I write about urogynaecology, research, person-centred care, surgical training, and native tissue alternatives.

  • In the clinical negligence case of Lockley v University Hospitals of Derby & Burton, the claimant argued that she was not offered Urethral Bulking Agent (UBA) injections before undergoing a mesh TransObturator Tape (TOT) procedure, resulting in complications. Expert evidence…

  • The FIN-POP study challenges the necessity of performing simultaneous surgery for stress urinary incontinence (SUI) during pelvic organ prolapse (POP) procedures. With only 5.1% of women requiring additional surgery for persistent SUI after prolapse surgery, the findings suggest that many…

  • In this case, the plaintiff alleged severe stress urinary incontinence (SUI) due to negligent vacuum extraction and inadequate counselling related to Tension-free Vaginal Tape (TVT) surgery. The injury’s severity was deemed unusually high, raising concerns about the failure to remove…

  • The 1997 Olsen study is often misinterpreted in urogynaecology, referencing a concerning 29.2% re-operation rate following natural tissue surgery for prolapse. However, significant shortcomings in the study, including a high-risk population with factors like obesity (35%) and chronic lung disease…

  • This study by Robinson et al. (2003) explores women’s expectations when choosing surgery for stress urinary incontinence. Conducted at King’s College London, it surveyed 100 women, revealing that 66% expected improvement rather than a complete cure. Safety and recovery were…

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