Urogynaecology / Mid-urethral tapes

Recurrent incontinence

Colposuspension

Success story

Eve was 38 when she presented with mixed urinary incontinence and heavy painful periods. A Total Abdominal Hysterectomy (TAH) and Colposuspension were performed in January 2007, followed by an external anal sphincter repair in May. She continues to suffer with both urinary and faecal incontinence. Eve raised concerns about the recommendation for and performance of TAH and Colposuspension. In particular, she felt that alternatives to surgery and risks of the procedures were not explained. PMS Expert Report concluded that it was negligent to perform a TAH and Colposuspention in this case, as this procedure was unlikely to address the overactive bladder symptoms. Conservative treatment should have been pursued to improve her overactive bladder symptoms, and menstrual problems could have been treated with hormones. Eve is now left with vaginal scarring and tenderness, and may require further surgery. The case was part of a group action. Eve has now received compensation.

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