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 right treatment, not the easiest one
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 for urgency and overactive bladder. Effective, lasting, and without medication side effects.
Vaginal pessaries
Ring, Gellhorn, or Shaatz pessaries offer an excellent long-term non-surgical option for prolapse at any stage.
Pharmacotherapy
Anticholinergics, beta-3 agonists, topical oestrogen, GnRH analogues — medication is selected carefully for the individual.
Intravesical Botox
A minimally invasive day procedure for refractory overactive bladder — 70–80% response rate, highly effective alternative to surgery.
Sacral neuromodulation
InterStim therapy for refractory OAB and urgency incontinence — a proven third-line option before more invasive surgery is considered.
Surgical expertise
When surgery is the right choice
Prof Jeffery performs over 200 procedures annually. Laparoscopic technique is the default wherever the evidence supports it.
Laparoscopic sacrocolpopexy
Mid-urethral sling (SUI)
Laparoscopic hysterectomy
Hysteroscopic myomectomy
Laparoscopic myomectomy
Mesh revision & excision
Sacral neuromodulation
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
Expert revision
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.