Papers by Samantha Pillay
BJU international, Jan 12, 2015
Due to the myriad of treatment options available and the potential increase in the number of pati... more Due to the myriad of treatment options available and the potential increase in the number of patients afflicted with overactive bladder (OAB) who will require treatment, the Female Urology Special Advisory Group (FUSAG) of the Urological Society of Australia and New Zealand (USANZ), in conjunction with the Urogynaecological Society of Australasia (UGSA), see the need to move forward and set up management guidelines for physicians who may encounter or have a special interest in the treatment of this condition. These guidelines, by utilising and recommending evidence-based data, will hopefully assist in the diagnosis, clinical assessment, and optimisation of treatment efficacy. They are divided into three sections: Diagnosis and Clinical Assessment, Conservative Management, and Surgical Management. These guidelines will also bring Australia and New Zealand in line with other regions of the world where guidelines have been established, such as the American Urological Association, Europ...
Translational andrology and urology, 2017
The Martius modified labial fat pad flap at nearly 90 years old is still very much part of the mo... more The Martius modified labial fat pad flap at nearly 90 years old is still very much part of the modern vaginal surgeon's armamentarium. Here we describe this straightforward and adaptable technique, the avoidance of pitfalls, its advantages and uses in vaginal surgery, and outcomes both short and long term. Specifically patient reported outcomes related to scar perception and sexual function are explored.
The Journal of Urology, 2016
Survey (NHANES) cycle was analyzed for all individuals who participated in the biospecimen progra... more Survey (NHANES) cycle was analyzed for all individuals who participated in the biospecimen program. Urinary concentrations of 13 heavy metals, 3 perchlorates, 2 pesticides, 14 phthalates, 10 polyaromatic hydrocarbons (PAH), 12 polyfluoroalkyl (PFC) chemicals, and 26 volatile organic compounds (VOCs) were identified and measured. Urinary concentration of each pollutant was normalized to urine creatinine and log-transformed. Lower urinary tract symptoms were defined as self-reported stress incontinence, urge incontinence and nocturia. Each pollutant was examined in a weighted, variance-corrected multivariate logistic regression for association with each outcome of interest. Models examining male subjects were adjusted for age, body mass index, race, diabetes, and self-reported health status. Models examining female subjects were also adjusted for parity. RESULTS: 602 women and 565 men were included in the study. Urinary levels of pollutants were consistently higher in men. Prevalence of incontinence and nocturia was significantly higher among women. Among women, no association was noted between pollutant levels and the outcomes of interest. Among men, increased concentrations of 3 VOCs, 2 heavy metals and 1 perchlorate were associated with increased stress incontinence; increased concentrations of 2 VOCs, 1 heavy metal and 3 PAHs were associated with increased urge incontinence; and increased levels of 8 VOCs, 2 heavy metals, 6 PAHs, 1 pesticide, and 1 perchlorate were associated with increased nocturia. CONCLUSIONS: This study demonstrates that increased urinary levels of certain environmental and industrial pollutants are associated with increased lower urinary tract (LUT) dysfunction in men. Exposure to these pollutants has been associated with neurotoxicity and other adverse health outcomes. We hypothesize that pollutant exposure may be a marker for neurological injury leading to LUT dysfunction. The distinct etiology of incontinence between genders likely accounts for lack of association between pollutants and LUT dysfunction in women.
Neurourology and Urodynamics, 2016
This paper has obtained Institutional Ethics Review Board approval.
Australasian Journal on Ageing, 2000
BJU international, Jan 12, 2015
Due to the myriad of treatment options available and the potential increase in the number of pati... more Due to the myriad of treatment options available and the potential increase in the number of patients afflicted with overactive bladder (OAB) who will require treatment, the Female Urology Special Advisory Group (FUSAG) of the Urological Society of Australia and New Zealand (USANZ), in conjunction with the Urogynaecological Society of Australasia (UGSA), see the need to move forward and set up management guidelines for physicians who may encounter or have a special interest in the treatment of this condition. These guidelines, by utilising and recommending evidence-based data, will hopefully assist in the diagnosis, clinical assessment, and optimisation of treatment efficacy. They are divided into three sections: Diagnosis and Clinical Assessment, Conservative Management, and Surgical Management. These guidelines will also bring Australia and New Zealand in line with other regions of the world where guidelines have been established, such as the American Urological Association, Europ...
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Papers by Samantha Pillay