A5033545348- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Diverticular Disease and Complications
- Minimally Invasive Surgical Techniques
- Bladder and Urothelial Cancer Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Abdominal Surgery and Complications
- Retirement, Disability, and Employment
- Urinary Bladder and Prostate Research
- Pelvic and Acetabular Injuries
- Healthcare Systems and Challenges
- COVID-19 and healthcare impacts
- Health Promotion and Cardiovascular Prevention
- Urinary Tract Infections Management
- Uterine Myomas and Treatments
- Augmented Reality Applications
- Surgical Simulation and Training
- Telemedicine and Telehealth Implementation
- Urological Disorders and Treatments
- Patient-Provider Communication in Healthcare
- Lower Extremity Biomechanics and Pathologies
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Delphi Technique in Research
- Clinical practice guidelines implementation
St Mary's Hospital
2021
Manchester University NHS Foundation Trust
2021
University Hospitals of Leicester NHS Trust
2018-2021
Leicester General Hospital
2018-2021
Manchester Academic Health Science Centre
2021
Luton and Dunstable Hospital
2015
<h3>Importance</h3> There is concern about outcomes of midurethral mesh sling insertion for women with stress urinary incontinence. However, there little evidence on long-term outcomes. <h3>Objective</h3> To examine removal and reoperation rates in who had a <h3>Design, Setting, Participants</h3> This population-based retrospective cohort study included 95 057 aged 18 years or older first-ever incontinence the National Health Service hospitals England between April 1, 2006, December 31,...
Abstract Introduction and hypothesis Health literacy underpins informed consent shared decision-making. In gynaecology, this includes understanding of normal anatomy urogenital disease. This study evaluated public knowledge external female genital pelvic organ prolapse (POP). Methods A questionnaire asked participants for their demographics to label a genitalia diagram included free-text questions on POP, its symptoms treatment. Questionnaires were distributed at general outpatient (OPD)...
The rapid uptake of robotic surgery has largely been driven by the improved technical aspects minimally invasive including ergonomics, wristed instruments, and 3-dimensional vision. However, little attention given to effect physical separation surgeon from rest operating team.The aim this study was examine in depth how affected team dynamics staff emotions.Robotic procedures were observed 2 tertiary hospitals, laparoscopic/open added for comparison; field notes taken instantaneously....
Abstract Background Female urinary incontinence is underdiagnosed and undertreated in primary care. There little evidence on factors that determine whether women with are referred to specialist services. This study aimed investigate characteristics associated referrals from secondary care for incontinence. Methods We carried out a cohort study, using data over 600 general practices contributing the Clinical Practice Research Datalink (CPRD) United Kingdom. used multi-level logistic...
To examine geographic variation in use of surgery for female stress urinary incontinence (SUI), mainly midurethral mesh tape insertions, the English National Health Service (NHS). cohort study. NHS hospitals. 27 997 women aged 20 years or older who had a first SUI an Hospital between April 2013 and March 2016 diagnosis at same time as procedure. Multilevel Poisson regression was used to adjust differences age, ethnicity, prevalence long-term illness socioeconomic deprivation. Rate per 100...
There is a lack of robust evidence guiding treatment options for recurrent stress urinary incontinence (SUI) and limited comparative outcome data. The aim this study was to examine the pattern surgery SUI performed by gynaecologists in UK compare subjective success rates.
Abstract Aims To determine terminology and methods for raising intra‐abdominal pressure (IAP) currently used by clinicians to assess pelvic floor dysfunction (PFD) measure the effect of these maneuvers on IAP. Methods Three‐hundred questionnaires were distributed at two scientific meetings in United Kingdom raise IAP their perceptions methods. Twenty healthy volunteers also recruited IAP: Valsalva maneuver (VM) bear down (BDM). was measured with rectal catheters connected sensors. The during...
Abstract Introduction The aim of this study was to determine how recommendations gynaecologists on surgical treatment for stress urinary incontinence (SUI) were influenced by patient characteristics. Methods Two hundred forty-five in the UK fully responded an online questionnaire including 18 vignettes describing 7 clinical characteristics women with SUI (age, body mass index, type, previous surgery, frequency leakage, bother, physical status). scored surgery ranging from 1 ‘certainly not’ 5...
Objective: To review uptake and outcomes of robotic gynaecological surgery in England between 1st April 2006 31st March 2018. Design: Retrospective cohort study. Setting: Hospitals the English National Health Service (NHS). Population or sample: Women aged 18 years above who had elective surgery. Methods: Robotic procedures were defined as that used a minimal access approach for hysterectomy, adnexal urogynaecological (sacrocolpopexy, sacrohysteropexy colposuspension). Numbers reviewed by...
Background Urinary incontinence affects between 25% and 45% of women. The availability quality services is variable inequitable, but our understanding the drivers incomplete. Objectives objectives study were to model patient, specialist clinician, primary secondary care, geographical factors associated with referral surgery for urinary incontinence, explore women’s experiences expectations treatments. Design This was a mixed-methods study. Setting setting NHS England. Participants Data...