Professor Jonathan R A Duckett: Obstetrics and gynaecology

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Overview

About me

I have a large urogynaecology practice with over 800 new referrals each year and 500 urodynamic investigations. I am supported by a team consisting of a nurse practitioner, physiotherapist and speciality registrar and/or research fellow. I perform approx 250 prolapse procedures and approx 250 operations for stress incontinence annually, amongst other general gynaecology. I have an ongoing audit including 2500 TVT procedures. We have a fortnightly multidisciplinary team meeting - MDT for incontinence and prolapse. I hold a national clinical excellence award (July 2014) for my work in research. My NHS unit is accredited by the British Society of Urogynaecology. I hold Professorial appointments at the University of Kent and Greenwich University.

Areas of interest

Urogynaecology; urinary incontinence; prolapse; heavy periods; painful periods; urodynamics; menorrhagia; vaginal wall prolapse; uterine prolapse; TVT; vaginal hysterectomy; recurrent prolapse; overactive bladder; vaginal repair; treating mesh complications

Medical secretaries

Dawn Hancock
Medway Hospital Windmill Road GILLINGHAM ME7 5NY
07834 274056
07834 274056
01634 825155
dawn.hancock@medway.nhs.uk

Anaesthetists worked with

Dr Robert Tonko Fee Assured
Dr Arystarch Miron Makowski Fee Assured
Dr Kryspin Stepien Fee Assured
Dr Manikundalam Badrinath Fee Assured
Dr Rupinder Kaur Fee Assured

Dr Kumarvel Veerappan Fee Assured
Dr Pavol Palcovic Fee Assured
Dr Graeme Sanders Fee Assured
Dr Robert Buist Fee Assured
Dr Priya Krishnan Fee Assured

About me

External resources

website

Current NHS consultant posts held

Medway NHS Foundation trust

Research interests

I have over 80 publications including the following areas:-

Surgical treatment of stress incontinence
The aetiology of detrusor overactivity/overactive bladder
Conservative treatments for bladder conditions
Pelvic floor muscle
Drug research
Cost effectiveness

Personal interests

I am married with 2 children.
I love skiing, walking and running when I am not working

Awards received

National clinical excellence award

Publications

Third-line treatment for overactive bladder: should mirabegron be tried before Intravesical Botulinum Toxin A therapy?

Three year results from a randomised trial of a retropubic mid-urethral sling versus the Miniarc single incision sling for stress urinary incontinence.

Does self motivation improve success rates of Pelvic Floor Muscle Training (PFMT) in women with urinary incontinence in a secondary care setting?

Urethral dilatation: Is there any benefit over cystoscopy and distension? A randomized trial in women with overactive bladder symptoms.

Urgency resolution following prolapse repair: is voiding important?

What is the relationship between free flow and pressure flow studies in women?

Short-term complications after vaginal surgery: do suture characteristics influence morbidity.

To what extent are national guidelines for the management of urinary incontinence in women adhered to? Data from a national audit.

How do urogynaecologists treat failed suburethral slings? Experience from the British society of urogynaecology database and literature review.
A qualitative study of women’s preferences for the treatment for the treatment of pelvic floor disorders.

Short-term morbidity following vaginal prolapse surgery: What the surgeon does not see.

Uterus conserving surgery – what is the chance of missing a malignancy?

TVT vs TOT for mixed incontinence a case controlled series.

A randomised trial of the Miniarc suburethral sling vs the tension free vaginal tape for the treatment of urodynamic stress incontinence.

The effect of urethral dilatation on pressure flow studies in women with voiding dysfunction and overactive bladder.

Clinicians’ views on the NICE guideline of female urinary incontinence .

Barriers to seeking treatment for women with persistent or recurrent symptoms in Urogynaecology.

Effect of prolapse repair on voiding and the relationship to overactive bladder and detrusor overactivity.

The value of cystoscopy and bladder biopsy taken at the time of tension-free vaginal tape insertion.

Predicting early voiding dysfunction after TVT.

Duloxetine treatment for women awaiting continence surgery.

Tension free vaginal tape in women with a urodynamic diagnosis of idiopathic detrusor overactivity and stress incontinence.

Review articles
Pain after suburethral sling insertion for stress incontinence. IUJ 2013; 24: 195-201.

Courses offered to GPs

I am a regular speaker at conferences organised by the Royal College of Obstetricians and Gynaecologists in London on urogynaecology.

My qualifications & training

My private practice

Information for healthcare professionals (Bupa patients only, last 12 months)

Procedures completed

Q3800
Laparoscopy and therapeutic procedures (including laser, diathermy and destruction e.g. endometriosis, adhesiolysis, tubal and ovarian surgery, +/-ureterolysis) - (5-50)

Spire Alexandra Hospital (1-5)
P2310
Anterior +/- posterior colporrhaphy (including primary repair of enterocele) (including cystoscopy) - (5-50)

Spire Alexandra Hospital (1-5)
M4712
Bladder instillation of pharmacologic agent (including cystoscopy) - (5-50)
M4510
Diagnostic endoscopic examination of bladder (flexible cystoscopy) including any biopsy - (5-50)
Q1800
Hysteroscopy (including biopsy, dilatation, +/- cauterisation, curettage and resection of polyp(s) +/- Mirena coil insertion) - (1-5)

Spire Alexandra Hospital (1-5)
Q1802
Hysteroscopy with resection of fibroids +/- insertion of Mirena coil - (1-5)

Spire Alexandra Hospital (1-5)
M5630
Therapeutic injection into bladder neck for treatment of stress incontinence (peri-urethral bulking agents) (including cystoscopy) - (1-5)

Spire Alexandra Hospital (1-5)
M7590
Insertion of suburethral tape sling (e.g. TOT or TVT) +/- administration of local anaesthetic by operating surgeon (including cystoscopy) - (1-5)

Spire Alexandra Hospital (1-5)
Q0740
Total abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis - (1-5)

Spire Alexandra Hospital (1-5)
P0600
Excision of lesion of vulva - (1-5)

Spire Alexandra Hospital (1-5)
M4714
Therapeutic injection into bladder wall (including cystoscopy) - (1-5)

Spire Alexandra Hospital (1-5)
Q0800
Vaginal hysterectomy without laparoscopic assistance - (1-5)

Spire Alexandra Hospital (1-5)
P2450
Sacrospinous fixation - (1-5)

Spire Alexandra Hospital (1-5)
Q2020
Endometrial biopsy or aspiration - (1-5)

Spire Alexandra Hospital (1-5)
P2610
Insertion of a vaginal support pessary - (1-5)

Spire Alexandra Hospital (1-5)
P2380
Anterior (+/- posterior) colporrhaphy with vaginal hysterectomy (including primary repair of enterocele and cystoscopy) - (1-5)

Spire Alexandra Hospital (1-5)
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