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NMH Annual Report 2020

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141 Gynaecology and Colposcopy NMH Annual Rep t | 2020 Urogynaecology Activity Consultant Led New 540 Return 870 Total Attendances 1410 DNA Rate 19% Advanced Midwifery Practitioner (AMP) Led New 112 Return 11 Total Attendances 123 DNA Rate 6% Urodynamics Performed 91 Flow Studies 27 Self-Catheterisation 14 Bonano Catheter 1 Nurse Led Urogynaecology Referrals Source Consultant NMH 91 Consultant Elsewhere 0 GP 0 Self 0 Other 0 Total Referrals 91 Nurse Led Urodynamics Diagnosis Normal Urodynamic Studies 9 Urodynamic Stress Incontinence 41 Mixed Incontinence 16 Hypersensitive Bladder 0 Overactive Bladder 23 Voiding Disorder 0 UTI No UDS – MSU Taken 1 Other 1 Total Diagnosis 91 Surgical Procedures a) Continence procedures Mid urethral sling procedure 0 Mesh excision (partial) 5 Injection of paraurethral bulking agent 22 Cystoscopy +/- intravesical Botox 24 Pubofascial sling 6 b) Prolapse procedures Vaginal hysterectomy 17 Laparoscopic assisted vaginal hysterectomy with BSO 2 Laparoscopic assisted vaginal hysterectomy 0 Vaginal anterior repair 35 Vaginal posterior repair 50 Vaginal anterior & posterior repair 23 Fenton's procedure 4 Utero-sacral colpopexy 2 Sacrocolpopexy 3 Labioplasty 3 Anal Sphincter Repairs Third degree tear 83 Fourth degree tear 3 Education is a key component of the role not only in terms of the women who attend the service but also midwifery and medical students, public health nursing students and the non-consultant hospital doctors working in the hospital. Over the last year lectures and education sessions have been provided using a number of different platforms including: bright-space, Zoom, Microsoft Teams and Web-ex. It is hoped that face to face teaching will return in the near future,

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