Proctology and Pelvic Floor

At the Sydney Colorectal Clinic, we specialise in the treatment of haemorrhoids, anal skintags, fissures, fistulas, anal lesions and complex pilonidal disease.

Managing proctology and pelvic floor conditions involves a team of specialists working together to ensure the best possible outcome. Led by specialist colorectal surgeon, Dr Hamish Urquhart, our team includes pelvic health physiotherapists, general medicine and perioperative physicians, nurses and patient coordinators who are all dedicated to delivering world-class care tailored to your needs.

Care Team

Dr Hamish Urquhart

Director of the Sydney Colorectal Clinic & Specialist Colorectal Surgeon

Dr Hugh Giddings

Dr Hugh Giddings

Specialist Colorectal & General Surgeon

Dr Claire Keenan

Dr Claire Keenan

General Medicine & Perioperative Physician

Dr Angela James

Dr Angela James

Specialist Pelvic Health Physiotherapist

Giulia Casson

Giulia Casson

Pelvic Health Physiotherapist

Proctology Conditions
Haemorrhoids
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Anal Fissure
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Anal Fistulas
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Anal Skin Tags
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Pilonidal Sinus

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Rectal Prolapse
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Faecal Incontinence
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Obstructed Defecation
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Rectal Prolapse
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Slow Transit Constipation

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Perianal Pain
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Meet Dr Hamish Urquhart

Dr Hamish Urquhart is a leading specialist colorectal surgeon who is dedicated to providing evidence-based and compassionate care. With advanced surgical skills and a patient-focused approach, he ensures the best possible outcome for every individual.

Learn more about Dr Urquhart
The Sydney Pelvic Clinic

The Sydney Pelvic Clinic is proud to be a Centre of Excellence for Pelvic Health, led by an experienced team of qualified physiotherapists and health professionals who share the vision of improving quality of life through pelvic health treatment.

At the Sydney Pelvic Clinic we take an integrated and multidisciplinary approach to client care. Our highly skilled Physiotherapists use innovative, evidence-based treatments and a combination of services designed to get you to your best health faster. As part of our multidisciplinary approach, Sydney Pelvic Clinic clients can benefit from a range of health services such as physiotherapy, massage, exercise and therapeutic yoga. Your physiotherapist will tailor your management plan to your needs and goals, ensuring you achieve a great outcome and improve your pelvic health.

Dr Angela James
Memberships and Affiliations

Contact our Team

Although Proctology and Pelvic Floor conditions are common, we know that they can have a significant impact on your day-to-day life. The first step is understanding your options and choosing the right team to support you.

Multidisciplinary Expertise

A team of specialists ensuring optimal care.

Personalised Treatment Plans

Tailored therapies to meet individual needs.

Comprehensive Patient Support

Guidance through every stage of treatment.

Dr Hamish Urquhart

CSSANZ FRACS MBBS (hons), BEngineering Mech/Biomedical (hons)

Dr Hamish Urquhart is a specialist colorectal surgeon, with subspecialty training in proctology, complex colorectal cancer, pelvic floor disorders and inflammatory bowel disease. He is the director of the Sydney Colorectal Clinic and is dedicated to the treatment and management of complex colorectal conditions. Dr Urquhart believes in employing a holistic, multidisciplinary approach to Colorectal Surgery, and works closely with other disciplines to coordinate patient care

Dr Urquhart completed his postgraduate medical degree in 2008 from the University of Sydney, graduating with a Bachelor of Medicine and Bachelor of Surgery (honours). He completed his internship and residency training at the Royal North Shore Hospital and subsequently commenced general surgical training in 2010. Dr Urquhart was awarded his Fellowship (FRACS) in General Surgery by the Royal Australasian College of Surgeons in 2015. In 2016, he began four additional subspeciality colorectal fellowship years focusing on the latest minimally invasive laparoscopic techniques, robotic surgery and endoscopy. The last 2 of these fellowship years were with the highly regarded Colorectal Surgical Society of Australia and New Zealand (CSSANZ) training program where he completed advanced colorectal surgical techniques.

Dr Urquhart is also a qualified biomedical mechanical engineer, graduating with first class honours from the University of Sydney in 2004. He was the 2005 recipient of the Engineers Australia Excellence Award for Innovation, developing several patents for biomedical devices.

Dr Urquhart is the Director of Surgical Training at St Vincent’s Hospital, Sydney. He is also a member of the NSW training board in General Surgery. Dr Urquhart has published multiple peer-reviewed journal articles and has presented at conferences in Australia, North America, Italy and the United Kingdom on Colorectal Surgery. He also has a passion for teaching and has affiliations with the University of New South Wales and the University of Notre Dame.

Dr Hugh Giddings

Dr Hugh Giddings

CSSANZ FRACS MBBS (hons) PhD

Dr Hugh Giddings is a specialist colorectal and general surgeon with subspecialty training in colorectal cancer, inflammatory bowel disease, pelvic floor disorders, endometriosis surgery, and proctology. He performs open, laparoscopic, robotic and endoscopic procedures to treat a wide range of colorectal and general surgical conditions.

Dr Giddings received his postgraduate medical degree from the University of Sydney in 2010 (Bachelor of Medicine and Bachelor of Surgery with honours). He went on to complete his general surgical fellowship (FRACS) with the Royal Australia College of Surgeons in 2020, including several years training at St Vincent’s Hospital Sydney.

Following this Dr Giddings was the Notaras Scholar through the Colorectal Surgical Society of Australia and New Zealand, with clinical posts at Royal Prince Alfred Hospital in Sydney where he trained in advanced oncological colorectal surgery, and The Royal Brisbane and Women’s Hospital specialising in minimally invasive techniques. An additional honorary fellowship was undertaken at St Mark’s Hospital in the United Kingdom with a focus on the surgical management of inflammatory bowel disease, and complex proctology.

Dr Giddings has a strong research background having presented both nationally and internationally, and was awarded the Royal Australian College of Surgeons Mark Killingback research prize in 2025. He recently completed his Doctor of Philosophy (PhD) thesis looking at the trends in surgical workload, outcomes following surgery, and the quality of inflammatory bowel disease (IBD) surgical care in Australia. Dr Giddings continues to be involved in collaborative research and is a member of the Australia and New Zealand inflammatory bowel disease consortium, and the scientific, medical, and quality of care advisory committee for Crohn’s Colitis Australia.

Dr Claire Keenan
Dr Claire Keenan

BHB MBChB FRACP

Dr Keenan is a specialist general medicine and perioperative physician. As a specialist physician she will assess you as a whole and address how your medical conditions interconnect, ensuring that you get the best outcomes in your care.

Dr Keenan completed her specialist training across New Zealand and Australia and has subspecialty expertise in peri-operative medicine, obstetric medicine, and managing patients with multiple medical conditions with complex needs.

Dr Keenan takes a holistic view and recognises the importance of addressing the medical conditions in parallel with your lifestyle, diet and general health goals.  She is a big advocate of multidisciplinary care and works closely with surgeons, physicians, nursing staff and allied health clinicians and will support your local doctor in your ongoing management.

In addition to her work at St Vincent’s, Dr Keenan is an academic at the University of New South Wales where she teaches the next generation of aspiring doctors.

Dr Angela James
Dr Angela James

FACP

Angela James is the founder of Sydney Pelvic Clinic and a pioneer in the treatment of patients with pelvic health conditions. With over 20 years of experience in managing complex pelvic issues for both women and men, she uses an evidence-based, person-centred approach to achieve great outcomes for her patients. Angela holds a Specialist title from the Australian College of Physiotherapy as a recognition of her clinical achievements.

Angela is dedicated to helping patients optimise their pelvic health, whether that be reducing pelvic pain and discomfort, improving bladder or bowel function or facilitating a safe and satisfying return to exercise. Angela applies a tailored approach for each patient integrating education, manual therapy, innovative technologies, lifestyle coaching and exercise therapy. Angela strongly believes in empowering her patients, ensuring they have a clear narrative about their condition and a solid plan for long-term results.

Angela is passionate about pelvic physiotherapy and has developed a team of like-minded, highly trained professionals at Sydney Pelvic Clinic. Angela regularly runs professional development courses, both locally and internationally. All her courses are taught with a whole-person, biopsychosocial framework. She is a casual lecturer at the University of Melbourne, teaching the Advanced Clinical Practice subject in the Masters of Pelvic Health program.

Giulia Casson

Giulia Casson

MACP; B. Phys; M. Clin Phys (Continence & Pelvic Health); Cert in Prolapse Management

Giulia first graduated from Australian Catholic University with a Bachelor of Physiotherapy and has gone on to become a titled Continence and Women’s, Men’s and Pelvic Health Physiotherapist after finishing her Masters’ degree at Curtin University and further postgraduate study at the University of South Australia.

She is the  NSW chair of the Australian Physiotherapy Association (APA)’s Women’s, Men’s and Pelvic Health Committee and is extensively involved in teaching for the APA across two disciplines –pelvic health and gerontology. She is also a guest lecturer in Women’s Health at the University of Technology Sydney, teaching as part of their Master of Physiotherapy degree.