Urogynaecology / Overactive bladder
Barbara was thought to have anaemia as a result of heavy periods, and so a vaginal hysterectomy was performed in 1993. Subsequently she developed urinary incontinence, and following urodynamic studies underwent a colposuspension in 1995. Barbara complained for persistent pain in the wound and urinary incontinence. Between 1998 and 1999, she underwent 2 urethral dilations but no improvements showed. In 2001 she was finally prescribed anticholinergic drugs. PMS Expert Report could not find evidence of medical treatment prior to the decision to perform a vaginal hysterectomy, which is a breach of duty. It was also negligent to perform a colposuspension before overactive bladder symptoms were brought under control. There was also no evidence of consent for this operation. Conservative treatment could have managed Barbara's problems sufficiently, and she would have avoided developing urinary incontinence which will gradually worsen over the next decade without treatment. This was part of a group action. Barbara has now received compensation.
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