Chendrimada Madhu

• MBBS, MD, MRCOG, MA (MedEd), FHEA
• Consultant at Southmead Hospital and Bristol Urological Institute

Objective: To evaluate the trends in female stress urinary incontinence (SUI) surgery in a UK tertiary referral center during five years before the July 2018 tape suspension and to compare it with National Health Service (NHS) England data. Materials and methods: A retrospective study of female SUI procedures (bulking agents, mid-urethral sling...

We distributed an online questionnaire to 365 health care professionals specialising in urogynaecology, using the International Urogynaecology Association (IUGA) and British Society of Urogynecolgoy (BSUG) directories to investigate how the bladder training (BT) is provided in their units. We assessed the techniques provided, who provides them, and...

Aims To set out the basic description of pelvic organ prolapse (POP) using the International Continence Society/International Urogynecology Association Pelvic Organ Prolapse Quantification (POP‐Q) system. Methods The basic approach to use of the POP‐Q was identified and summarized. Results Six defined points in the vagina are identified; points A...

Context Pelvic organ prolapse is a common condition affecting at least a half of adult women. Most women are asymptomatic, but a significant proportion of women choose to have an operation. Objective The aim of this paper is to review the various surgical procedures for the correction of pelvic organ prolapse. Evidence acquisition Guidelines from...

Aims: The study aims to evaluate bothersome lower urinary tract symptoms (LUTS), risk factors, and associated functional abnormalities in women reporting adult onset secondary nocturnal enuresis (SNE), to help understand factors associated with SNE. Methods: 12,795 women (age >18) attending a tertiary referral centre underwent a comprehensive st...

Methods: A database of 11,678 women who underwent urodynamic testing in a tertiary referral centre in the United Kingdom, from January 1991 to December 2009 was retrospectively analysed. All women reporting cigarette smoking were included in the study group. Urodynamic testing and interpretation of results were done in accordance with the recommen...

Objective: To evaluate the risk factors and comorbidities associated with nocturia in men and women aged ≥ 40 years. Material and methods: The EpiLUTS study was an Internet-based cross-sectional, population-representative survey involving 30,000 men and women from the USA, UK and Sweden evaluating lower urinary tract symptoms (LUTS) using the LU...

To evaluate the association of coital incontinence (CI) with lower urinary tract symptoms (LUTS) and to understand the pathophysiology of CI. A database of all women who underwent urodynamic testing in a tertiary referral center in the United Kingdom, from January 1991 to December 2009, was retrospectively analyzed. All women reporting CI were incl...

Surgical management of posterior vaginal wall prolapse has variable functional outcomes. Synthetic and biological grafts are used to improve outcomes and reduce failures. The objective of this study was to determine the functional outcomes and its implications on patient-reported quality of life of a technique of posterior vaginal wall repair and p...

Variations exist in urogynaecological practice to decide on hysterectomy in managing prolapse. This study evaluates the outcomes of uterine preservation during anterior colporrhaphy with apparent uterine descent with cervical traction under anaesthesia. We hypothesize that cervical traction should not be used to assess uterine prolapse. Thirty-five...

Urinary incontinence is a debilitating problem in women with significant effects on quality of life. The tension free vaginal tape (TVT) improves urinary symptoms and achieves a high rate of patient satisfaction. The aim of the study was to evaluate the effect of TVT on vaginal symptoms, pelvic floor function and in turn quality of life. We hypothe...

Voiding dysfunction secondary to labial fusion is rarely seen in the postmenopausal women. A 68-year-old female was seen in the outpatient clinic complaining of voiding difficulties and nocturia. Examination showed extensive labial fusion with two small pinhole openings. The patient was treated with surgical division of adhesions followed by estrog...

StratOG is an educational resource developed by the Royal College of Obstetricians and Gynaecologists (RCOG).

Cervical dilatation is a poorly understood process. Various drugs have been used to facilitate this process and reduce the duration of labour and thereby reduce feto-maternal complications. The present study is an attempt to compare and evaluate the efficacy of Drotaverine hydrochloride and Valethamate bromide in the process of cervical dilatation...

To audit the practice and effectiveness of second generation endometrial ablation techniques (microwave and thermal balloon ablation). An audit of microwave and balloon endometrial ablation procedures was completed and performed during a 2-year period, in two district hospitals of Calderdale and Huddersfield NHS Trust, UK. Patients were followed up...

Fetal Heart Rate Monitoring (eFM) is a comprehensive web-based resource developed by the Royal College of Obstetricians and Gynaecologists (RCOG) and the Royal College of Midwives (RCM) in partnership with e-Learning for Healthcare (eLfH). eFM provides 17 different subject modules written by obstetric and midwifery experts in the field. They are in...

Teenage pregnancy is a global problem and is considered a high-risk group, in spite of conflicting evidence. Our objective was to compare obstetric outcomes of pregnancy in teenagers and older women. This was a retrospective study of case records of pregnancies from August 2000 to July 2001. Girls aged < or =19 years were compared with pregnancy ou...