Patient Information
Quick answers to the questions patients ask most, from booking and referrals through to payment and follow-up.
Mr Jonathan Broome is a Consultant Gynaecologist and Urogynaecologist and the founder of The Pelvic Clinic. He is well known locally and nationally for treating pelvic floor disorders such as urinary incontinence and prolapse. He also treats a wide range of general gynaecological concerns, including heavy and painful periods, endometriosis, fibroids, ovarian cysts and menopausal symptoms.
He founded The Pelvic Clinic to give women the time to be listened to, an accurate diagnosis and a treatment plan built around their needs, concerns and lifestyle goals.
Mr Broome sees women with:
Procedures offered include the Mirena coil, private cervical smears, sacrohysteropexy and keyhole removal of the ovaries and fallopian tubes. You do not need to know the name of your condition before you get in touch.
Mr Broome gained his medical degree (MBChB) at the University of Birmingham Medical School, then moved to Manchester for his postgraduate training in obstetrics and gynaecology. In 1998, he completed a two-year fellowship at the Royal Hospital for Women in Sydney, Australia, where he learned the specialist keyhole (endoscopic) techniques that still underpin his surgery. In 2001, he was appointed Consultant in Obstetrics and Gynaecology at the Royal Bolton Hospital, with a special interest in urogynaecology.
He is a Member of the Royal College of Obstetricians and Gynaecologists (MRCOG) and is registered with the GMC (number 3323542). He has published over 30 papers in peer-reviewed medical journals.
Often, yes. Mr Broome is one of a small number of surgeons in the UK who can repair a prolapse using keyhole surgery, lifting the womb back into its normal position without removing it. One of these operations is a sacrohysteropexy.
Hysterectomy is one option among several, not the automatic starting point. Women come from across the UK for this type of surgery, including women who want to keep their womb for a future pregnancy or simply prefer not to have a hysterectomy. The right operation for you is decided together at your consultation.
Yes. Many of the conditions we treat feel very personal to talk about. You will be seen privately, treated with discretion and respect, and given the time to talk things through properly without feeling rushed.
No. A GP referral letter is not required, and you are welcome to book an appointment directly.
If you plan to use private health insurance, your insurer will usually ask for a GP referral before it agrees to fund your consultation or treatment. A referral letter can also be helpful because it means your medical history and any test results are available when you are seen.
Yes. You do not need to know the medical term for your symptoms. Simply describe what you are experiencing, and we will take it from there.
You can book in any of these ways:
If you have any other questions, the practice management team can help by email or by phone.
Mr Broome sees patients at two locations in Greater Manchester:
Spire Manchester Hospital has free on-site parking for patients and visitors and is step-free throughout. If you have an access requirement, please let us know when you book so we can make arrangements before you arrive.
Yes. If you would like to share any letters, results or other documents before your consultation, please email them to info@thepelvicclinic.co.uk. This helps Mr Broome review your history before he sees you.
An initial consultation costs £250, and a follow-up consultation costs £175. If a procedure or surgery is recommended, you will be given a clear breakdown of the costs before any treatment goes ahead.
Yes. Mr Broome is recognised by all the major UK health insurers. Before your consultation:
If scans or surgery are recommended after your consultation, you will need to get authorisation from your insurer again before they go ahead. If you can share your authorisation codes with us in advance, we can invoice your insurer directly.
Many policies include an excess or cost-sharing arrangement, so please check with your insurer what you may need to pay yourself.
Yes, self-pay patients are very welcome. For most procedures, and assuming there are no medical complications, you will be given an accurate estimate before any treatment begins. Spire Manchester offers self-pay packages for common procedures, which cover the surgical, hospital and anaesthetic fees.
If a procedure is discussed at your consultation, a formal quotation with a breakdown of costs and terms will be arranged and sent to you by email. Consultation fees are paid at or before your appointment.
The cost of surgery is usually made up of separate fees:
These fees may be invoiced separately. Some hospitals also charge separately for medicines you take home, and staying longer than planned will add to the hospital fee.
Please give us at least 48 hours’ notice if you need to cancel or rearrange. Appointments cancelled with less than 24 hours’ notice, or missed without notice, may be charged at the full consultation fee. Cancellation terms for procedures and surgery are set by the hospital and will be included with your quotation.
A prolapse happens when the muscles, tissues and ligaments that support the womb, bladder or bowel weaken, allowing them to drop from their usual position. Common signs include:
Symptoms are often milder in the morning and worse by the end of the day. Prolapse is common, particularly after childbirth and the menopause, and treatment is available at every stage.
This is known as stress incontinence. It happens when sudden pressure on the bladder, for example from coughing, sneezing, laughing, lifting or exercise, is greater than the strength of the muscles and tissues that normally keep the urethra (the tube urine passes through) closed.
Common causes include childbirth, falling oestrogen levels around the menopause, and extra strain on the pelvic floor from a long-term cough, constipation or carrying extra weight. Stress incontinence is common and treatable, and you do not have to simply manage it with pads.
Stress incontinence is leaking urine during physical effort, such as coughing, laughing, lifting, or exercise, usually without any warning urge beforehand.
Urge incontinence is a sudden, powerful need to pass urine that is hard to put off, often with leaking before you reach the toilet. It is often caused by an overactive bladder, where the bladder muscle contracts before the bladder is full.
Some women have both types. Because the treatments are different, an accurate assessment is important.
It can be hard to measure blood loss, so it is often easier to think about how your period affects you. Your periods may be heavy if you:
Heavy bleeding can lead to iron-deficiency anaemia, which may leave you feeling tired and breathless. If heavy periods are affecting your work, sleep or daily life, it is worth having them assessed.
Pelvic scans such as ultrasound or MRI do not always pick up endometriosis, and it is often overlooked as a cause of pelvic pain and painful periods. A laparoscopy (keyhole surgery) is often needed to confirm the diagnosis.
A laparoscopy can also be used to treat the condition by removing endometriosis, scar tissue and adhesions. Mr Broome will examine you, discuss your history and agree a plan with you, which may include medical treatment, surgery or both.
A mild prolapse with few symptoms may not need any treatment. Non-surgical options include:
Pelvic floor exercises generally will not correct a significant prolapse. If symptoms are affecting your quality of life, surgery may be discussed.
A sacrohysteropexy is an operation that lifts a prolapsed womb back into its normal position and holds it there, without removing the womb. Mr Broome usually performs it by keyhole (laparoscopic) surgery through three small incisions in the tummy. A supporting sling is attached between the cervix and the sacrum (the bone at the base of the spine), and no cuts are made in the vagina.
It may be an option if prolapse symptoms are affecting your quality of life and other measures, such as pelvic floor exercises or a pessary, have not helped or are not suitable. It may also suit women who want to keep their womb, including for a future pregnancy, or who would prefer not to have a hysterectomy.
No. Mr Broome does not use surgical mesh in his prolapse repairs. His repairs use either your own tissue or donor tissue (fascia) instead. A sacrohysteropexy is an abdominal keyhole procedure that does not involve the vagina, so it is different from the vaginal mesh implants that have been paused in the UK.
After a sacrohysteropexy, most women stay in hospital overnight and go home the next day. Normal daily activities can usually be resumed within two to three weeks, depending on the individual. Most women feel ready to drive again after about four weeks, once they can do an emergency stop comfortably and no longer need strong painkillers.
Gentle walking can start straight away. Mr Broome will advise you on when it is safe to return to exercise, heavier lifting and work, based on your procedure and recovery.
For many women, yes. The Mirena is a small device placed inside the womb that slowly releases a progestogen hormone called levonorgestrel. This stops the lining of the womb from building up each month, making periods shorter and lighter, and some women stop having periods altogether.
It can be fitted in the outpatient clinic and also works as a highly effective contraceptive. It usually takes around two to three months to reach its full effect, and irregular bleeding is common during this time. If the coil is removed, periods usually return to their previous pattern.
Enquire Today
Mr Broome brings over 26 years’ experience in gynaecological care, with particular expertise in pelvic floor disorders. Based in Manchester, the simplest way forward is to reach out. You’ll be looked after with care, discretion, and the time to talk things through properly.
