Imperial College London

DrRuwanFernando

Faculty of MedicineDepartment of Metabolism, Digestion and Reproduction

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3312 1959r.fernando Website

 
 
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Location

 

Department of Obstetrics & GynaecologyMint WingSt Mary's Campus

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Summary

 

Publications

Publication Type
Year
to

178 results found

Tailor V, Danckert N, Bhide A, Fernando R, Digesu A, Khullar V, Kinross J, Marchesi Jet al., 2022, Studying the faecal microbiome of women presenting to urogynaecology, Publisher: SPRINGER LONDON LTD, Pages: 2916-2916, ISSN: 0937-3462

Conference paper

Patel M, Rahim A, Tailor V, Bhide A, Digesu A, Fernando R, Khullar Vet al., 2022, Chronic pelvic pain and associated symptomology: a new validated questionnaire., Publisher: SPRINGER LONDON LTD, Pages: 2918-2919, ISSN: 0937-3462

Conference paper

Watt A, El Shamy T, Bhide A, Fernando Ret al., 2022, A survey of the management of postpartum perineal wound dehiscence, BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Vol: 129, Pages: 208-209, ISSN: 1470-0328

Journal article

Karmarkar R, Digesu A, Fernando R, Khullar Vet al., 2022, Ultrasound assessment of urethral structure and bladder neck position in women with different parities, INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol: 33, Pages: 613-618, ISSN: 0937-3462

Journal article

Asfour V, Gibbs K, Wertheim D, Digesu GA, Fernando R, Khullar Vet al., 2021, Anal canal to pubis angle: a novel clinical ultrasound technique for the assessment of the anorectal region, INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol: 32, Pages: 2421-2427, ISSN: 0937-3462

Journal article

Rahim A, Bhide A, Mackdermott N, Tailor V, Patel M, Digesu A, Fernando R, Khullar Vet al., 2021, MODE OF DELIVERY FOLLOWING OASIS: A 5-YEAR FOLLOW UP STUDY OF SUBSEQUENT DELIVERIES AFTER 3RD AND 4TH DEGREE VAGINAL TEARS., Publisher: WILEY, Pages: S42-S43, ISSN: 0733-2467

Conference paper

Derpapas A, Vijaya G, Nikolopoulos K, Nikolopoulos M, Robinson D, Fernando R, Khullar Vet al., 2021, The use of 3D ultrasound in comparing surgical techniques for posterior wall prolapse repair: a pilot randomised controlled trial, JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Vol: 41, Pages: 594-600, ISSN: 0144-3615

Journal article

Tailor VK, Morris E, Bhide AA, Fernando R, Digesu GA, Khullar Vet al., 2021, Does cystoscopy method affect the investigation of bladder pain syndrome/interstitial cystitis?, INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol: 32, Pages: 1229-1235, ISSN: 0937-3462

Journal article

Wali S, Bhide A, Khullar V, Fernando Ret al., 2021, Mode of delivery after obstetric anal sphincter injuries (OASIS), Publisher: WILEY, Pages: 53-53, ISSN: 1470-0328

Conference paper

Rahim A, Ahmad A, Tailor V, El Shamy T, Bhide A, Digesu A, Fernando R, Khullar Vet al., 2020, Intra- and inter-observer reliability of perineal body volume measurements with 3-dimensional transperineal ultrasound, Publisher: SPRINGER LONDON LTD, Pages: S103-S103, ISSN: 0937-3462

Conference paper

Rahim A, El Shamy T, Tailor V, Bhide A, Digesu A, Fernando R, Khullar Vet al., 2020, The association between nocturia and irritative bladder symptoms in women undergoing urodynamic testing, Publisher: SPRINGER LONDON LTD, Pages: S85-S86, ISSN: 0937-3462

Conference paper

Bhide A, Tailor V, Rahim A, Bhide A, Digesu A, Fernando R, Khullar Vet al., 2020, Retrospective analysis of mesh complication cases: our experience, Publisher: SPRINGER LONDON LTD, Pages: S231-S232, ISSN: 0937-3462

Conference paper

Karmarkar R, Digesu A, Fernando R, Khullar Vet al., 2020, Urethral sphincter volume and urodynamic diagnosis, INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol: 31, Pages: 2589-2594, ISSN: 0937-3462

Journal article

Tailor V, Morris E, Bhide A, Fernando R, Digesu A, Khullar Vet al., 2020, Does cystoscopy method affect the investigation of bladder pain syndrome (BPS)?, Publisher: SPRINGER LONDON LTD, Pages: S78-S78, ISSN: 0937-3462

Conference paper

Millar O, Patel M, Beattie-Spanjol S, Ahmad A, Tailor V, Bhide A, Rahim A, Fernando R, Digesu A, Khullar Vet al., 2020, Pain in women from urogynaecology clinics, is it just in the pelvis?, Publisher: SPRINGER LONDON LTD, Pages: S121-S122, ISSN: 0937-3462

Conference paper

Beattie-Spanjol S, Millar O, Ahmad A, Bhide A, Rahim A, Tailor V, Patel M, Fernando R, Digesu A, Khullar Vet al., 2020, Abnormal immunology is associated with recurrent urinary tract infections, Publisher: SPRINGER LONDON LTD, Pages: S138-S139, ISSN: 0937-3462

Conference paper

Millar O, Patel M, Beattie-Spanjol S, Ahmad A, Tailor V, Bhide A, Rahim A, Fernando R, Digesu A, Khullar Vet al., 2020, Pelvic pain is common among women with bladder and bowel symptoms, Publisher: SPRINGER LONDON LTD, Pages: S104-S104, ISSN: 0937-3462

Conference paper

Patel M, Morris E, Bhide A, Disgesu A, Fernando R, Khullar Vet al., 2020, Systematic review of the accuracy of ultrasound as the method of measuring bladder wall thickness in the diagnosis of detrusor overactivity., Publisher: SPRINGER LONDON LTD, Pages: S31-S32, ISSN: 0937-3462

Conference paper

McHayle A, Morris E, Bhide A, Tailor V, Fernando R, Digesu A, Khullar Vet al., 2020, External Anal Sphincter Thickness Measurements as an Independent Assessment of Patient Symptoms in Women following an Obstetric Anal Sphincter Injury, Publisher: SPRINGER LONDON LTD, Pages: 1720-1720, ISSN: 0937-3462

Conference paper

Morris E, Tailor V, McHayle A, Bhide A, Fernando R, Digesu A, Khullar Vet al., 2020, The role of Diamine Oxidase in the pathophysiology and investigation of Bladder Pain Syndrome, Publisher: SPRINGER LONDON LTD, Pages: 1720-1721, ISSN: 0937-3462

Conference paper

Tailor V, Morris E, Bhide A, Fernando R, Digesu A, Khullar Vet al., 2020, Does cystoscopy method affect the investigation of bladder pain?, Publisher: SPRINGER LONDON LTD, Pages: 1722-1723, ISSN: 0937-3462

Conference paper

Beattie-Spanjol S, Millar O, Tailor V, Bhide A, Rahim A, Fernando R, Digesu A, Khullar Vet al., 2020, IS ABNORMAL IMMUNOLOGY ASSOCIATED WITH RECURRENT URINARY TRACT INFECTIONS?, Annual Meeting of the International-Continence-Society (ICS), Publisher: WILEY, Pages: S450-S451, ISSN: 0733-2467

Conference paper

Millar O, Beattie-Spanjol S, Tailor V, Patel M, Bhide A, Rahim A, Fernando R, Digesu A, Khullar Vet al., 2020, DO WE NEED TO BETTER ASSESS PAIN IN UROGYNAECOLOGY?, Annual Meeting of the International-Continence-Society (ICS), Publisher: WILEY, Pages: S259-S261, ISSN: 0733-2467

Conference paper

Tailor V, Gibbs K, Bhide A, Digesu A, Fernando R, Khullar Vet al., 2020, Does the symptom of bladder pain influence the urodynamic diagnosis?, Publisher: WILEY, Pages: E58-E58, ISSN: 1470-0328

Conference paper

Tailor V, Bhide A, Rahim A, Fernando R, Digesu A, Khullar Vet al., 2020, CYSTOSCOPIC RESECTION OF SQUAMOUS METAPLASIA TO TREAT RECURRENT URINARY TRACT INFECTIONS, Annual Meeting of the International-Continence-Society (ICS), Publisher: WILEY, Pages: S475-S475, ISSN: 0733-2467

Conference paper

Asfour V, Digesu GA, Fernando R, Khullar Vet al., 2020, Ultrasound imaging of the perineal body: a useful clinical tool, International Urogynecology Journal and Pelvic Floor Dysfunction, Vol: 31, Pages: 1197-1202, ISSN: 0937-3462

Introduction and hypothesisThe perineal body is a fibromuscular pyramidal structure located between the vagina and the anus. It has been difficult to image because of its small size and anatomical location. This study used 2D transperineal ultrasound to measure the perineal body and assess whether there is an association with prolapse.MethodsAn observational, cross-sectional study was carried out in a tertiary level Urogynaecology department and included prolapse patients and healthy nulliparous volunteers (control group). This was a clinical assessment, including POP-Q and trans-perineal 2D ultrasound measurement of the perineal body height, length, perimeter, and area. Parametric tests were used, as the data were normally distributed. Results are reported as mean and 95% confidence interval (±95% CI).ResultsA total of 101 participants were recruited of which 22 were nulliparous healthy volunteers. Mean perineal body measurements in controls were height 22.5 ± 3.3 mm, length 17.4 ± 2.7 mm, perimeter 7.5 ± 0.9 mm, and area 2.8 ± 0.38 cm2. Perineal body measurements in 79 prolapse patients: height 16.9 ± 1.7 mm, length 16.0 ± 1.4 mm, perimeter 6.5 ± 0.5 mm and area 2.1 ± 0.5 cm2. A small perineal body was strongly associated with posterior compartment prolapse (paired t test, p < 0.0001) and wider POP-Q GH (paired t test, p = 0.0003). Surprisingly, Pelvic Organ Prolapse Quantification Perineal Body (POP-Q PB) of the two groups was not significantly different. A perineal body mid-sagittal area of less than 2.4 cm2 has been shown to be associated strongly with posterior compartment prolapse.ConclusionsIt is possible to measure the perineal body on 2D ultrasound. This technique facilitates the objective diagnosis of perineal deficiency. POP-Q PB does not predict the length or area of the perineal body.

Journal article

Tailor VK, Bhide AA, Fernando R, Digesu GA, Khullar Vet al., 2020, Does size matter? Perineometer and digital examination of a model levator hiatus, NEUROUROLOGY AND URODYNAMICS, Vol: 39, Pages: 1338-1344, ISSN: 0733-2467

Journal article

Bhide AA, Tailor V, Fernando R, Khullar V, Digesu GAet al., 2020, Posterior tibial nerve stimulation for overactive bladder-techniques and efficacy, International Urogynecology Journal and Pelvic Floor Dysfunction, Vol: 31, Pages: 865-870, ISSN: 0937-3462

The ideal treatment for overactive bladder is still elusive. In those where medication fails to improve symptoms options include invasive treatments such as botulinum toxin-A, sacral neural stimulation or posterior tibial nerve stimulation. Scientific professional society guidelines advise percutaneous posterior tibial nerve stimulation as a third line treatment option only after multi-disciplinary team review as well as failure of both conservative and pharmacological management. The aim of this article is to review all techniques for tibial nerve stimulation and their efficacy.

Journal article

Patel M, Morris ES, Bhide AA, Tailor V, Rahim A, Digesu G, Fernando R, Khullar Vet al., 2019, SYSTEMATIC REVIEW OF THE ACCURACY OF ULTRASOUND AS THE METHOD OF MEASURING BLADDER WALL THICKNESS IN THE DIAGNOSIS OF DETRUSOR OVERACTIVITY, IUGA meeting, Publisher: SPRINGER LONDON LTD, Pages: S125-S125, ISSN: 0937-3462

Conference paper

Tailor V, Bhide AA, Patel M, Rahim A, Gibbs K, Fernando R, Digesu G, Khullar Vet al., 2019, DOES THE SYMPTOM OF BLADDER PAIN INFLUENCE THE URODYNAMIC DIAGNOSIS?, Publisher: SPRINGER LONDON LTD, Pages: S297-S297, ISSN: 0937-3462

Conference paper

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