Author: Wael Agur

  • Lockley – Consent and Coloured Hindsight

    Lockley – Consent and Coloured Hindsight

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    by

    Wael Agur
    in

    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 affirmed that UBA injections were a reasonable alternative that should have been presented to the…

  • FIN-POP Study – Two-in-One Approach is Likley Unnecessary

    FIN-POP Study – Two-in-One Approach is Likley Unnecessary

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    Wael Agur
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    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 women may not need two procedures at the same time. The study, based on data…

  • Unusual Childbirth Injury and Failed TVT Mesh Surgery

    Unusual Childbirth Injury and Failed TVT Mesh Surgery

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    Wael Agur
    in

    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 catheter balloon before delivery. The defendant admitted substandard care but attributed the injury to…

  • Olsen Study 1997 – an example of hasty generalisation?

    Olsen Study 1997 – an example of hasty generalisation?

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    Wael Agur
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    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 (21%), led to an overestimation of this risk. Many (uro)gynaecologists have hastily generalized these findings,…

  • What Do Women Want?

    What Do Women Want?

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    Wael Agur
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    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 prioritized over efficacy, with women favoring less invasive procedures like Urethral Bulking Agent (UBA) injections…