Mr. Tsepov is an internationally recognised expert endometriosis surgeon performing both laparoscopic and robotic surgery using DaVinci Xi surgical robot. At The Harley Street Clinic, Mr Tsepov has established and is currently leading a Multidisciplinary Endometriosis Clinic which has been accredited as a National Endometriosis Referral Centre by The British Society Of Gynaecological Endoscopy (BSGE)
The centre offers full range of investigations, treatment and post-treatment support for patients with severe endometriosis and complex gynaecological surgical problems. This work involves complex gynaecological laparoscopic surgery, often performed together with designated colorectal and urology surgeons given the complex surgical nature of severe endometriosis.
The Harley Street Clinic Endometriosis Centre Philosophy:
Individualised treatment strategy and involvement of patients in decision making
Multidisciplinary team approach and constant support of our patients.
Excisional nerve sparing endoscopic / robotic endometriosis surgery of any complexity
Center's multidisciplinary team offers top surgical expertise in excisional nerve sparing, radical and fertility preserving treatment options of severe infiltrating endometriosis. Our aim is to avoid multiple surgical operations for deep endometriosis and clear the disease in a single surgical procedure. We use principles of conservative radicality and nerve sparing and our target is to remove the disease and cause minimal collateral damage to other pelvic organs, nerves and blood vessels.
Ongoing Care and Patient Support
Harley Street Clinic Endometriosis Centre is a coordinated multidisciplinary network. It offers comprehensive and personalised approach to endometriosis from all aspects.
This is the the clinic where gynaecology endometriosis surgeons, specialist endometriosis nurse, colorectal (bowel) surgeon, urologist, anaesthetists, chronic pain specialists, gastroenterologists, and consultant radiologist, specialising in endometriosis work together and always discuss the treatment of patients with severe endometriosis on multidisciplinary team meetings (MDM)
Apart from the core medical specialists our patients will have access to clinical psychologist, complimentary medicine specialist and psycho-sexual councillor. We work in close partnership with fertility team in Lister Hospital for those patients who have difficulty getting pregnant with endometriosis. We support our patients in all aspects of endometriosis care before, during and after surgery. Our aim is to improve reproductive health of our patients and enhance their quality of life.
For suspected deep infiltrating endometriosis of the bowel clinic offers offer extensive pre-operative assessment including special MRI scan to asssess the extent of the disease before surgery. If deep infiltrating endometriosis of the bowel is confirmed by the MRI we offer surgical treatment options which may include bowel shaving, disciod stapler bowel resection or, for large or multiple bowel endometriosis nodules - economical segmental bowel resection. All these procedures are performed laparoscopically. Our surgical audit data shows excellent results in improving patients quality of life, pain levels and sexual function. Our serious complications rate for bowel endometriosis surgery is very low and we take enourmous efforts to maintain patients well being before, during and after surgery.
Urinary Tract Endometriosis
Our multidisciplinary team has vast experience in surgical treatment of deep infiltrating endometriosis of the bladder and ureters. If bladder endometriosis is confirmed by the MRI we offer excisional treatment which may include full thicknes bladder nodules excision, bladder reconstruction and ureteric re-implantation. All these procedures are performed laparoscopically. After surgery we offer bladder physiotherapy support to enhance post surgical recovery and speed up patients return to normality.
We offer excisional treatment for confirmed diaphragmatic endometriosis. These operations are performed by a joint surgical team involving gynaecology, upper GI and thoracic surgeons. Procedures are performed endoscopically.
Mr. Tsepov widely participates in major European and Global meetings dedicated to complex gynaecological surgery and endometriosis as faculty member and invited speaker. Mr. Tsepov has received Surgical Video Competition Award by British Society of Gynaecological Endoscopy in Edinburgh UK in 2018 and Silver Video Surgery Award by British Society of Gynaecological Endoscopy in Newport, UK in 2019. He has also performed live surgery broadcasts to a number of International congresses dedicated to deep infiltrating endometriosis.
Mr Tsepov is a passionate supporter of preventive and evidence-based medicine. His other areas of expertise include diagnosis and treatment of pelvic pain syndrome, uterine fibroids, ovarian cysts, menstrual disorders, polycystic ovarian syndrome, pelvic inflammatory disease, endocrine gynaecological disorders, early pregnancy problems, ectopic pregnancy, selection of the best contraception etc.
In his clinical practice, Denis widely uses traditional methods of diagnostics and treatment, as well as latest innovative approaches and techniques recommended by National Institute of Clinical Excellence (NICE), British Society of Gynaecological Endoscopy (BSGE), European Society of Gynaecological Endoscopy (ESGE) and Royal College of Obstetricians and Gynaecologists (RCOG).
Mr Denis Tsepov graduated from St. Petersburg State Medical University in Russia in 1997 and completed higher specialist training in the United Kingdom. Mr Tsepov is a member of the Royal College of Obstetricians and Gynaecologists of the United Kingdom (RCOG).
Mr. Tsepov has completed advanced special skills module in Gynaecological Oncology together with Labour Ward ATSM in 2010 and on UK specialist register.
In addition to his UK training he has learned and excelled advanced surgical techniques for excisional treatment of severe endometriosis in leading European Endometriosis Centres in Bordeaux and Rouen, (France) , Bologna and Negrar (Italy) and Moscow (Russian Federation)
Mr. Tsepov is a certified robotic DaVinci Xi console surgeon by The Intuitive Surgical.
Outside his clinic Mr. Tsepov is a passionate hiker and enjoys long walks on the British and French Countryside and also fishing trips to nothern Finland and Russia.Diseases, Medical Tests and Treatments
- Excision of severe deep infiltrating endometriosis
- Excision of recto-vaginal deep endometriosis
- Excision of bowel deep endometriosis
- Rectal shaving, disc bowel resection, segmental bowel resection
- Urinary tract deep endometriosis
- Excisional nerve sparing surgery for deep endometriosis
- Complex endoscopic gynaecological surgery
- General and surgical gynaecology
- Laparoscopic hysterectomy
- Laparoscopic myomectomy
- Hysteroscopy and hysteroscopic surgery
- Office Hysteroscopy
- Menstrual disorders
- Gynaecological endocrinology
- Robotic surgery service
- Deep endometriosis of the bowel and recto-vaginal space
- Rectal shaving, discoid bowel resection, segmental bowel resection
- Nerve sparing excisional surgery for endometriosis
- Deep endometriosis of the urinary tract
- Ureteric re-implantation, bladder excision and reconstruction.
- Chronic pelvic pain
- Uterine fibroids
- Complex gynaecological surgery
- Multidisciplinary surgery
- The Harley Street BSGE Endometriosis Centre