Clinical approach
Treatment Approach
Evidence-based. Non-surgical first. Minimally invasive when surgery is right. Prof Jeffery's approach is calibrated to each patient — not a one-size protocol.
Philosophy
The most appropriate treatment for each patient
Many conditions do not require surgery. Prof Jeffery explores and optimises non-surgical options first — and when surgery is indicated, minimally invasive techniques are the default.
Treatment decision framework
01
Accurate diagnosis
No treatment is planned before the diagnosis is confirmed. Urodynamic studies, imaging, and clinical examination inform a precise working diagnosis.
02
Non-surgical optimisation
Where appropriate, physiotherapy, behavioural therapy, medication, or pessary management is offered and supported before any surgical discussion.
03
Shared decision-making
Surgical options are explained with risks, benefits, and realistic expectations. The patient chooses — fully informed.
04
Minimally invasive surgery
When surgery proceeds, laparoscopic or hysteroscopic techniques are used wherever possible.
Non-surgical treatments
Not every problem needs an operation
Pelvic floor physiotherapy
First-line for stress incontinence and mild prolapse. Structured programmes with specialist pelvic physiotherapists.
Bladder retraining
Behavioural therapy that may help manage urgency and overactive bladder without medication.
Vaginal pessaries
Ring, Gellhorn, or Shaatz pessaries may provide a non-surgical management option for pelvic organ prolapse.
Pharmacotherapy
Anticholinergics, beta-3 agonists, topical oestrogen, GnRH analogues — medication is selected carefully for the individual.
Intravesical Botox
A minimally invasive day procedure that may be considered for selected patients with refractory overactive bladder.
Sacral neuromodulation
A staged implant treatment that may be considered for selected patients with refractory OAB or urgency incontinence.
Read the detailed guide Surgical expertise
When surgery is the right choice
The surgical approach is selected according to the diagnosis, available evidence, previous treatment, and each patient’s circumstances.
Mid-urethral sling (SUI)
Laparoscopic hysterectomy
Hysteroscopic myomectomy
Laparoscopic myomectomy
Endometrial ablation
Native-tissue prolapse repair
Conditions treated
Treatment approaches by condition
POP
Pelvic Organ Prolapse
Restoring support
SUI
Urinary Incontinence
Regaining confidence
HMB
Heavy Bleeding & Fibroids
Personalised solutions
OAB
Overactive Bladder
Taking back control
GSM
Vaginal Health
Compassionate, evidence-based care
MR
Mesh Revision Surgery
Assessment and individualised management after previous mesh or sling surgery.
rUTI
Recurrent UTIs
Identifying the cause
BPS
Bladder Pain Syndrome
A diagnosis that requires expertise
Take the next step
Ready to discuss your options?
Prof Jeffery sees patients at three Cape Town locations. Booking is managed through the Urogynaecology Clinic (ULC).
Booking link takes you to urogynaecology.co.za — managed by the Urogynaecology Clinic team.