuspension, including laparoscopic and robotic approaches Urethral bulking treatment for stress urinary incontinence Bladder Botox treatment Pessary management for pelvic organ prolapse Complications following previous continence or prolapse surgery Vaginal mesh complications and mesh exposure Obstetric perineal trauma and persistent problems following childbirth Complex and recurrent pelvic floor disorders