Retrospective review of history vs. ePAQ-PF in complex urogynaecology patients.

Introduction And Aim Of The Study: Urinary incontinence and prolapse are debilitating conditions significantly affecting quality of life. They are extremely prevalent, affecting a significant number of women attending gynaecology clinics with complex symptoms. ePAQ-PF offers a user-friendly clinical tool, which provides valid and reliable data.

Evaluation of the Anopress® device in assessment of obstetric anal sphincter injuries in a specialist urogynaecology service.

Objectives: THD Anopress® is a new portable anal manometry device which can be used in an outpatient clinic setting. In this study, we aimed to: STUDY DESIGN: A retrospective analysis was conducted of women with OASI seen in a specialist clinic at 3- and 6-months post-delivery from November 2016 to December 2019. 72 women who attended their 6-month appointment and underwent anal manometry with Anopress were included.

Predictors of patient preference for mode of delivery following an obstetric anal sphincter injury.

Objectives: Patients who sustain an Obstetric Anal Sphincter Injury (OASI) have the opportunity to select an elective caesarean section over a vaginal delivery in subsequent pregnancies. It remains unclear whether there are identifiable factors which predict expectant mothers' choices. The primary aim of our study was to explore this issue further in a consecutive group of patients who had suffered OASI.

The use of Episcissors-60 to reduce the rate of Obstetric Anal Sphincter Injuries: A systematic review.

Objectives: The aim of this systematic review is to evaluate the effect of Episcissors-60, which were designed to improve the accuracy of episiotomies, on the rate of Obstetric Anal Sphincter Injuries.

Study Design: This review is registered with the International Prospective Register of Systematic Reviews (PROSPERO) database (CRD42018094935). A literature search of the PubMed, Embase and Cochrane databases was performed from inception to May 2018.

Normative bladder diary measurements in pregnant women.

Objective: Studies have demonstrated a strong positive correlation between bladder capacity and total volume voided in asymptomatic non-pregnant women. Therefore, to adequately characterise the normative data, it was important to compare bladder capacity vs. 24-h volume (V) relationships in our pregnant study population.

Does vaginal estrogen treatment with support pessaries in vaginal prolapse reduce complications?

Objective: Pelvic organ prolapse is often co-existant with atrophy of the genital tract in older women who tend to prefer vaginal pessaries for prolapse. Vaginal estrogen therapy is used by some along with a support pessary for prolapse with no robust evidence to back this practice. We aimed to evaluate differences in complications of support pessaries for vaginal prolapse in postmenopausal women, with and without vaginal estrogen use.

Dantrolene an unusual option for detrusor overactivity: observations of a patient with cerebral palsy.

We report a case of a 49-year-old female with cerebral palsy with spastic tri-plegia and lumbar spondyolisthesis diagnosed to have overactive neurogenic bladder, which improved on treatment with Dantrolene along with antimuscarinics. She was initially treated with antimuscarinics both transdermal and oral simultaneously and later received intravesical OnaBotulinum toxinA. Following lumbar spine fixation for spondylolisthesis, her bowel and bladder function deteriorated and she was commenced on Dantrolene for her spasticity, along with being on Oxybutinin and Mirabegron.

Urogynecological effects of menopause.

The menopause signifies a period after significant hormonal change that affects all estrogen-sensitive tissues. This change may result in symptoms affecting any part of the urogenital system. These changes can significantly affect women's health and quality of life.