Message from Kate Moore, Past Chair of UGSA.
We invite practitioners who have a strong focus upon evidence based management of incontinence and prolapse to join UGSA.
Welcome to all theose who are focused upon Lower Urogenital Tract and Pelvic Floor Dysfunction, who are reading our website for the first time!
You might ask, why have we developed UGSA?
The reason is that we beleive there is a need for a forum whereby clinicians who serve women with Lower Urogenital Tract and pelvic floor dysfunction can get together to advance this field amongst Australasian gynaecologists and allied continence practitioners.
As said by our past Vice Chair, Malcolm Frazer, in his invitation letter sent to those wh attended the inaugrural meeting in Adelaide (March 2010), "There has been major advances in the understanding of Urogynaecologicasl pathology and treatment in the last decade, much of which has barely precolated into they undegraduate or even pre-membership curricula".
As regards urinary incontinence, this condition affects about 10% of women under age 65 and 25% of women over age 65. Yet the undergraduate and MRANZCOG teaching about this topic is much less that that provided for endometriosis, a condition that affects 8-10% of women under age 45! We feel much greater attention to this topic is warranted in undergraduate and membership curricula, not to mention the need for more post graduate updates on the evidence based management of incontince in Australasia.
Why isn't there more focus upon incontinence?
Well, partly becasue it doesn't kill the patient. However, it can make life not worth living, and inappropriate management can make patients frustrated and depressed to say the least. Many gynaecologists were denied adequate training about treatment of the overactive bladder, and have rudimentary knowledge about voiding dysfunction after surgery for stress incontinence.
Furthemore, several Units in Australia and New Zealand are undertaking good quality research into the aetiology and optimal management of the full spectrum of stress incontinence, detrusor overactivity and voiding dysfunction. Yet, apart from attending international meetings such as ICS and IUGA, there is no Australasian forum for wider dissemination of these research studies and no opportunity for national recruitment into randomised controlled trials. UGSA hopes to redress these issues.
As regards prolapse, which is a fundamental topic for all specialist gynaecologists, the advancing age of Australasian population means that we will see much more of this condition. The old standard of vaginal repair with or without vaginal hysterectomy needs to be expanded upon. Many International and Australasian groups are conducting research into the best ways of serving such patients. A wide array of mesh procedures have become available to deal with prolapse recurrence. However we have limited International data concerning the longevity of thei success of their complications. We need to promulgate our knowledge about the presently available data and promote large scale randomised controlled trials in the Australasian setting.