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Featured researches published by Cathy Flood.


International Urogynecology Journal | 2009

Case report of tension-free vaginal tape-associated bowel obstruction and relationship to body habitus

Lisa Phillips; Cathy Flood; Jane Schulz

Tension-free vaginal tape (TVT) is increasingly being used as the gold standard to treat stress urinary incontinence. Previously reported complications include peritoneal perforation with acute bowel injury. A thin, petite 51-year-old woman with stress urinary incontinence underwent uneventful TVT placement. Three years later, she presented to hospital with de novo small-bowel obstruction. Laparotomy revealed TVT tape violating the peritoneum and causing the distal ileum to adhere to the pelvic sidewall. The compromised bowel was resected and primary anastomosis performed. Delayed, adhesion-related small-bowel obstruction can be a complication of TVT.


International Urogynecology Journal | 2003

A randomized controlled trial of the NEAT expandable tip continence device

H. Robinson; Jane Schulz; Cathy Flood; L. Hansen

Urethral devices are one conservative management option for stress and mixed urinary incontinence, but there is little published data about their use. The aims of this study were to assess the safety and efficacy of a new urethral device (NEAT) and compare it with the Reliance Insert. The ease of use of both devices was then evaluated. Twenty-four women with mixed or stress urinary incontinence, patients at our tertiary care urogynecology unit and who met the inclusion and exclusion criteria, were enrolled in the study. Study subjects were blinded and randomly assigned to a device group. Device efficacy was assessed by pad weighing at 0 and 4 months. Success was defined as a 50% or greater reduction in urine loss using the formula 100[(pad weight without device −pad weight with device)/pad weight with device]. Safety was evaluated using urinalysis and urine cultures. Ease of use assessment scales were also completed. Eleven patients were randomized to the Reliance Insert and 13 to the NEAT device. There were no significant differences between the two groups in age, height, weight, duration of incontinence, pad weight, leakage score, parity or quality of life score. Based on the pad weight success formula, there was no significant difference in device success between the two groups at 4 months. Women who were postmenopausal had a trend towards a higher level of success in reduction of their pad weight. Previous treatment, diagnosis and hormone replacement therapy all had no relationship to device success. Leakage score data showed that subjects had a significant decrease in urine leakage when using either device. There was no statistically significant difference in ease of use between the two devices. Adverse symptoms most commonly noted were awareness of the device (62.5%), urgency (29.2%), and urethral discomfort or pain (20.8%). One urinary tract infection (UTI) was observed. The most common finding on urinalysis was trace hematuria (15.8%). Our conclusions are that the NEAT device appears to be at least as effective and safe as the Reliance Insert. Both devices are effective at decreasing urine leakage in patients with stress or mixed urinary incontinence. The risk of UTI is low, but these devices may cause trace hematuria.


Journal of obstetrics and gynaecology Canada | 2013

A Retrospective Review of Tension-Free Vaginal Tape/Transobturator Tape Procedures Done Concomitantly With Prolapse Repair

Marlies M. Houwing; Jane Schulz; Cathy Flood; Sandra Baydock; Rhonda J. Rosychuk

OBJECTIVE Midurethral slings have become the standard of care for women with stress urinary incontinence; prolapse repair is often also required. The primary objective of our study was to compare voiding dysfunction rates and the need for reoperation between patients having midurethral sling procedures alone versus those having midurethral sling procedures with concomitant prolapse repair. METHODS We performed a retrospective chart review over a two-year period in a tertiary urogynaecology clinic. Of 108 charts, 93 had complete data for analysis. RESULTS Patients having concomitant prolapse repair had a longer operating time, a longer hospital stay, and a longer time to resume normal voiding in the immediate postoperative period. CONCLUSION Although tension-free vaginal tape or transobturator tape procedures with concomitant prolapse repair have a higher incidence of voiding dysfunction in the immediate postoperative period, we found that this did not persist to the six-week follow-up visit. There appeared to be no greater risk of lasting voiding dysfunction or need for reoperation after concomitant procedures.


Case Reports | 2012

A rare complication of suprapubic catheterisation following pelvic reconstructive surgery for urinary incontinence

Tina Liang; Darren Lazare; Jane Schulz; Cathy Flood

Suprapubic (SP) catheterisation is commonly used for drainage of the bladder following pelvic surgery. Although it is a widely employed procedure, it is not without complications, such as infection and blockage. The authors report a rare complication of SP catheterisation involving a persistent SP catheter site fistulous tract and an infected haematoma significantly complicating a patient’s postoperative course. Wound debridement, bladder drainage and a prolonged course of antibiotics were employed to successfully treat this complication. The exact mechanism of her complication is only speculative, however to our knowledge no similar cases of a fistula after removal of a SP catheter used for short-term bladder drainage have been reported.


Case Reports | 2011

A 56-year-old woman with early acute pulmonary emboli following pelvic reconstructive surgery

Lindsay Jantzie; Darren Lazare; Jane Schulz; Cathy Flood

Venous thromboembolism (VTE) remains a significant cause of postoperative morbidity and mortality. There are few reports on acute symptomatic pulmonary embolism (PE) following urogynaecological surgery. The authors report a case of an adult woman who developed a massive acute PE early on postoperative day 1 following a complex reconstructive surgery. Following anticoagulation treatment and placement of an inferior vena cava filter, the patient recovered and was discharged without discomfort on the ninth postoperative day. While recognition of the early occurrence of VTE is important to ensure optimal patient care following major pelvic surgery, this case highlights the need to reconsider VTE prophylaxis protocols in moderate to high-risk populations undergoing elective surgery.


Journal of obstetrics and gynaecology Canada | 2006

Reflection on Academic Protected Time: An Opportunity to Integrate Educational Programs

Cathy Flood; J. Wylam Faught; Jane Schulz

OBJECTIVES We sought to identify the structure of academic protected time curriculum and to determine interest in a knowledge-sharing, web-based initiative. METHODS We undertook a survey of the 16 obstetrics and gynaecology program directors in Canada. RESULTS The response rate was 88%. Seventy-one percent of the responding program directors are responsible for developing protected time curriculum. Seventy-eight percent use a template based on a two-year rotation of topics, 64% use lectures as the main educational format, and 50% have incorporated professional competencies into academic time. The largest barrier to curriculum development is time constraints. Seventy-eight percent of program directors are interested in a network for sharing ideas. CONCLUSIONS In most programs, the curriculum for academic protected time is developed by program directors, who are dependent upon lectures and limited by time constraints. Programs therefore have difficulty integrating professional competencies into the academic curriculum. This educational environment could prove fertile ground for establishing a collaborative curriculum initiative.


International Urogynecology Journal | 2010

The prevalence of anal incontinence in post-partum women following obstetrical anal sphincter injury.

Rainbow Y. T. Tin; Jane Schulz; Beth Gunn; Cathy Flood; Rhonda J. Rosychuk


Journal of Pediatric and Adolescent Gynecology | 2008

Videoconferencing for Resident Teaching of Subspecialty Topics: The Pediatric and Adolescent Gynecology Experience at the Hospital for Sick Children

Rachel F. Spitzer; Sari Kives; Melanie Ornstein; Nicolette Caccia; Derek Stephens; Cathy Flood; Lisa Allen


Journal of obstetrics and gynaecology Canada | 2014

Confidence in Performing Normal Vaginal Delivery in the Obstetrics Clerkship: A Randomized Trial of Two Simulators

Jeanelle N. Sabourin; Rhonda Van Thournout; Venu Jain; Nestor Demianczuk; Cathy Flood


Journal of obstetrics and gynaecology Canada | 2006

Success of pubovaginal sling in patients with stress urinary incontinence and efficacy of vaginal sling release in patients with post-sling voiding dysfunction.

Elena Kwon; Jane Schulz; Cathy Flood

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Sue Ross

University of Alberta

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Beth Gunn

University of Alberta

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