Publications

Original Articles

Arendsen LP, Thakar R, Bassett P, Sultan AH. A double blind randomized controlled trial using copper impregnated maternity sanitary towels to reduce perineal wound infection. Midwifery. 2021 Jan;92:102858. doi: 10.1016/j.midw.2020.102858. Epub 2020 Oct 23. PMID: 33157498.


Taithongchai, Pandeva I, Sultan AH, Thakar R. Pelvic floor ultrasound: association between 2D perineal and 3D endovaginal ultrasound findings and symptoms in women presenting with mid-urethral sling complications. Ultrasound Obstet Gynecol. 2020 Sep 22. doi: 10.1002/uog.23130. Epub ahead of print. PMID: 32959432.


Okeahialam NA, Thakar R, Sultan AH. Effect of a subsequent pregnancy on anal sphincter integrity and function after obstetric anal sphincter injury (OASI). Int Urogynecol J. 2020 Dec 2. doi: 10.1007/s00192-020-04607-8. Epub ahead of print. PMID: 33263781.


Roper JC, Thakar R, Sultan AH. Isolated rectal buttonhole tears in obstetrics: case series and review of the literature. Int Urogynecol J. 2020 Sep 15. doi: 10.1007/s00192-020-04502-2. Epub ahead of print. PMID: 32930849.


Bidwell P, Thakar R, Gurol-Urganci I, Harris JM, Silverton L, Hellyer A, Freeman R, Morris E, Novis V, Sevdalis N. Exploring clinicians' perspectives on the 'Obstetric Anal Sphincter Injury Care Bundle' national quality improvement programme: a qualitative study. BMJ Open. 2020 Sep 9;10(9):e035674. doi: 10.1136/bmjopen-2019-035674. PMID: 32907894; PMCID: PMC7482496.


Ghai V, Subramanian V, Jan H, Pergialiotis V, Thakar R, Doumouchtsis SK. A systematic review on reported outcomes and outcome measures in female idiopathic chronic pelvic pain for the development of a core outcome set [published online ahead of print, 2020 Jul 12]. BJOG. 2020;10.1111/1471-0528.16412. doi:10.1111/1471-0528.16412


Gurol-Urganci, I, Bidwell, P, Sevdalis, N, Silverton, L, Novis, V, Freeman, R, Hellyer, A, van der Meulen, J, Thakar, R. Impact of a quality improvement project to reduce the rate of obstetric anal sphincter injury: a multicentre study with a stepped-wedge design. BJOG 2020; https://doi.org/10.1111/1471-0528.16396. 00: 1– 9.


Rachaneni S, Gurol-Urganci I, Basu M, Thakar R, Sultan A, Freeman R. Short statured primigravidae: Options for the obstetric management from a survey of UK obstetricians. Eur J Obstet Gynecol Reprod Biol. 2020  28;256:379-384. doi: 10.1016/j.ejogrb.2020.11.013. Epub ahead of print. PMID: 33279806.


Okeahialam NA, Thakar R, Sultan AH. Imaging Studies in a Primary Vaginal Melanoma Disguised as a Suburethral Cyst: A Case Report. Female Pelvic Med Reconstr Surg. 2020 Nov 16. doi: 10.1097/SPV.0000000000000987. Epub ahead of print. PMID: 33208656.


Okeahialam NA, Taithongchai A, Sultan AH, Thakar R. Transperineal and endovaginal ultrasound for evaluating sub-urethral masses: A comparison to magnetic resonance imaging. Ultrasound Obstet Gynecol. 2020 Sep 16. doi: 10.1002/uog.23123. Epub ahead of print. PMID: 32936990.


van Gruting MA, van Delft KWM, Sultan AH, Thakar R. The natural history of Levator ANI Muscle Avulsion 4 years following childbirth. Ultrasound Obstet Gynecol. 2020 Sep 16. doi: 10.1002/uog.23120. Epub ahead of print. PMID: 32936957


Bugge C, Kearney R, Dembinsky M, Khunda A, Graham M, Agur W, Breeman S, Dwyer L, Elders A, Forrest M, Goodman K, Guerrero K, Hemming C, Mason H, McClurg D, Melone L, Norrie J, Thakar R, Hagen S. The TOPSY pessary self-management intervention for pelvic organ prolapse: a study protocol for the process evaluation. Trials. 2020;21:836. doi: 10.1186/s13063-020-04729-w. PMID: 33032651; PMCID: PMC7542744


Okeahialam NA, Thakar R, Naidu M, Sultan AH. Outcome of anal symptoms and anorectal function following two obstetric anal sphincter injuries (OASIS)-a nested case-controlled study. Int Urogynecol J. 2020;31:2405-2410. doi: 10.1007/s00192-020-04377-3. Epub 2020 Jun 16. PMID: 32556846; PMCID: PMC7561534.


Hagen S, Kearney R, Goodman K, Melone L, Elders A, Manoukian S, Agur W, Best C, Breeman S, Dembinsky M, Dwyer L, Forrest M, Graham M, Guerrero K, Hemming C, Khunda A, Mason H, McClurg D, Norrie J, Karachalia-Sandri A, Thakar R, Bugge C. Clinical and cost-effectiveness of vaginal pessary self-management compared to clinic-based care for pelvic organ prolapse: protocol for the TOPSY randomised controlled trial. Trials. 2020 8;21:837


Sideris M, McCaughey T, Hanrahan JG, Arroyo-Manzano D, Zamora J, Jha S, Knowles CH, Thakar R, Chaliha C, Thangaratinam S. Risk of obstetric anal sphincter injuries (OASIS) and anal incontinence: A meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2020;252:303-312.


Okeahialam NA, Thakar R, Kleprlikova H, Taithongchai A, Sultan AH. Early re-suturing of dehisced obstetric perineal wounds: A 13-year experience. Eur J Obstet Gynecol Reprod Biol. 2020;254:69-73.


Arendsen LP, Thakar R, Bassett P, Sultan AH. The impact of copper impregnated wound dressings on surgical site infection following caesarean section: a double blind randomised controlled study. Eur J Obstet Gynecol Reprod Biol. 2020;251:83-88.


Taithongchai A, Thakar R, Sultan AH. Management of subsequent pregnancies following fourth-degree obstetric anal sphincter injuries (OASIS). Eur J Obstet Gynecol Reprod Biol. 2020;250:80-85.


Roper JC, Amber N, Wan OYK, Sultan AH, Thakar R. Review of available national guidelines for obstetric anal sphincter injury. Int Urogynecol J. 2020;31:2247-2259.


Wan OYK, Taithongchai A, Veiga SI, Sultan AH, Thakar R. A one-stop perineal clinic: our eleven-year experience. Int Urogynecol J. 2020;31:2317-2326.


Volløyhaug I, Taithongchai A, Arendsen L, van Gruting I, Sultan AH, Thakar R. Is endoanal, introital or transperineal ultrasound diagnosis of sphincter defects more strongly associated with anal incontinence? Int Urogynecol J. 2020;31:1471-1478.


Kleprlikova H, Kalis V, Lucovnik M, et al. Manual perineal protection: The know-how and the know-why. Acta Obstet Gynecol Scand. 2020;99:445–450.


Taithongchai A, Veiga SI, Sultan AH, Thakar R. The consequences of undiagnosed obstetric anal sphincter injuries (OASIS) following vaginal delivery. Int Urogynecol J. 2020 31:635-641


Taithongchai A, Sultan AH, Thakar R. Autologous rectus fascial slings for stress urinary incontinence: can we see them on ultrasound? Int Urogynecol J. 2020;31:415-417.


D'Souza JC, Monga A, Tincello DG, et al. Maternal outcomes in subsequent delivery after previous obstetric anal sphincter injury (OASI): a multi-centre retrospective cohort study. Int Urogynecol J. 2020;31:627–633.


Knight M, Chiocchia V, Partlett C, Rivero-Arias O, Hua X, Bowler U, Gray J, Gray S, Hinshaw K, Khunda A, Moore P, Mottram L, Owino N, Pasupathy D, Sanders J, Sultan AH, Thakar R, Tuffnell D, Linsell L, Juszczak E. Intravenous co-amoxiclav to prevent infection after operative vaginal delivery: the ANODE RCT. Health Technol Assess. 2019;23:1-54.


Taithongchai A, van Gruting IMA, Volløyhaug I, Arendsen LP, Sultan AH, Thakar R. Comparing the diagnostic accuracy of three ultrasound modalities for diagnosing obstetric anal sphincter injuries. Am J Obstet Gynecol. 2019 Apr 11. pii: S0002-9378(19)30569-1. doi: 10.1016/j.ajog.2019.04.009.


Volløyhaug I, Taithongchai A, van Gruting I, Sultan A, Thakar R. Levator ani morphology and function in women who have sustained obstetric anal sphincter injuries. Ultrasound Obstet Gynecol. 2019 53:410-416


Arendsen LP, Vig S, Thakar R, Sultan AH. Impact of copper compression stockings on venous insufficiency and lipodermatosclerosis: A randomised controlled trial. Phlebology. 2019;34:224-230.


Jan H, Ghai V, Thakar R. Laparoscopic Colposuspension for recurrent stress incontinence following Tension-Free Vaginal Tape. J Minim Invasive Gynecol. 2019:402-403.


Rogers RG, Pauls RN, Thakar R, Morin M, Kuhn A, Petri E, Fatton B, Whitmore K, Kingsberg SA, Lee J. An international Urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for the assessment of sexual health of women with pelvic floor dysfunction. Int Urogynecol J. 2018;29:647-666.


Bidwell P, Thakar R, Sevdalis N, Silverton L, Novis V, Hellyer A, Kelsey M, van der Meulen J, Gurol-Urganci I. A multi-centre quality improvement project to reduce the incidence of obstetric anal sphincter injury (OASI): study protocol. BMC Pregnancy Childbirth. 2018 Aug 13;18(1):331. doi: 10.1186/s12884-018-1965-0.


van Gruting IMA, Kluivers K, Sultan AH, De Bin R, Stankiewicz A, Blake H, Thakar R. Does 4D transperineal ultrasound have additional value over 2D transperineal ultrasound for diagnosing obstructed defaecation syndrome? Ultrasound Obstet Gynecol. 2018;52:784-79


Balachandran AA, Duvalla S, Sultan AH, Thakar R Are obstetric outcomes affected by female genital mutilation? Int Urogynecol J. 2018;29:339-344


Jan H, Ghai V, Thakar R Simplified Laparoscopic Sacrohysteropexy.J Minim Invasive Gynecol. 2018;25:1134.


Jordan PA, Naidu M, Thakar R, Sultan AH. Effect of subsequent vaginal delivery on bowel symptoms and anorectal function in women who sustained a previous obstetric anal sphincter injury. Int Urogynecol J. 2018;29:1579-1588


Volløyhaug I, van Gruting I, van Delft K, Sultan AH, Thakar R. Is bladder neck and urethral mobility associated with urinary incontinence and mode of delivery 4 years after childbirth? Neurourol Urodyn 2018;36:1403-1410


Latthe P, Middleton L, Rachaneni S, McCooty S, Daniels J, Coomarasamy A, Balogun M, Duckett J, Thakar R, Goranitis I, Roberts T, Deeks J; BUS Collaborative Group. Ultrasound bladder wall thickness and detrusor overactivity: a multicentre test accuracy study. BJOG. 2017;124:1422-1429


van Gruting IMA, Stankiewicz A, Kluivers K, De Bin R, Blake H, Sultan AH, Thakar R. Accuracy of Four Imaging Techniques for Diagnosis of Posterior Pelvic Floor Disorders. Obstet Gynecol. 2017;130:1017-1024


Zimmo K, Laine K, Vikanes Å, Fosse E, Zimmo M, Ali H, Thakar R, Sultan AH, Hassan S. Diagnosis and repair of perineal injuries: knowledge before and after expert training-a multicentre observational study among Palestinian physicians and midwives. BMJ Open. 2017 Apr 7;7(4):e014183. doi: 10.1136/bmjopen-2016-014183.


Sioutis D, Thakar R, Sultan AH. Over diagnosis and rising rates of Obstetric Anal Sphincter Injuries (OASIS) - time for reappraisal. Ultrasound Obstet Gynecol. 2017;50:642-647


Lone F, Sultan AH, Stankiewicz A, Thakar R. Inter-observer agreement of multi-compartment ultrasound in the assessment of pelvic floor anatomy. Br J Radiol. 2016 Jan 22:20150704.


Rostaminia G, Peck JD, Van Delft K, Thakar R, Sultan A, Shobeiri SA. New Measures for Predicting Birth-Related Pelvic Floor Trauma. Female Pelvic Med Reconstr Surg. 2016 ;22:292-6


Lone F, Thakar R, Wieczorek AP, Sultan AH, Stankiewicz A. Assessment of urethral vascularity using 2D colour Doppler high-frequency endovaginal ultrasonography in women treated for symptomatic stress urinary incontinence: 1-year prospective follow-up study. Int Urogynecol J. 2016 ;27:85-92


Harvey MA, Pierce M, Alter JE, Chou Q, Diamond P, Epp A, Geoffrion R, Harvey MA, Larochelle A, Maslow K, Neustaedter G, Pascali D, Pierce M, Schulz J, Wilkie D, Sultan A, Thakar R; Society of Obstetricians and Gynaecologists of Canada. Obstetrical Anal Sphincter Injuries (OASIS): Prevention, Recognition, and Repair. J Obstet Gynaecol Can. 2016;38:421


Dumoulin C, Hunter KF, Moore K, Bradley CS, Burgio KL, Hagen S, Imamura M, Thakar R, Williams K, Chambers T. Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence. Neurourol Urodyn. 2016;35:15-20.


Zimmo K, Laine K, Vikanes Å, Fosse E, Zimmo M, Ali H, Thakar R, Sultan AH, Hassan S. Diagnosis and repair of perineal injuries: knowledge before and after expert training-a multicentre observational study among Palestinian physicians and midwives. BMJ Open. 2017 Apr 7;7(4):e014183. doi: 10.1136/bmjopen-2016-014183.


Latthe P, Middleton L, Rachaneni S, McCooty S, Daniels J, Coomarasamy A, Balogun M, Duckett J, Thakar R, Goranitis I, Roberts T, Deeks J; BUS Collaborative Group. Ultrasound bladder wall thickness and detrusor overactivity: a multicentre test accuracy study. BJOG. 2017 Feb 7. doi: 10.1111/1471-0528.14503


Lone F, Thakar R, Sultan AH. One-year prospective comparison of vaginal pessaries and surgery for pelvic organ prolapse using the validated ICIQ-VS and ICIQ-UI (SF) questionnaires. Int Urogynecol J. 2015;26:1305-12.


Kanter G, Rogers RG, Pauls RN, Kammerer-Doak D, Thakar R. A strong pelvic floor is associated with higher rates of sexual activity in women with pelvic floor disorders. Int Urogynecol J. 2015;26:991-6.


Naidu M, Kapoor DS, Evans S, Vinayakarao L, Thakar R, Sultan AH. Cutting an episiotomy at 60 degrees: how good are we? Int Urogynecol J. 2015;26:813-6.


van Delft K, Thakar R, Sultan AH. Pelvic floor muscle contractility: digital assessment versus transperineal ultrasound. Ultrasound Obstet Gynecol. 2015;45:217-22.


van Delft K, Thakar R, Sultan A, IntHout J, Kluivers K. The natural history of levator avulsion one year following childbirth: a prospective study. BJOG. 2014 Dec 17. doi: 10.1111/1471-0528.13223. [Epub ahead of print]


Lone F, Sultan AH, Stankiewicz A, Thakar R, Wieczorek AP. Vascularity of the urethra in continent women using colour doppler high-frequency endovaginal ultrasonography. Springerplus. 2014 Oct 20;3:619. doi: 10.1186/2193-1801-3-619. eCollection 2014


van Delft K, Thakar R, Sultan AH, Kluivers KB. Does the prevalence of levator avulsion differ using tomographic ultrasound imaging at rest versus maximum contraction? Ultrasound Obstet Gynecol. 2014 Nov 4. doi: 10.1002/uog.14719. [Epub ahead of print]


Reid AJ, Beggs AD, Sultan AH, Roos AM, Thakar R. Outcome of repair of obstetric anal sphincter injuries after three years. Int J Gynaecol Obstet. 2014;127:47-50.


McPherson KC, Beggs AD, Sultan AH, Thakar R. Can the risk of obstetric anal sphincter injuries (OASIs) be predicted using a risk-scoring system? BMC Research Notes. 2014 24;7:471.


Naidu M, Thakar R, Sultan AH. Outcomes of minimally invasive suburethral slings with and without concomitant pelvic organ prolapse surgery. Int J Gynaecol Obstet. 2014;127:69-72.


Lone F, Sultan AH, Stankiewicz A, Thakar R. The value of pre-operative multicompartment pelvic floor ultrasonography: a 1-year prospective study. Br J Radiol. 2014;87:20140145.


van Delft KW, Sultan AH, Thakar R, Shobeiri SA, Kluivers KB. Agreement between palpation and transperineal and endovaginal ultrasound in the diagnosis of levator ani avulsion. Int Urogynecol J. 2015;26:33-9.


Thiagamoorthy G, Johnson A, Thakar R, Sultan AH. National survey of perineal trauma and its subsequent management in the United Kingdom. Int Urogynecol J. 2014:25:162-7.


Roos AM, Paulus AT, Thakar R, Sultan AH. Sexual experiences of male partners before and after female pelvic floor surgery: a qualitative study. Int Urogynecol J. 2014;25:1327-32.


van Delft K, Thakar R, Sultan AH, Schwertner-Tiepelmann N, Kluivers K. Levator ani muscle avulsion during childbirth: a risk prediction model. ?  BJOG. 2014;121:1155-63; discussion 1163.


van Delft K, Sultan AH, Thakar R, Schwertner-Tiepelmann N, Kluivers K. The relationship between postpartum levator ani muscle avulsion and signs and symptoms of pelvic floor dysfunction. ?  BJOG. 2014;121:1164-71; discussion 1172.


Roos A, Thakar R, Sultan A, de Leeuw J, Paulus A. The impact of pelvic floor surgery on female sexual function: a mixed quantitative and qualitative study reality? BJOG 2014;121:92-101.


van Delft K, Shobeiri SA, Thakar R, Schwertner-Tiepelmann N, Sultan AH. Intra-and interobserver reliability of levator ani muscle biometry and avulsion using three-dimensional endovaginal ultrasonography. Ultrasound  Obstet  Gynecol. 2014;43:202-9.


van Delft K, Thakar R, Shobeiri SA, Sultan AH. Levator hematoma at the attachment zone as an early marker for levator ani muscle avulsion. Ultrasound Obstet Gynecol. 2014;43:210-7.


Roos AM, Thakar R, Sultan AH, Burger CW, Paulus AT. Pelvic floor dysfunction: women's sexual concerns unravelled.  J Sex Med. 2014;11:743-52.


van Delft K, Schwertner-Tiepelmann N, Thakar R, Sultan AH. Recruitment of pregnant women in research. J Obstet Gynaecol. 2013;33:442-6.


Rockwood TH, Constantine ML, Adegoke O, Rogers RG, McDermott E, Davila GW, Domoney C, Jha S, Kammerer-Doak D, Lukacz ES, Parekh M, Pauls R, Pitkin J, Reid F, Ridgeway B, Thakar R, Sand PK, Sutherland SE, Espuna-Pons M.The PISQ-IR: considerations in scale scoring and development. Int Urogynecol J. 2013;24:1105-22.


Lone F, Thakar R, Sultan AH, Stankiewicz A. Prospective evaluation of change in levator hiatus dimensions using 3D endovaginal ultrasound before and 1 year after treatment for female pelvic organ prolapse. Int Urogynecol J. 2013:24:1287-93.


Elenskaia K, Thakar R, Sultan AH, Scheer I, Onwude J. Pelvic organ support, symptoms and quality of life during pregnancy: a prospective study. Int Urogynecol J. 2013;24:1287-93.


Elenskaia K, Thakar R, Sultan AH, Scheer I, Onwude J. Effect of childbirth on pelvic organ support and quality of life: a longitudinal cohort study.  Int Urogynecol J. 2013;24:927-3.


Bugge C, Hagen S, Thakar R. Vaginal pessaries for pelvic organ prolapse and urinary incontinence: a multiprofessional survey of practice.  Int Urogynecol J. 2013;24:1017-24


van Delft K, Schwertner-Tiepelmann N, Thakar R, Sultan AH. Inter-rater reliability of assessment of levator ani muscle strength and attachment to the pubic bone in nulliparous women. Ultrasound Obstet  Gynecol. 2013;42:341-6.


Rogers RG, Rockwood TH, Constantine ML, Thakar R, Kammerer-Doak DN, Pauls RN, Parekh M, Ridgeway B, Jha S, Pitkin J, Reid F, Sutherland SE, Lukacz ES, Domoney C, Sand P, Davila GW, Espuna Pons ME. A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR).  Int Urogynecol J. 2013;24:1091-103.


Roos AM, Sultan AH, Thakar R. Sexual problems in the gynaecology clinic: are we making a mountain out of a molehill? Int Urogynecol J. 2012;23:145-52.


Johnson A, Thakar R, Sultan AH. Obstetric perineal wound infection: is there underreporting? Brit J Nurs. 2012;21:S28, S30, S32-5.


Lone FW, Thakar R, Sultan AH, Stankiewicz A. Accuracy of assessing Pelvic Organ Prolapse Quantification points using dynamic 2D transperineal ultrasound in women with pelvic organ prolapse. Int Urogynecol J. 2012;23:1555-60.


Andrews V, Shelmeridine S, Sultan AH, Thakar R. Anal and urinary incontinence 4 years after a vaginal delivery. Int Urogynecol J 2013;24:55-60.


Naidu M, Sultan AH, Thakar R. Convalescence advice following gynaecological surgery. J Obstet Gynaecol. 2012;32:556-9.


Lone F, Thakar R, Sultan AH, Karamalis G. A 5-year prospective study of vaginal pessary use for pelvic organ prolapse. Int J Gynaecol Obstet. 2011;114:56-9.


Roos AM, Abdool Z, Sultan AH, Thakar R. The diagnostic accuracy of endovaginal and transperineal ultrasound for detecting anal sphincter defects: The PREDICT study. Clin Radiol 2011;66:597-604.


Roos AM, Abdool Z, Thakar R, Sultan AH. Predicting anal sphincter defects: the value of clinical examination and manometry. Int Urogynecol J 2012;23:755-63.


Elenskaia K, Thakar R, Sultan AH, Scheer I, Beggs A. The effect of pregnancy and childbirth on pelvic floor muscle function. Int  Urogynecol J 2011;22:1421-7.


Lone F, Sultan AH, Thakar R, Beggs A. Risk factors and management patterns for emergency obstetric hysterectomy over 2 decades. Int Urogynecol J. 2010;109:12-5.


Lone F, Sultan AH, Thakar R. Long-term outcome of transurethral injection of hyaluronic acid/dextranomer (NASHA/Dx gel) for the treatment of stress urinary incontinence (SUI). Int Urogynecol J. 2010;21:1359-64.


Abdool Z, Thakar R, Sultan AH, Oliver RS. Prospective evaluation of outcome of vaginal pessaries versus surgery in women with symptomatic pelvic organ prolapse. Int Urogynecol J. 2010;22:273-8.


Andrews V, Thakar R, Sultan AH. Structured hands-on training in repair of obstetric anal sphincter injuries (OASIS): an audit of clinical practice. Int Urogynecol J.2009;20:193-9.


Roos AM, Thakar R, Sultan AH, Scheer I. Female sexual dysfunction: Are urogynecologists ready for it? Int Urogynecol J 2009 ;20:89-101.


Andrews V, Thakar R, Sultan AH. Outcome of obstetric anal sphincter injuries (OASIS)-role of structured management. Int Urogynecol J. 2009;20:973-8.


Oliver R, Thakar R, Sultan AH, Phillimore A. Urogynecology triage clinic: a model of healthcare delivery. Int Urogynecol J. 2009;20:913-7.


Scheer I, Thakar R, Sultan AH. Mode of delivery after previous obstetric anal sphincter injuries (OASIS)-a reappraisal? Int Urogynecol J. 2009; 20:1095-101.


Roos AM, Thakar R, Sultan AH. Outcome of primary repair of obstetric anal sphincter injuries (OASIS): does the grade of tear matter? Ultrasound Obstet Gynecol. 2010;36:368-74.


Kapoor DS, Thakar R, Sultan AH, Oliver R. Conservative versus surgical management of prolapse: what dictates patient choice? Int Urogynecol J. 2009;20:1157-61.


Kapoor D, Sultan AH, Thakar R, MA Abulafi, RI Swift, Wendy Ness. Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic. Colorect Dis. 2008;10:118-23.


Singh A, Inka S,  Thakar R, Sultan AH. Trials and tribulations of the new consent form. J Obstet Gynecol. 2007;27:475-78.


Andrews V, Sultan AH, Thakar R, Jones PW. Evaluation of postpartum perineal pain and dyspareunia - A Prospective Study. Eur J Obstet Gynaecol. 2008;137:152-6.


Scheer I, Andrews V, Thakar R, Sultan AH. Urinary Incontinence after Obstetric Anal Sphincter Injuries (OASIS) - Is there a relationship?  Int Urogynecol J. 2008;19:179-83.


Thakar R, Chawla S, Scheer I, Barrett G, Sultan AH. Sexual function following pelvic floor surgery. Int J Gynaecol Obstet. 2008;102:110-4.


Roos AM, Sultan AH, Thakar R. St. Mark's incontinence score for assessment of anal incontinence following obstetric anal sphincter injuries (OASIS). Int Urogynecol J. 2009;20:407-10.


Thakar R, Ayers S, Srivastava R, Manyonda I. Removing the Cervix at Hysterectomy: An Unnecessary Intervention? Obstet Gynecol. 2008;112:1262-9.


Andrews V, Sultan AH, Thakar R, Jones PW. Occult anal sphincter injuries- myth or reality?  BJOG. 2006;113:195-200.


Andrews V, Sultan AH, Thakar R, Jones PW. Risk factors for obstetric anal sphincter injury: A prospective study. Birth. 2006;33:117-22.


Uchil D, Thakar R, Sultan AH, Seymour J, Addison R. Continence pads: have we got it right? Int Urogynecol J. 2006;17:234-8.


Fernando R, Thakar R, Sultan AH, Shah S, Jones P. Are vaginal pessaries effective in controlling symptoms associated with pelvic organ prolapse? Obstet Gynecol. 2006;108:93-9.


Andrews V, Thakar R, Sultan AH. Are  mediolateral episiotomies actually mediolateral? BJOG. 2005;112:1156-8.


Andrews V, Thakar R, Sultan AH, Kettle C.  Can hands-on perineal repair workshops change clinical practice?  BJM. 2005;13: 562-5.


Thakar R, Ayers S, Clarkson P, Stanton S , Manyonda I. Hysterectomy improves quality of life and decreases psychiatric symptoms: a prospective and randomised comparison of total versus subtotal hysterectomy. BJOG. 2004;111:1115-20.


Thakar R, Manyonda IT, Stanton SL, Clarkson PK,  Robinson G. Total versus subtotal hysterectomy: A survey of current views and practice amongst British gynaecologists. Journal of Obstetrics & Gynaecology 1998;3:267-9.


Davis I, Kumar D, Stanton SL, Thakar R, Fynes M, Bland J. Symptoms and anal sphincter morphology following primary repair of third degree tears. Brit J Surg. 2003:90;1573-9.


Thakar R, Ayers S, Clarkson P, Stanton S , Manyonda I. Outcomes after total and subtotal hysterectomy. NEJM. 2002;347:1318-29


Thakar R, Stanton S, Prodigalidad L, den Boon J. Secondary colposuspension: Results of a prospective study from a tertiary referral centre. BJOG. 2002;109:1115-20.


Barrett G, Pendry E, Peacock J, Victor C, Thakar R, Manyonda IT. Women’s sexual health after childbirth.  BJOG. 2000;107:186-95


Barrett G, Pendry E, Peacock J, Victor C, Thakar R, Manyonda IT. Women’s sexuality after childbirth: a pilot study. Arch Sex Behav 1999;28:179-91


Reviews and Editorials

Thakar R. Is the Uterus a Sexual Organ? Sexual Function Following Hysterectomy. Sex Med Rev. 2016;3:264-78.


Kapoor DS, Thakar R, Sultan AH. Obstetric anal sphincter injuries: review of anatomical factors and modifiable second stage interventions. Int Urogynecol J. 2015 Jun 5. [Epub ahead of print] PubMed PMID: 26044511.


Dumoulin C, Hunter KF, Moore K, Bradley CS, Burgio KL, Hagen S, Imamura M, Thakar R, Williams K, Chambers T. Conservative management for female urinary continence. Neurourol Urodyn. 2016 ;35:15-20.


Fernando RJ, Sultan AH, Kettle C, Thakar R. Methods of repair for obstetric anal sphincter injury. Cochrane Database Syst Rev. 2013 Dec 8;12:CD002866.


Lone F, Sultan AH, Thakar R. Obstetric pelvic floor and anal sphincter injuries. The Obstetrician and Gynaecologist. 2012:4:257-66.


Hagen S, Thakar R. Conservative management of pelvic organ prolapse. Obstetrics, Gynaecology and Reproductive Medicine. 2012:5:118-122.


Schwertner-Tiepelmann N, Thakar R, Sultan AH, Tunn R. Obstetric levator ani muscle injuries - Current status. Ultrasound Obstet Gynecol. 2012;39:372-83.


Abdool Z, Sultan AH, Thakar R. Ultrasound imaging of the anal sphincter complex: a review. Brit J Radiol. 2012; 85:865-75.


Oliver R, Thakar R, Sultan AH. The history and usage of the vaginal pessary: A review. Eur J Obstet Gynecol & Reprod Biol. 2011;156:125-30.


Thakar R, Sultan AH. Management of Obstetric Anal Sphincter Injuries. Obstetrics & Gynecology Forum. 2009;19:15-20.


Thakar R. Review of current status of female sexual dysfunction evaluation in urogynecology. International Urogynecology Journal. 2009;20 Suppl 1:S27-31


Abdool Z, Thakar R, Sultan AH. Postpartum female sexual function. Eur J Obstet Gynecol & Reprod Biol. 2009;145:133-7.


Jha S, Thakar R. Female sexual dysfunction. Eur J Obstet Gynecol & Reprod Biol. 2010;153:117-23.


Thakar R, Sultan AH. Obstetric anal sphincter injury: 7 critical questions about care. OBG Management. 2008:58-68.


Srivastava R, Thakar R, Sultan A. Female sexual dysfunction in Obstetrics and Gynecology. Obstet Gynecol Surv. 2008 ;63:527-537.


Shah S, Thakar R, Sultan AH. History of pelvic organ prolapse. Int Urogynaecol J. 2006;17:170-5.


Thakar R, Sultan AH. Hysterectomy and pelvic organ dysfunction. Best Practice & Research Clin Obstet Gynaecol. 2005:403-18.


Thakar R, Addison R, Sultan AH. Management of urinary incontinence. Clin Geriatrics. 2005;13:44-56.


Kapoor D, Thakar R, Sultan AH. Combined urinary and fecal incontinence. Int Urogynaecol J. 2005;16:321-8.


Premila S, Thakar R, Sultan AH. Management of urinary incontinence. Obstet Gynaecol Today. 2005;3:12-21.


Thakar R, Sultan AH. Anal endosonography and its role in assessing the incontinent patient.  Best Practice & Research - Clinical Obstet Gynaecol. 2004:18;157-73.


Thakar R. Dispelling the myth- Does hysterectomy cause pelvic organ dysfunction? BJOG. 2004;111:20-3.


Thakar R, Sultan AH. Management of obstetric anal sphincter injuries. The Obstetrician and Gynaecologist 2003; 5: 72-8.


Andrews V, Thakar R, Sultan AH. Management of third and fourth degree tears. Reviews in Gynaecological Practice. 2003:3:188-95.


Thakar R, Stanton SL Management of genital prolapse. BMJ. 2002;324:1258-62


Sultan AH, Thakar R. Lower genital tract and anal sphincter trauma. Best Practice & Research - Clinical Obstet Gynaecol. 2002;16:99-116


Thakar R, Stanton S. RCOG Dialog: Complications of prolapse surgery 2002


Thakar R, Manyonda IT, Stanton SL, Clarkson PK, Robinson G. Hysterectomy and bowel function. Int Urogynecol J. 2001;12:337-41.


Thakar R, Stanton SL. Weakness of the pelvic floor: Urological consequences. Hosp Med 2000;61:259-66.


Thakar R, Stanton SL. Symptoms and investigations in Urogynaecology. Current Obstet Gynaecol. 2000;10:66-71


Thakar R, Stanton SL. Management of urinary incontinence in women. BMJ. 2000;321:1326-31.


Thakar R, Sultan AH. Anorectal function in the postmenopausal woman. J Brit Men Soc 1999;5:78-82.


Thakar R,  Manyonda IT.  Total versus subtotal hysterectomy: The last great controversy in gynaecological surgery. Contemporary Reviews in Obstetrics & Gynaecology 1998;1:61-6


Thakar R, Manyonda IT,  Robinson G. Does hysterectomy affect pelvic organ function? Brit J Sex Med. 1998;25:21-3.


Thakar R, Manyonda IT, Stanton SL, Clarkson PK,  Robinson G. The effect of hysterectomy on urinary, bowel and sexual function. BJOG. 1997;104:983-7.  


Balachandran A, Thakar R. Risk factors and management of obstetric anal sphincter injury. Obstetrics, Gynaecology and Reproductive Medicine 2019:29;93-97


Duckett J, Thakar R, Shah V, Stephenson J, Balachandran A. The Use of Imaging for Synthetic Midurethral Slings. J Ultrasound Med. 2020;39:1497-1506.


Thakar R, Gurol-Urganci I, Bidwell P, et al. Obstetric Anal Sphincter Injury (OASI) Care Bundle: Response to a critical review [published online ahead of print, 2020 Jul 18]. Midwifery. 2020;90:102802. doi:10.1016/j.midw.2020.102802


Thakar R, Cundiff GW. In pursuit of patient-centered innovation: The role of professional organizations. Int Urogynecol J. 2020;31:423–428.


Sultan AH, Thakar R, Ismail KM, et al. The role of mediolateral episiotomy during operative vaginal delivery. Eur J Obstet Gynecol Reprod Biol. 2019;240:192–196.


Arendsen LP, Thakar R, Sultan AH. The Use of Copper as an Antimicrobial Agent in Health Care, Including Obstetrics and Gynecology. Clin Microbiol Rev. 2019 Aug 14;32(4). pii: e00125-18.


Taithongchai A, Sultan AH, Wieczorek PA, Thakar R. Clinical application of 2D and 3D pelvic floor ultrasound of mid-urethral slings and vaginal wall mesh. Int Urogynecol J. 2019 May 11. doi: 10.1007/s00192-019-03973-2.


A Taithongchai, AH Sultan, Thakar R. A guide to indications, components and interpretation of urodynamic investigations. TOG 2019: 21:193-202


Balachandran A, Thakar R. Risk factors and management of obstetric anal sphincter injury. Obstetrics, Gynaecology and Reproductive Medicine 2019:29;93-97


Books

Rogers R, Sung WV, Thakar R, Iglesia C. Associate editor for Female Pelvic Medicine and Reconstructive Surgery: Clinical Practice and Surgical Atlas, Williams Gynecology


Thakar R & Tooz-Hobson P. Urodynamics Illustrated, 2012 RCOG Press 


Thakar R & Sultan AH. Diagnosis of perineal trauma and Repair of mediolateral Episiotomy 2010


Sultan AH & Thakar R. Diagnosis and Repair of acute obstetric perineal trauma 2010


Sultan A, Thakar R, Fenner D.Perineal and anal sphincter trauma. Springer 2007


Thakar R & Manyonda IT.Hysterectomy. Best Practice & Research Clinical Obstetrics and Gynaecology Elsevier Ltd. 2005


IUGA CME Course for nurses on Use of Pessaries on the IUGA academy: First CME course for allied health professionals developed with the nursing Special Interest Group of IUGA. July 2019


STRATOG elearning module update on perineal surgery https://stratog.rcog.org.uk/tutorials/core-training/surgical-procedures-and-postoperative-care/perineal-surgery


DVD and e-learning platform on www. perineum.net: Diagnosis and repair of perineal trauma including episiotomy- A unique collection of videos


Thakar R, Toozs-Hobson P, Dolan L, editors. Manual of Urodynamics for Gynaecologists. Cambridge: Cambridge University Press; 2020


Chapters in Books

Dumoulin C, Hunter KF, Moore K, Bradley CS, Burgio KL, Hagen S, Imamura M, Thakar R, Williams K, Chambers T.. In Abrams P, Cardozo L, Khoury, Wagg A, Wein A (eds). Incontinence 6th ed. Plymouth: Health Publication Ltd. 2017:1443-1611


Ranee Thakar, Abdul H Sultan. Perineal repair and pelvic floor injury. In: David James, Philip Steer, Carl Weiner, Bernard Gonik, Stephen Robson. High risk pregnancy. Management options. Cambridge University Press. Online 2017: 1843-66


Thakar R, Sultan AH. Episiotomy and obstetric anal sphincter trauma. In: Arulkumaran (eds) Best Practice in labour and delivery, 2nd Edition. Cambridge University Press 2016:212-225.


Sultan AH, Thakar R. Complex perineal and anal sphincter trauma. In: Patterson-Brown S, Howell C. Managing Obstetric Emergencies and Trauma. 3rd edition. Singapore: Cambridge University Press 2014: 417-26


Thakar R, Sultan AH. Lower Genital Tract Trauma. In: Baskett T, Calder A, Arulkumaran (eds) Munro Kerr’s Operative Obstetrics, 12th Edition. Edinburgh: Sanders Elsevier 2014:217-25.


Thakar R Sultan AH. The female pelvis and the reproductive organs. In: Jayne E Marshall, Maureen D Raynor (eds) Myles Textbook for Midwives, 6th Edition. Edinburgh: Sanders Elsevier 2014:55-80.


Thakar R Sultan AH, Maureen D Raynor, Carol McCormick. Care of the perineum, repair and female genital mutilation. In: Jayne E Marshall, Maureen D Raynor (eds) Myles Textbook for Midwives, 6th Edition. Edinburgh: Sanders Elsevier 2014:311-25.


Lone F, Thakar R. Hysterectomy and Sexuality. In: Shirish Sheth (eds) Myles Vaginal Hysterectomy, 2nd Edition. Jaypee: New Delhi 2014:261-4.


Thakar, R. Global library of women's medicine(ISSN: 1756-2228) 2014; DOI 10.3843/GLOWM.10479.


Moore KN, Dumoulin C, Bradley C, Burgio K, Chambers T, Hagen S, Hunter KF, Imamura M, Thakar R, Williams K. Adult Conservative Management, in Abrams PH, Cardozo L, Khoury AE and Wein A: 5th Ed. 5th International Consultation on Urinary Incontinence, Plymbridge UK: Health Publication Ltd, 2013:1025-120.


Thakar R Pessaries for treatment of pelvic organ prolapse and incontinence. Rogers R,   Sung WV, Thakar R, Iglesia C (eds) Female Pelvic Medicine and Reconstructive Surgery: Clinical Practice and Surgical Atlas, Williams Gynecology, McGraw- Hill Education Ltd, 2013:339-52.


Fernando R, Sultan AH, Thakar R Management of obstetric anal sphincter injuries. In: Arjun G, Seshadri L, Ram U. A practical guide to obstetrics. Cost effective, evidence based safe care. Universities Press India, 2013:1511-1530.


Thakar R, Sultan AH. Perineal Surgery StratOG- RCOG online learning resource: 2013.


Thakar R, Kettle C. Episiotomy and perineal repair. In Cardozo L & Staskin D (eds). Textbook of Female Urology and Urogynecology, Third edition, Hampshire: Martin Dunitz, 2010:875-882.


Thakar R. Sexual Dysfunction in Urogynaecology. In Shaw & Luesley & Monga (eds)Shaw’s Textbook of Gynaecology, Fourth edition, Elsevier 2010: 919-928.


Thakar R, Sultan AH. Prevention of perineal trauma. In G.A. Santoro, P. Wieczorek, C.I. Bartram (eds) Pelvic Floor Disorders, Springer-Verlag Italia 2010: 155-162.


Sultan AH, Thakar R. Management of the posterior compartment. G.A. Santoro, P. Wieczorek, C.I. Bartram (eds.) Pelvic Floor Disorders, Springer-Verlag Italia 2010: 143-154.


Thakar R, Sultan AH. Episiotomy and obstetric perineal trauma. In Warren R and Arulkumaran S. Best Practice in Labour and Delivery, Cambridge University Press 2009: 182-94.


Thakar R, Sultan AH Lower Genital Tract Trauma. Baskett T, Calder A , Arulkumaran (eds)  Munro Kerr’s Operative Obstetrics, 12th Edition: 520-260.


Thakar R. Perineal Clinic. In Schussler, Norton, Stanton, Moore, Baessler, Burgio. Pelvic Floor Re-education-Principles and practice. London: Springer-Verlag 2007:242-246.


Thakar R, Sultan AH. Anatomy of the pelvic floor. In: Sultan AH, Thakar R, Fenner D. Perineal and anal sphincter trauma. London: Springer 2007:13-19.


Sultan AH, Thakar R. Third and Fourth degree tears. In: Sultan AH, Thakar R, Fenner D. Perineal and anal sphincter trauma. London: Springer 2007: 33-51.


Sultan AH, Thakar R. Ultrasound and diagnosis of obstetric anal sphincter injuries. In Jurkovic, Valentin, Vyas (eds) Textbook of Gynaecological ultrasound London: RCOG Press 2007 – In press


Thakar R, Sultan AH. Postpartum problems and the role of a perineal clinic. In: Sultan AH, Thakar R, Fenner D. Perineal and anal sphincter trauma. London: Springer 2007:13-20


Thakar R, Sultan AH. Perineal and sphincter trauma. In: Grady K, Howell C, Cox C. The MOET Course Manual. Managing obstetric emergencies and trauma. London: RCOG press 2007:349-360


Thakar R, Kettle C. Episiotomy and perineal repair. In Cardozo L & Staskin D (eds). Textbook of Female Urology and Urogynecology, Hampshire: Martin Dunitz, 2006:1099-1110 .


Thakar R. Uterine inversion. In S Arulkumaran (eds) Emergencies in Obstetrics and Gynaecology Oxford: Oxford University Press: 2006.


Thakar R. Vulval/Perineal Haematoma. In S Arulkumaran (eds) Emergencies in Obstetrics and Gynaecology Oxford: Oxford University Press: 2006.


Thakar R, Sultan AH. Management and prevention of perineal trauma. In Arulkumaran S, Penna LK, Bhasker Rao (eds) The Management of Labour India: Orient Longman 2005: 252-68.


Thakar R, Sultan AH. Prevention of obstetric perineal trauma. In Henderson C, Bick D (eds) Perineal Care: An international issue Wiltshire UK: Quay Books, 2005:98-112. 


Andrews V, Thakar R, Sultan AH. Diagnosis of anal sphincter injury. In Hillard T, Purdee D V (eds). Yearbook of Obstetrics and Gynaecology London: RCOG Press 2004;11:12-21.


Thakar R, Kane J, Stanton SL. Management of urinary incontinence. In Wheeler D & Macpherson A (eds). Women’s Health.


Thakar R, Stanton SL. Weakness of the pelvic floor. In Farqhuarson R (ed) Vignettes for the MRCOG. Wiltshire: Quay books 2001;15-32.


Thakar R, Manyonda IT. Hysterectomy for benign disease: Total versus Subtotal. In Studd J (eds) Progress in Obstetrics & Gynaecology. 2000;14:233-43.


Case Reports

Viswanatha RK, Moore CM, Thakar R. Intra-ureteric placement of a urinary catheter in the previously undiagnosed duplex ureter. International Urogynecology Journal. 2013 Jun 8. [Epub ahead of print]


Fernando R, Thakar R, Sultan AH. Management of the neglected vaginal ring pessary. Int Urogynecol J. 2007;18:117-119.


Scheer I, Thakar R, Sultan AH, Newman-Saunders T. Voiding dysfunction following abdominoplasty - An unusual complication. Int Urogynecol J 2006:18;213-214.


Letters

de Leeuw JW, Kalis DV, Ismail KM, Thakar R, Sultan AH. Not only residents, but gynaecologists and obstetricians too. Acta Obstet Gynecol Scand. 2019 Feb 24. doi: 10.1111/aogs.13593. [Epub ahead of print]


Van Delft KW, Thakar R, Sultan AH. Levator avulsion using a tomographic ultrasound and magnetic resonance-based model. Am J Obstet Gynecol. 2012;206:e7.


Kapoor DS, Sultan AH, Thakar R.  A retrospective review of patients seen in a multidisciplinary pelvic floor clinic.  J Obstet Gynaecol Canada 2010;32:1028-9


Andrews V, Sultan AH, Thakar R, Jones PW.  Are mediolateral episiotomies actually mediolateral. BJOG. 2006;113: 245-6.


Sultan AH, Thakar R. Diagnosis of anal sphincter tears to prevent fecal incontinence. Obstet Gynecol 2005;106:1108-9.


Manyonda I, Thakar R, Ayers S. Randomised controlled trial of total compared with subtotal hysterectomy with one follow-up results. BJOG 2004:111;760-761.


Thakar R. Secondary colposuspension: results of a prospective study from a tertiary centre. BJOG. 2003:110;785.


Manyonda I, Thakar R, Ayers S. Outcomes after total and subtotal hysterectomy. NEJM. 2003;348:856-7.


Ugwumadu A, Thakar R,  Manyonda IT. An analysis of recent trends in vacuum extraction and forceps delivery in the United Kingdom.  BJOG. 1996; 103: 937-9


Thakar R, Ugwumadu A, Manyonda IT. A Randomised Prospective Trial Comparing Laparascopic and Abdominal Hysterectomy. BJOG. 1996; 103: 1171