Mr Ruben Trochez

Consultant Gynaecologist & Subspecialist in Urogynaecology

MBBS, MRCOG


Specialises in

  • Laparoscopic (keyhole) surgery
  • Overactive bladder
  • Stress urinary incontinence
  • Urogynaecology
  • Vaginal Prolapse

I have 15 years of experience in Gynaecology. I treat most gynaecological conditions but have particular expertise in the management of pelvic floor problems including vaginal prolapse and urinary incontinence. I offer a wide range of treatments including keyhole surgery, which is one of my special interest areas.

I offer a wide range of conservative as well as surgical treatments including hysterectomy (keyhole, vaginal and abdominal), prolapse repairs, minimally invasive surgery for urinary incontinence (TVT), keyhole surgery for post-hysterectomy prolapse (sacrocolpopexy), as well as open and keyhole surgery for menstrual disorders, fibroids, ovarian cysts, etc.

I have an average of 10 operating sessions per month in my combined NHS and private practice. I perform around 400 surgical procedures per year.

I am the Training Programme Director for the RCOG Sub-specialty Training Programme in Urogynaecology for Merseyside and the Clinical Lead for Urogynaecology at Liverpool Women's Hospital NHS Trust. These managerial positions allow me to be heavily involved in Training and Education, as well as in the continuous improvement of services in the trust.

At national and international level I am an active member of a number of committees in the professional organisations of which I am a member of.

I treat most women’s health problems including heavy periods, fibroids, ovarian cysts, endometriosis etc. I have particular expertise in pelvic floor problems including vaginal prolapse (cystocele, rectocele, uterine prolapse); stress urinary incontinence, overactive bladder and urinary tract infections, amongst others. I offer a wide range of treatments for these problems including conservative treatment and surgery whether abdominal, vaginal or keyhole surgery.

In addition to my clinical practice I have a large portfolio of medico-legal practice acting as an expert witness and producing medico-legal reports.

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General Medical Council Number: C5206547

Treatment information

Some of the principal treatments carried out by Mr Ruben Trochez at Spire include:

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Additional information

Clinical interests

Endometriosis
Hysteroscopy
Laparoscopic surgery
Menopause
Menorrhagia
Menstrual disorders
Post menopausal problems
Prolapse
Urodynamics
Urogynaecology

Qualification and professional memberships

Professional memberships

British Society of Urogynaecology

Royal College of Obstetricians & Gynaecologists

National Association of Clinical Tutors

International Continence Society

International Urogynaecology Association

British Medical Association

Professional leadership

Director of Medical Education at Liverpool Women's NHS Trust
Member of the International Urogyanecology Association Publications Committee
Training Programme Director for the RCOG Subspecialty Training in Urogyanecology for Merseyside
Chair of the British Society of Urogynaecology IT Committee
Member of the Royal College of Obstetricians & Gynaecologists Guidelines Committee

Research and publications

Trochez R, Waterfield M, Freeman R. Hands-on or hands-off the perineum: A survey of care of the perineum in labour (HOOPS). International Urogynecology Journal 2011; 22(10): 1279-85
Trochez R, Freeman R. Natural history and prevention of urinary incontinence and urogenital prolapse. Chapter in: Textbook of Female Urology and Urogynaecology. Third Edition. Eds. Cardozo L, Staskin D, Informa Healthcare, 2010
Trochez R, Sibanda T, Sharma R, Draycott T. Fetal monitoring in labour: are accelerations good enough? J Matern Fetal Neonatal Med 2005; 18(5): 349-52
Trochez R, Harber P, Holmes D. Is postal postoperative follow up in urogynaecology feasible? Journal of Obstetrics & Gynaecology 2012; 32(7):663-5
Trochez R, Smith P, Lamont R. Use of C-reactive protein as a predictor of chorioamnionitis in preterm prelabour rupture of membranes: a systematic review. BJOG 2007; 114:796-801
Delgado D, White P, Trochez R, Drake M. A pilot randomized controlled trial of the pelvic toner device in female stress urinary incontinence. International Urogynaecology Journal 2013; 24:1739-45
Trochez R, Freeman R. The pelvic floor and continence. Chapter in: Oxford Specialty Training: Training in Obstetrics & Gynaecology. Eds. Sarris I, Bewley S, Agnihotri S. Oxford University Press. Oxford, UK 2009

Current NHS posts

Liverpool Women's NHS Foundation Trust.

Personal profile

My wife and my two-year-old daughter deservedly take the majority of my time outside work. We very much enjoy walking in the park, cycling, soft play centres, or just playing in the back garden. However, I still spare some time for my hobbies: outdoor sports (no longer competitive football, due to age constraints! But golf and five-a-side football), DIY and reading.

Contact information

Telephone 0151 522 1881
Private secretary Petronella Franken (Spire Liverpool) // Sasha Branscombe (Spire Wirral)
Private secretary telephone 0151 522 1888 (Spire Liverpool) // 0151 929 5303 (Spire Wirral)
Private secretary fax 0151 522 1838 (Spire Liverpool)
Private secretary email Petronella.franken@spirehealthcare.com (Spire Liverpool) // wirralhospmedicalsecretaries@ spirehealthcare.com (Spire Wirral)