THD SphinKeeper Training for surgeons - THDLAB - CO UK

  • Contents
  • Programme
  • Speaker
  • The dates of the next Web trainings


A course dedicated to the THD SphinKeeper® procedure for the minimally invasive surgical treatment of faecal incontinence.

The online course mainly focuses on the anatomy of anal sphincters, the steps of THD Sphinkeeper® procedure, the clinical evidence on its efficacy for the treatment of different types of faecal incontinence, but it also covers issues related to optimal patient selection.

THD SphinKeeper® webinar is aimed at surgeons who are keen to learn and perform THD SphinKeeper® procedure within their clinical practice.



The course will be delivered by the instructor through the Zoom platform and will have a limited number of participants, to make sure that everyone can participate with direct questions to the Tutor.

The programme is organised as follows:

  • Basic anatomy
  • History of anal bulking and its rationale
  • Optimal patient selection
  • THD Sphinkeeper® technique
  • Outcome: what we know from the literature
  • THD SphinKeeper® registry
  • Live Q&A session


The Course Tutor is Mr. Andrew Clarke, Consultant Surgeon at Poole Hospital NHS Foundation Trust and Honorary Senior Lecturer at the University of Manchester.

Mr. Andrew Clarkes trained in the North West. A year in gynaecology fuelled a sub-specialist interest in pelvic floor surgery. In 1992 he joined the professorial unit at Hope Hospital in Manchester and gained the FRCS in 1993.

He rotated through many of the major centres in the region in higher surgical training including the Christie Hospital Cancer Institute. After a brief period working in America, he took up the position of consultant surgeon at Manchester Royal Infirmary in January 2002.

In 2004 Andrew relocated to Poole in Dorset. He introduced laparoscopic surgery within the unit and developed a large practice in laparoscopic hernia surgery. He also introduced HALO treatment for haemorrhoids which has since become the most widely used day-case operation for this condition locally. In addition, he has led the development of a pelvic floor service in Poole and subsequently UHD (University Hospitals Dorset) as Poole and Bournemouth hospital units merged.

He introduced a sacral nerve stimulation treatment for faecal and urinary incontinence. He was the first to deliver a pelvic floor clinic in conjunction with pelvic floor physiotherapists and introduced multi-disciplinary (MDT) meetings to discuss management pathways for patients with functional pelvic floor pathology.

He continues to lead the monthly meetings attended by all specialties including radiology and gynecology that have sub-specialty interests in this field. More recently he has provided a service in Dorchester and achieved a pan-Dorset network. The work in developing such a unit was referenced as best practice in the merger recommendations to create UHD.

His experience and expertise in the field of proctology and surgery qualifies him as a titled expert nationally and beyond.


The dates of the next Web trainings:

In the following calendar you will find the dates of the next available Web trainings. With a simple click you will be able to check the details of each course (date, time and places still available) and submit a "Request to participate in the training".

Once you have completed the request, you will be contacted as soon as possible by the training secretariat to receive all the operational details to access the online session of your choice.



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