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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.