Ranee Thakar Publications

Publications

Original Articles

Thakar R, Gandhi M. Reproductive Autonomy: Women's Health and Rights. BJOG. 2025 Mar 5. doi: 10.1111/1471-0528.18124. Epub ahead of print. PMID: 40045549.

van Gruting IMA, Kluivers K, Stankiewicz A, IntHout J, van Delft KWM, Thakar R, Sultan AH. Evaluation of Perineal Descent Measurements on Pelvic Floor Imaging. J Clin Med. 2025 Jan 16;14(2):548. doi: 10.3390/jcm14020548. PMID: 39860553; PMCID: PMC11766426.

Manoukian S, Mason H, Hagen S, Kearney R, Goodman K, Best C, Elders A, Melone L, Dwyer L, Dembinsky M, Khunda A, Guerrero KL, McClurg D, Norrie J, Thakar R, Bugge C. Cost-Effectiveness of 2 Models of Pessary Care for Pelvic Organ Prolapse: Findings From the TOPSY Randomized Controlled Trial. Value Health. 2024 Jul;27(7):889-896. doi: 10.1016/j.jval.2024.03.004. Epub 2024 Mar 14. PMID: 38492924.

Jurczuk M, Phillips L, Bidwell P, Martinez D, Silverton L, Sevdalis N, van der Meulen J, Gurol-Urganci I, Thakar R. A Care Bundle Aiming to Reduce the Risk of Obstetric Anal Sphincter Injury: A Survey of Women's Experiences. BJOG. 2025 Apr;132(5):588-595. doi: 10.1111/1471-0528.18029. Epub 2024 Dec 11. PMID: 39663780; PMCID: PMC11879911.

Wijeratne D, Gibson JFE, Fiander A, Rafii-Tabar E, Thakar R. The global burden of disease due to benign gynecological conditions: A call to action. Int J Gynaecol Obstet. 2024 Mar;164(3):1151-1159. doi: 10.1002/ijgo.15211. Epub 2023 Nov 21. PMID: 37987165.

Roper JC, Thakar R, Sultan AH. UK survey of colorectal surgeons on the management of acute obstetric anal sphincter injuries. Colorectal Dis. 2024 Jan;26(1):130-136. doi: 10.1111/codi.16820. Epub 2023 Dec 26. PMID: 38148521.

Hagen S, Kearney R, Goodman K, Best C, Elders A, Melone L, Dwyer L, Dembinsky M, Graham M, Agur W, Breeman S, Culverhouse J, Forrest A, Forrest M, Guerrero K, Hemming C, Khunda A, Manoukian S, Mason H, McClurg D, Norrie J, Thakar R, Bugge C. Clinical effectiveness of vaginal pessary self-management vs clinic-based care for pelvic organ prolapse (TOPSY): a randomised controlled superiority trial. EClinicalMedicine. 2023 Nov 23;66:102326. doi: 10.1016/j.eclinm.2023.102326. PMID: 38078194; PMCID: PMC10701109.

Roper JC, Thakar R, Hurt KJ, Sultan AH. Diagnosis, management and training in perineal trauma: a UK national survey of obstetricians. Int Urogynecol J. 2023 Dec;34(12):2873-2883. doi: 10.1007/s00192-023-05590-6. Epub 2023 Jul 27. PMID: 37498432; PMCID: PMC10756863

Vogel JP, Jung J, Lavin T, Simpson G, Kluwgant D, Abalos E, Diaz V, Downe S, Filippi V, Gallos I, Galadanci H, Katageri G, Homer CSE, Hofmeyr GJ, Liabsuetrakul T, Morhason-Bello IO, Osoti A, Souza JP, Thakar R, Thangaratinam S, Oladapo OT. Neglected medium-term and long-term consequences of labour and childbirth: a systematic analysis of the burden, recommended practices, and a way forward. Lancet Glob Health. 2024 Feb;12(2):e317-e330. doi: 10.1016/S2214-109X(23)00454-0. Epub 2023 Dec 6. PMID: 38070535; PMCID: PMC10805007.

Okeahialam NA, Taithongchai A, Thakar R, Sultan AH. The incidence of anal incontinence following obstetric anal sphincter injury graded using the Sultan classification: a network meta-analysis. Am J Obstet Gynecol. 2023 Jun;228(6):675-688.e13. doi: 10.1016/j.ajog.2022.11.1279. Epub 2022 Nov 13. Erratum in: Am J Obstet Gynecol. 2024 May;230(5):581. doi: 10.1016/j.ajog.2024.02.001. PMID: 36379266.

Taithongchai A, Johnson EE, Ismail SI, Barron-Millar E, Kernohan A, Thakar R. Oestrogen therapy for treating pelvic organ prolapse in postmenopausal women. Cochrane Database Syst Rev. 2023 Jul 11;7(7):CD014592. doi: 10.1002/14651858.CD014592.pub2. PMID: 37431855; PMCID: PMC10335326.

Okeahialam NA, Thakar R, Sultan AH. Postpartum perineal wound infection and its effect on anal sphincter integrity: Results of a prospective observational study. Acta Obstet Gynecol Scand. 2023 Apr;102(4):473-479. doi: 10.1111/aogs.14515. Epub 2023 Jan 27. PMID: 36707852; PMCID: PMC10008287

Dwyer L, Bugge C, Hagen S, Goodman K, Agur W, Dembinsky M, Graham M, Guerrero K, Hemming C, Khunda A, McClurg D, Melone L, Thakar R, Kearney R; TOPSY Team. Theoretical and practical development of the TOPSY self-management intervention for women who use a vaginal pessary for pelvic organ prolapse. Trials. 2022 Sep 5;23(1):742. doi: 10.1186/s13063-022-06681-3. PMID: 36064727; PMCID: PMC9446823.

Okeahialam NA, Thakar R, Sultan AH. Comparison of diagnostic criteria for significant anal sphincter defects between endoanal and transperineal ultrasound. Ultrasound Obstet Gynecol. 2022 Dec;60(6):793-799. doi: 10.1002/uog.24957. Epub 2022 Nov 10. PMID: 35638253; PMCID: PMC10100122.

Okeahialam NA, Thakar R, Sultan AH. Bacterial autofluorescence in infected perineal wounds: A prospective cohort study. Diagn Microbiol Infect Dis. 2023 Jan;105(1):115831. doi: 10.1016/j.diagmicrobio.2022.115831. Epub 2022 Oct 8. PMID: 36332560.

Roper JC, Naidu M, Thakar R, Sultan AH. Getting the size right: Are clinicians ready for it? Eur J Obstet Gynecol Reprod Biol. 2023 Jan;280:154-159. doi: 10.1016/j.ejogrb.2022.11.026. Epub 2022 Dec 2. PMID: 36495777.

Wong KW, Thakar R, Sultan AH, Andrews V. Can transperineal ultrasound improve the diagnosis of obstetric anal sphincter injuries? Int Urogynecol J. 2022 Oct;33(10):2809-2814. doi: 10.1007/s00192-022-05290-7. Epub 2022 Aug 2. PMID: 35916899.

Adanna Okeahialam N, Thakar R, Sultan AH. The clinical progression and wound healing rate of dehisced perineal tears healing by secondary intention: A prospective observational study. Eur J Obstet Gynecol Reprod Biol. 2022 Jul;274:191-196. doi: 10.1016/j.ejogrb.2022.05.035. Epub 2022 May 31. PMID: 35667174.

Van Gruting IMA, Stankiewicz A, Van Delft KWM, Doumouchtsis SK, Inthout J, Sultan AH, Thakar R. Diagnostic test accuracy of magnetic resonance imaging and pelvic floor ultrasound for diagnosis of levator ani muscle avulsion. Ultrasound Obstet Gynecol. 2022 Oct;60(4):559-569. doi: 10.1002/uog.24955. PMID: 35633511.

Okeahialam NA, Wong KW, Thakar R, Sultan AH. The incidence of wound complications following primary repair of obstetric anal sphincter injury: a systematic review and meta-analysis. Am J Obstet Gynecol. 2022 Aug;227(2):182-191. doi: 10.1016/j.ajog.2022.05.012. Epub 2022 May 10. PMID: 35550375.

Okeahialam NA, Wong KW, Jha S, Sultan AH, Thakar R. Mediolateral/lateral episiotomy with operative vaginal delivery and the risk reduction of obstetric anal sphincter injury (OASI): A systematic review and meta-analysis. Int Urogynecol J. 2022 Jun;33(6):1393-1405. doi: 10.1007/s00192-022-05145-1. Epub 2022 Apr 15. PMID: 35426490; PMCID: PMC9206628.

Wong KW, Thakar R, Andrews V, Sultan AH. Is there a role for transperineal ultrasound imaging of the anal sphincter immediately after primary repair of third degree tears? Eur J Obstet Gynecol Reprod Biol. 2022 Apr;271:260-264. doi: 10.1016/j.ejogrb.2022.02.182. Epub 2022 Mar 2. PMID: 35255362.

Muller P, Gurol-Urganci I, Thakar R, Ehrenstein MR, Van Der Meulen J, Jha S. Impact of a mid-urethral synthetic mesh sling on long-term risk of systemic conditions in women with stress urinary incontinence: a national cohort study. BJOG. 2022 Mar;129(4):664-670. doi: 10.1111/1471-0528.16917. Epub 2021 Oct 5. PMID: 34524725; PMCID: PMC9292923.

Roper JC, Thakar R, Sultan AH. Isolated rectal buttonhole tears in obstetrics: case series and review of the literature. Int Urogynecol J. 2021 Jul;32(7):1761-1769. doi: 10.1007/s00192-020-04502-2. Epub 2020 Sep 15. PMID: 32930849; PMCID: PMC8295104.

Okeahialam NA, Thakar R, Sultan AH. Early secondary repair of obstetric anal sphincter injuries (OASIs): experience and a review of the literature. Int Urogynecol J. 2021 Jul;32(7):1611-1622. doi: 10.1007/s00192-021-04822-x. Epub 2021 May 15. PMID: 33991222.

Bidwell P, Sevdalis N, Silverton L, Harris J, Gurol-Urganci I, Hellyer A, Freeman R, van der Meulen J, Thakar R. Women's experiences of the OASI Care Bundle; a package of care to reduce severe perineal trauma. Int Urogynecol J. 2021 Jul;32(7):1807-1816. doi: 10.1007/s00192-020-04653-2. Epub 2021 Jan 21. PMID: 33475817; PMCID: PMC8295065.

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. 2021 Jul;32(7):1719-1726. doi: 10.1007/s00192-020-04607-8. Epub 2020 Dec 2. PMID: 33263781; PMCID: PMC8295136

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.

Jurczuk M, Bidwell P, Gurol-Urganci I, van der Meulen J, Sevdalis N, Silverton L, Thakar R. The OASI care bundle quality improvement project: lessons learned and future direction. Int Urogynecol J. 2021 Jul;32(7):1989-1995. doi: 10.1007/s00192-021-04786-y. Epub 2021 May 14. PMID: 33988784; PMCID: PMC8295109.

Okeahialam NA, Thakar R, Ilczyszyn A, Sultan AH. Anal and urinary incontinence in nulliparous women - Prevalence and associated risk factors. Post Reprod Health. 2021 Jun;27(2):89-97. doi: 10.1177/20533691211005313. Epub 2021 Mar 27. PMID: 33779390.

Muller P, Gurol-Urganci I, van der Meulen J, Thakar R, Jha S. Risk of reoperation 10 years after surgical treatment for stress urinary incontinence: a national population-based cohort study. Am J Obstet Gynecol. 2021 Dec;225(6):645.e1-645.e14. doi: 10.1016/j.ajog.2021.08.059. Epub 2021 Sep 9. PMID: 34509439.

van Gruting IM, Stankiewicz A, Thakar R, Santoro GA, IntHout J, Sultan AH. Imaging modalities for the detection of posterior pelvic floor disorders in women with obstructed defaecation syndrome. Cochrane Database Syst Rev. 2021 Sep 23;9(9):CD011482. doi: 10.1002/14651858.CD011482.pub2. PMID: 34553773; PMCID: PMC8459393.

Jurczuk M, Bidwell P, Martinez D, Silverton L, Van der Meulen J, Wolstenholme D, Thakar R, Gurol-Urganci I, Sevdalis N. OASI2: a cluster randomised hybrid evaluation of strategies for sustainable implementation of the Obstetric Anal Sphincter Injury Care Bundle in maternity units in Great Britain. Implement Sci. 2021 May 22;16(1):55. doi: 10.1186/s13012-021-01125-z. PMID: 34022926; PMCID: PMC8140475.

Ghai V, Subramanian V, Jan H, Thakar R, Doumouchtsis SK; CHORUS: An International Collaboration for Harmonising Outcomes, Research and Standards in Urogynaecology and Women’s Health. A meta-synthesis of qualitative literature on female chronic pelvic pain for the development of a core outcome set: a systematic review. Int Urogynecol J. 2021 May;32(5):1187-1194. doi: 10.1007/s00192-021-04713-1. Epub 2021 Apr 6. PMID: 33822256; PMCID: PMC8139940.

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; CHORUS: An International Collaboration for Harmonising Outcomes, Research, Standards in Urogynaecology, Women's Health. A systematic review on reported outcomes and outcome measures in female idiopathic chronic pelvic pain for the development of a core outcome set. BJOG. 2021 Mar;128(4):628-634. doi: 10.1111/1471-0528.16412. Epub 2020 Sep 1. PMID: 32654406.

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. 2021 Feb;128(3):584-592. doi: 10.1111/1471-0528.16396. Epub 2020 Aug 9. PMID: 33426798; PMCID: PMC7818460.

Taithongchai A, Pandeva I, Sultan AH, Thakar R. Association between 3D endovaginal and 2D perineal pelvic floor ultrasound findings and symptoms in women presenting with mid-urethral sling complications. Ultrasound Obstet Gynecol. 2021 Apr;57(4):639-646. doi: 10.1002/uog.23130. PMID: 32959432

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. 2021 Jan;256:379-384. doi: 10.1016/j.ejogrb.2020.11.013. Epub 2020 Nov 28. PMID: 33279806.

Okeahialam NA, Taithongchai A, Sultan AH, Thakar R. Transperineal and endovaginal ultrasound for evaluating suburethral masses: comparison with magnetic resonance imaging. Ultrasound Obstet Gynecol. 2021 Jun;57(6):999-1005. doi: 10.1002/uog.23123. PMID: 32936990.

van Gruting IMA, van Delft KWM, Sultan AH, Thakar R. Natural history of levator ani muscle avulsion 4 years following childbirth. Ultrasound Obstet Gynecol. 2021 Aug;58(2):309-317. doi: 10.1002/uog.23120. 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 Oct 8;21(1):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 Nov;31(11):2405-2410. doi: 10.1007/s00192-020-04377-3. Epub 2020 Jun 16. PMID: 32556846; PMCID: PMC7561534.

Okeahialam NA, Roper J, Thakar R, Sultan AH. Utility of Ultrasound in the diagnosis and location of Mid Urethral Slings. J Clin Images. 2020; 3(1): 1024.

Roper JC, Okeahialam NA, Thakar R, Sultan AH. Ultrasound images of bulking agents used for stress urinary incontinence. J Clin Images. 2020; 3(1): 1025

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 Oct 8;21(1):837. doi: 10.1186/s13063-020-04738-9. PMID: 33032644; PMCID: PMC7542756.

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 Sep;252:303-312. doi: 10.1016/j.ejogrb.2020.06.048. Epub 2020 Jun 27. PMID: 32653603.

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 Nov;254:69-73. doi: 10.1016/j.ejogrb.2020.09.013. Epub 2020 Sep 10. PMID: 32942078.

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 Aug;251:83-88. doi: 10.1016/j.ejogrb.2020.05.016. Epub 2020 May 20. PMID: 32502772.

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 Jul;250:80-85. doi: 10.1016/j.ejogrb.2020.04.063. Epub 2020 May 4. PMID: 32408091.

Roper JC, Amber N, Wan OYK, Sultan AH, Thakar R. Review of available national guidelines for obstetric anal sphincter injury. Int Urogynecol J. 2020 Nov;31(11):2247-2259. doi: 10.1007/s00192-020-04464-5. Epub 2020 Aug 13. PMID: 32789813; PMCID: PMC7561538.

Wan OYK, Taithongchai A, Veiga SI, Sultan AH, Thakar R. A one-stop perineal clinic: our eleven-year experience. Int Urogynecol J. 2020 Nov;31(11):2317-2326. doi: 10.1007/s00192-020-04405-2. Epub 2020 Jul 2. PMID: 32617635; PMCID: PMC7561568.

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 Jul;31(7):1471-1478. doi: 10.1007/s00192-020-04274-9. Epub 2020 Mar 20. PMID: 32198534; PMCID: PMC7306045.

Kleprlikova H, Kalis V, Lucovnik M, Rusavy Z, Blaganje M, Thakar R, Ismail KM. Manual perineal protection: The know-how and the know-why. Acta Obstet Gynecol Scand. 2020 Apr;99(4):445-450. doi: 10.1111/aogs.13781. Epub 2019 Dec 28. PMID: 31793662.

Taithongchai A, Veiga SI, Sultan AH, Thakar R. The consequences of undiagnosed obstetric anal sphincter injuries (OASIS) following vaginal delivery. Int Urogynecol J. 2020 Mar;31(3):635-641. doi: 10.1007/s00192-019-04033-5. Epub 2019 Jul 23. PMID: 31338522.

D'Souza JC, Monga A, Tincello DG, Sultan AH, Thakar R, Hillard TC, Grigsby S, Kibria A, Jordan CF, Ashmore C. Maternal outcomes in subsequent delivery after previous obstetric anal sphincter injury (OASI): a multi-centre retrospective cohort study. Int Urogynecol J. 2020 Mar;31(3):627-633. doi: 10.1007/s00192-019-03983-0. Epub 2019 Jun 22. PMID: 31230097; PMCID: PMC7093337.

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 Oct;23(54):1-54. doi: 10.3310/hta23540. PMID: 31590702; PMCID: PMC6801364.

Taithongchai A, van Gruting IMA, Volløyhaug I, Arendsen LP, Sultan AH, Thakar R. Comparing the diagnostic accuracy of 3 ultrasound modalities for diagnosing obstetric anal sphincter injuries. Am J Obstet Gynecol. 2019 Aug;221(2):134.e1-134.e9. doi: 10.1016/j.ajog.2019.04.009. Epub 2019 Apr 11. PMID: 30981717.

Volløyhaug I, Taithongchai A, Van Gruting I, Sultan A, Thakar R. Levator ani muscle morphology and function in women with obstetric anal sphincter injury. Ultrasound Obstet Gynecol. 2019 Mar;53(3):410-416. doi: 10.1002/uog.20115. Epub 2019 Feb 4. PMID: 30207014.

Arendsen LP, Vig S, Thakar R, Sultan AH. Impact of copper compression stockings on venous insufficiency and lipodermatosclerosis: A randomised controlled trial. Phlebology. 2019 May;34(4):224-230. doi: 10.1177/0268355518795329. Epub 2018 Aug 27. PMID: 30149775.

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. PMID: 30103734; PMCID: PMC6090598.

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 May;29(5):647-666. doi: 10.1007/s00192-018-3603-9. Epub 2018 Mar 26. PMID: 29577166.

Knight M, Mottram L, Gray S, Partlett C, Juszczak E; ANODE collaborative group. Prophylactic antibiotics for the prevention of infection following operative vaginal delivery (ANODE): study protocol for a randomised controlled trial. Trials. 2018 Jul 24;19(1):395. doi: 10.1186/s13063-018-2787-0. PMID: 30041702; PMCID: PMC6056933.

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 posterior pelvic floor disorders in women with obstructed defecation syndrome? Ultrasound Obstet Gynecol. 2018 Dec;52(6):784-791. doi: 10.1002/uog.19105. PMID: 29882224.

Balachandran AA, Duvalla S, Sultan AH, Thakar R. Are obstetric outcomes affected by female genital mutilation? Int Urogynecol J. 2018 Mar;29(3):339-344. doi: 10.1007/s00192-017-3466-5. Epub 2017 Sep 9. PMID: 28889193.

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 Nov;29(11):1579-1588. doi: 10.1007/s00192-018-3601-y. Epub 2018 Mar 29. PMID: 29600403; PMCID: PMC6208957.

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. 2017 Jun;36(5):1403-1410. doi: 10.1002/nau.23123. Epub 2016 Oct 24. PMID: 27778369.

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 Aug;124(9):1422-1429. doi: 10.1111/1471-0528.14503. Epub 2017 Feb 7. PMID: 28176494.

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 Nov;130(5):1017-1024. doi: 10.1097/AOG.0000000000002245. PMID: 29016504.

Naidu M, Sultan AH, Thakar R. Reducing obstetric anal sphincter injuries using perineal support: our preliminary experience. Int Urogynecol J. 2017 Mar;28(3):381-389. doi: 10.1007/s00192-016-3176-4. Epub 2016 Oct 19. PMID: 27761586.

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. PMID: 28389490; PMCID: PMC5558821.

Sioutis D, Thakar R, Sultan AH. Overdiagnosis and rising rate of obstetric anal sphincter injuries (OASIS): time for reappraisal. Ultrasound Obstet Gynecol. 2017 Nov;50(5):642-647. doi: 10.1002/uog.17306. PMID: 27643513.

Lone F, Sultan AH, Stankiewicz A, Thakar R. Interobserver agreement of multicompartment ultrasound in the assessment of pelvic floor anatomy. Br J Radiol. 2016;89(1059):20150704. doi: 10.1259/bjr.20150704. Epub 2016 Jan 22. PMID: 26800394; PMCID: PMC4986489.

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 Sep-Oct;22(5):292-6. doi: 10.1097/SPV.0000000000000282. PMID: 27054796; PMCID: PMC5002232.

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 Jan;27(1):85-92. doi: 10.1007/s00192-015-2800-z. Epub 2015 Aug 5. PMID: 26243181.

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 Jan;35(1):15-20. doi: 10.1002/nau.22677. Epub 2014 Nov 15. PMID: 25400065.

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 Sep;26(9):1305-12. doi: 10.1007/s00192-015-2686-9. Epub 2015 Apr 11. PMID: 25862241.

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 Jul;26(7):991-6. doi: 10.1007/s00192-014-2583-7. Epub 2015 May 21. PMID: 25994625; PMCID: PMC4573594.

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 Jun;26(6):813-6. doi: 10.1007/s00192-015-2625-9. Epub 2015 Feb 6. PMID: 25656454.

van Delft K, Thakar R, Sultan AH. Pelvic floor muscle contractility: digital assessment vs transperineal ultrasound. Ultrasound Obstet Gynecol. 2015 Feb;45(2):217-22. doi: 10.1002/uog.13456. PMID: 25044167.

van Delft K, Thakar R, Sultan AH, Kluivers KB. Does the prevalence of levator ani muscle avulsion differ when assessed using tomographic ultrasound imaging at rest vs on maximum pelvic floor muscle contraction? Ultrasound Obstet Gynecol. 2015 Jul;46(1):99-103. doi: 10.1002/uog.14719. PMID: 25366807.

van Delft KW, Thakar R, Sultan AH, IntHout J, Kluivers KB. The natural history of levator avulsion one year following childbirth: a prospective study. BJOG. 2015 Aug;122(9):1266-73. doi: 10.1111/1471-0528.13223. Epub 2014 Dec 17. PMID: 25514994.

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. PMID: 25392789; PMCID: PMC4216823.

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 Oct;127(1):47-50. doi: 10.1016/j.ijgo.2014.04.013. Epub 2014 Jun 12. PMID: 25097141; PMCID: PMC4175217.

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 Res Notes. 2014 Jul 24;7:471. doi: 10.1186/1756-0500-7-471. PMID: 25056485; PMCID: PMC4119183.

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 Oct;127(1):69-72. doi: 10.1016/j.ijgo.2014.04.017. Epub 2014 Jun 19. PMID: 24994496.

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 Aug;87(1040):20140145. doi: 10.1259/bjr.20140145. Epub 2014 Jun 24. PMID: 24959953; PMCID: PMC4112391

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 Jan;26(1):33-9. doi: 10.1007/s00192-014-2426-6. Epub 2014 May 24. PMID: 24859796.

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 Dec;25(12):1621-7. doi: 10.1007/s00192-014-2406-x. Epub 2014 May 16. PMID: 24832856.

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 Oct;25(10):1327-32. doi: 10.1007/s00192-014-2387-9. Epub 2014 Apr 10. PMID: 24718973.

van Delft K, Thakar R, Sultan AH, Schwertner-Tiepelmann N, Kluivers K. Levator ani muscle avulsion during childbirth: a risk prediction model. BJOG. 2014 Aug;121(9):1155-63; discussion 1163. doi: 10.1111/1471-0528.12676. Epub 2014 Mar 5. PMID: 24593314.

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 Aug;121(9):1164-71; discussion 1172. doi: 10.1111/1471-0528.12666. Epub 2014 Feb 19. PMID: 24548759.

Roos AM, Thakar R, Sultan AH, de Leeuw JW, Paulus AT. The impact of pelvic floor surgery on female sexual function: a mixed quantitative and qualitative study. BJOG. 2014 Jan;121(1):92-100; discussion 101. doi: 10.1111/1471-0528.12412. Epub 2013 Sep 10. PMID: 24020923.

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 Feb;43(2):202-9. doi: 10.1002/uog.13193. PMID: 23939804.

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 Feb;43(2):210-7. doi: 10.1002/uog.12571. PMID: 23893754.

Roos AM, Thakar R, Sultan AH, Burger CW, Paulus AT. Pelvic floor dysfunction: women's sexual concerns unraveled. J Sex Med. 2014 Mar;11(3):743-52. doi: 10.1111/jsm.12070. Epub 2013 Jan 24. PMID: 23347592.

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 Jul;24(7):1091-103. doi: 10.1007/s00192-012-2020-8. Epub 2013 Apr 30. PMID: 23632798.

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 Aug;24(8):1287-93. doi: 10.1007/s00192-012-1938-1. Epub 2012 Sep 28. PMID: 23052628.

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 Jul;24(7):1085-90. doi: 10.1007/s00192-012-1935-4. Epub 2012 Sep 22. PMID: 23001047.

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 Jun;24(6):927-37. doi: 10.1007/s00192-012-1932-7. Epub 2012 Sep 7. PMID: 22955252.

Bugge C, Hagen S, Thakar R. Vaginal pessaries for pelvic organ prolapse and urinary incontinence: a multiprofessional survey of practice. Int Urogynecol J. 2013 Jun;24(6):1017-24. doi: 10.1007/s00192-012-1985-7. Epub 2012 Nov 21. PMID: 23179500.

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 Sep;42(3):341-6. doi: 10.1002/uog.12426. PMID: 23371476.

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 Jul;24(7):1105-22. doi: 10.1007/s00192-012-2037-z. Epub 2013 Apr 30. PMID: 23632799.

Roos AM, Sultan AH, Thakar R. Sexual problems in the gynecology clinic: are we making a mountain out of a molehill? Int Urogynecol J. 2012 Feb;23(2):145-52. doi: 10.1007/s00192-011-1516-y. Epub 2011 Jul 28. PMID: 21796468.

Johnson A, Thakar R, Sultan AH. Obstetric perineal wound infection: is there underreporting? Br J Nurs. 2012 Mar 8-21;21(5):S28, S30, S32-5. doi: 10.12968/bjon.2012.21.Sup5.S28. PMID: 22489339.

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 Nov;23(11):1555-60. doi: 10.1007/s00192-012-1779-y. Epub 2012 Apr 28. PMID: 22543548.

Andrews V, Shelmeridine S, Sultan AH, Thakar R. Anal and urinary incontinence 4 years after a vaginal delivery. Int Urogynecol J. 2013 Jan;24(1):55-60. doi: 10.1007/s00192-012-1835-7. Epub 2012 Jul 4. PMID: 22760264.

Naidu M, Sultan AH, Thakar R. Convalescence advice following gynaecological surgery. J Obstet Gynaecol. 2012 Aug;32(6):556-9. doi: 10.3109/01443615.2012.693983. PMID: 22779961.

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 Jul;114(1):56-9. doi: 10.1016/j.ijgo.2011.02.006. Epub 2011 May 14. PMID: 21575953.

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 Jul;66(7):597-604. doi: 10.1016/j.crad.2010.11.017. Epub 2011 Mar 25. PMID: 21440249.

Roos AM, Abdool Z, Thakar R, Sultan AH. Predicting anal sphincter defects: the value of clinical examination and manometry. Int Urogynecol J. 2012 Jun;23(6):755-63. doi: 10.1007/s00192-011-1609-7. Epub 2011 Nov 18. PMID: 22095551.

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 Nov;22(11):1421-7. doi: 10.1007/s00192-011-1501-5. Epub 2011 Jul 26. PMID: 21789660.

Lone F, Sultan AH, Thakar R, Beggs A. Risk factors and management patterns for emergency obstetric hysterectomy over 2 decades. Int J Gynaecol Obstet. 2010 Apr;109(1):12-5. doi: 10.1016/j.ijgo.2009.10.012. Epub 2009 Dec 1. PMID: 19951818.

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 Nov;21(11):1359-64. doi: 10.1007/s00192-010-1211-4. Epub 2010 Jun 23. PMID: 20571764.

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. 2011 Mar;22(3):273-8. doi: 10.1007/s00192-010-1340-9. Epub 2010 Dec 16. PMID: 21161179.

Roos AM, Thakar R, Sultan AH, Scheer I. Female sexual dysfunction: are urogynecologists ready for it? Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jan;20(1):89-101. doi: 10.1007/s00192-008-0735-3. Epub 2008 Oct 14. PMID: 18853081.

Andrews V, Thakar R, Sultan AH. Outcome of obstetric anal sphincter injuries (OASIS)--role of structured management. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Aug;20(8):973-8. doi: 10.1007/s00192-009-0883-0. Epub 2009 May 5. PMID: 19415154.

Oliver R, Thakar R, Sultan AH, Phillimore A. Urogynecology triage clinic: a model of healthcare delivery. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Aug;20(8):913-7. doi: 10.1007/s00192-009-0878-x. Epub 2009 May 28. PMID: 19475330.

Scheer I, Thakar R, Sultan AH. Mode of delivery after previous obstetric anal sphincter injuries (OASIS)--a reappraisal? Int Urogynecol J Pelvic Floor Dysfunct. 2009 Sep;20(9):1095-101. doi: 10.1007/s00192-009-0908-8. Epub 2009 May 28. PMID: 19475329.

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 Sep;36(3):368-74. doi: 10.1002/uog.7512. PMID: 20069661.

Kapoor DS, Thakar R, Sultan AH, Oliver R. Conservative versus surgical management of prolapse: what dictates patient choice? Int Urogynecol J Pelvic Floor Dysfunct. 2009 Oct;20(10):1157-61. doi: 10.1007/s00192-009-0930-x. Epub 2009 Jun 19. PMID: 19543676.

Kapoor DS, Sultan AH, Thakar R, Abulafi MA, Swift RI, Ness W. Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic. Colorectal Dis. 2008 Feb;10(2):118-23. doi: 10.1111/j.1463-1318.2007.01208.x. PMID: 18199292.

Singh A, Scheer I, Thakar R, Sultan AH. Trials and tribulations of the current national consent form. J Obstet Gynaecol. 2007 Jul;27(5):475-8. doi: 10.1080/01443610701405895. PMID: 17701793.

Scheer I, Andrews V, Thakar R, Sultan AH. Urinary incontinence after obstetric anal sphincter injuries (OASIS)--is there a relationship? Int Urogynecol J Pelvic Floor Dysfunct. 2008 Feb;19(2):179-83. doi: 10.1007/s00192-007-0431-8. Epub 2007 Aug 2. PMID: 17671753.

Thakar R, Chawla S, Scheer I, Barrett G, Sultan AH. Sexual function following pelvic floor surgery. Int J Gynaecol Obstet. 2008 Aug;102(2):110-4. doi: 10.1016/j.ijgo.2008.03.013. Epub 2008 May 7. PMID: 18466905.

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 Pelvic Floor Dysfunct. 2009 Apr;20(4):407-10. doi: 10.1007/s00192-008-0784-7. Epub 2008 Dec 12. PMID: 19082774.

Thakar R, Ayers S, Srivastava R, Manyonda I. Removing the cervix at hysterectomy: an unnecessary intervention? Obstet Gynecol. 2008 Dec;112(6):1262-1269. doi: 10.1097/AOG.0b013e31818f3bf5. PMID: 19037034.

Andrews V, Sultan AH, Thakar R, Jones PW. Occult anal sphincter injuries--myth or reality? BJOG. 2006 Feb;113(2):195-200. doi: 10.1111/j.1471-0528.2006.00799.x. PMID: 16411998.

Andrews V, Sultan AH, Thakar R, Jones PW. Risk factors for obstetric anal sphincter injury: a prospective study. Birth. 2006 Jun;33(2):117-22. doi: 10.1111/j.0730-7659.2006.00088.x. PMID: 16732776.

Uchil D, Thakar R, Sultan AH, Seymour J, Addison R. Continence pads: have we got it right? Int Urogynecol J Pelvic Floor Dysfunct. 2006 May;17(3):234-8. doi: 10.1007/s00192-005-1341-2. Epub 2005 Jul 6. PMID: 15999216.

Fernando RJ, Thakar R, Sultan AH, Shah SM, Jones PW. Effect of vaginal pessaries on symptoms associated with pelvic organ prolapse. Obstet Gynecol. 2006 Jul;108(1):93-9. doi: 10.1097/01.AOG.0000222903.38684.cc. PMID: 16816061.

Andrews V, Thakar R, Sultan AH, Jones PW. Are mediolateral episiotomies actually mediolateral? BJOG. 2005 Aug;112(8):1156-8. doi: 10.1111/j.1471-0528.2005.00645.x. Erratum in: BJOG. 2005 Oct;112(10):1459. PMID: 16045535.

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, Georgakapolou A, 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 Oct;111(10):1115-20. doi: 10.1111/j.1471-0528.2004.00242.x. PMID: 15383114.

Thakar R, Manyonda I, Robinson G, Clarkson P, Stanton S. Total versus subtotal hysterectomy: a survey of current views and practice among British gynaecologists. J Obstet Gynaecol. 1998 May;18(3):267-9. doi: 10.1080/01443619867470. PMID: 15512075.

Davis K, Kumar D, Stanton SL, Thakar R, Fynes M, Bland J. Symptoms and anal sphincter morphology following primary repair of third-degree tears. Br J Surg. 2003 Dec;90(12):1573-9. doi: 10.1002/bjs.4349. PMID: 14648738.

Thakar R, Ayers S, Clarkson P, Stanton S, Manyonda I. Outcomes after total versus subtotal abdominal hysterectomy. N Engl J Med. 2002 Oct 24;347(17):1318-25. doi: 10.1056/NEJMoa013336. PMID: 12397189.

Thakar R, Stanton S, Prodigalidad L, den Boon J. Secondary colposuspension: results of a prospective study from a tertiary referral centre. BJOG. 2002 Oct;109(10):1115-20. doi: 10.1111/j.1471-0528.2002.01377.x. PMID: 12387463.

Barrett G, Pendry E, Peacock J, Victor C, Thakar R, Manyonda I. Women's sexual health after childbirth. BJOG. 2000 Feb;107(2):186-95. doi: 10.1111/j.1471-0528.2000.tb11689.x. PMID: 10688502.

Barrett G, Pendry E, Peacock J, Victor C, Thakar R, Manyonda I. Women's sexuality after childbirth: a pilot study. Arch Sex Behav. 1999 Apr;28(2):179-91. doi: 10.1023/a:1018771906780. PMID: 10483509.

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.

Reviews and Editorials

Okeahialam N, Salami O, Siddiqui F, Thangaratinam S, Khalil A, Thakar R. Effects of strategies to tackle racism experienced by healthcare professionals: a systematic review. BMJ Open. 2025 Jan 9;15(1):e091811. doi: 10.1136/bmjopen-2024-091811. PMID: 39788770; PMCID: PMC11751972.

Hopkinson N, Agrawal S, Thakar R, Griffiths C, Walker I, Branston JR; a further 203 organisations and individuals. Achieving a smoke-free country-a best buy for the UK chancellor. BMJ. 2024 Oct 16;387:q2231. doi: 10.1136/bmj.q2231. PMID: 39414355.

Woon Wong K, Okeahialam N, Thakar R, Sultan AH. Obstetric risk factors for levator ani muscle avulsion: A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2024 May;296:99-106. doi: 10.1016/j.ejogrb.2024.02.044. Epub 2024 Feb 24. PMID: 38422805.

Thakar R, Sultan AH. Lateral episiotomy during vacuum assisted childbirth. BMJ. 2024 Jun 17;385:q1287. doi: 10.1136/bmj.q1287. PMID: 38886021.

Okeahialam NA, Sultan AH, Thakar R. The prevention of perineal trauma during vaginal birth. Am J Obstet Gynecol. 2024 Mar;230(3S):S991-S1004. doi: 10.1016/j.ajog.2022.06.021. Epub 2023 Aug 11. PMID: 37635056.

Jurczuk M, Thakar R, Carroll FE, Phillips L, van der Meulen J, Gurol-Urganci I, Sevdalis N. Design and management considerations for control groups in hybrid effectiveness-implementation trials: Narrative review & case studies. Front Health Serv. 2023 Mar 10;3:1059015. doi: 10.3389/frhs.2023.1059015. PMID: 36926502; PMCID: PMC10012616.

Okeahialam NA, Thakar R, Sultan AH. Healing of disrupted perineal wounds after vaginal delivery: a poorly understood condition. Br J Nurs. 2021 Nov 2;30(Sup20):S8-S16. doi: 10.12968/bjon.2021.30.Sup20.S8. PMID: 34781764.

Duckett J, Thakar R, Shah V, Stephenson J, Balachandran A. The Use of Imaging for Synthetic Midurethral Slings. J Ultrasound Med. 2020 Aug;39(8):1497-1506. doi: 10.1002/jum.15254. Epub 2020 Mar 3. PMID: 32125008.

Thakar R, Gurol-Urganci I, Bidwell P, Sevdalis N, Silverton L, Freeman R, van der Meulen J. Obstetric Anal Sphincter Injury (OASI) Care Bundle: Response to a critical review. Midwifery. 2020 Nov;90:102802. doi: 10.1016/j.midw.2020.102802. Epub 2020 Jul 18. PMID: 32721636.

Thakar R, Cundiff GW. In pursuit of patient-centered innovation: The role of professional organizations. Int Urogynecol J. 2020 Mar;31(3):423-428. doi: 10.1007/s00192-020-04238-z. PMID: 32020246.

Sultan AH, Thakar R, Ismail KM, Kalis V, Laine K, Räisänen SH, de Leeuw JW. The role of mediolateral episiotomy during operative vaginal delivery. Eur J Obstet Gynecol Reprod Biol. 2019 Sep;240:192-196. doi: 10.1016/j.ejogrb.2019.07.005. Epub 2019 Jul 9. PMID: 31310920.

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):e00125-18. doi: 10.1128/CMR.00125-18. PMID: 31413046; PMCID: PMC6730497.

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 Sep;30(9):1401-1411. doi: 10.1007/s00192-019-03973-2. Epub 2019 May 11. PMID: 31079196.

Taithongchai A, Sultan AH, Thakar R. A guide to indications, components and interpretation of urodynamic investigations. The Obstetrician & Gynaecologist 2019; 21: 193–202. https://doi.org/10.1111/tog.12575

Balachandran A, Woon Wong K , Thakar R. Risk factors and management of obstetric anal sphincter injury. Obstetrics, Gynaecology and Reproductive Medicine 2019; 29:93-97 https://doi.org/10.1016/j.ogrm.2022.04.002

Thakar R. Is the Uterus a Sexual Organ? Sexual Function Following Hysterectomy. Sex Med Rev. 2015 Oct;3(4):264-278. doi: 10.1002/smrj.59. Epub 2015 Nov 10. PMID: 27784599.

Kapoor DS, Thakar R, Sultan AH. Obstetric anal sphincter injuries: review of anatomical factors and modifiable second stage interventions. Int Urogynecol J. 2015 Dec;26(12):1725-34. doi: 10.1007/s00192-015-2747-0. Epub 2015 Jun 5. PMID: 26044511.

Fernando RJ, Sultan AH, Kettle C, Thakar R. Methods of repair for obstetric anal sphincter injury. Cochrane Database Syst Rev. 2013 Dec 8;2013(12):CD002866. doi: 10.1002/14651858.CD002866.pub3. PMID: 24318732; PMCID: PMC11711291.

Lone F, Sultan A, Thakar R. Obstetric pelvic floor and anal sphincter injuries. The Obstetrician & Gynaecologist 2012;14:257–266. https://doi.org/10.1111/j.1744-4667.2012.00133.x

Hagen, S., & Thakar, R. (2012). Conservative management of pelvic organ prolapse. Obstetrics, Gynaecology and Reproductive Medicine, 22(5), 118–122. https://doi.org/10.1016/j.ogrm.2012.02.003

Schwertner-Tiepelmann N, Thakar R, Sultan AH, Tunn R. Obstetric levator ani muscle injuries: current status. Ultrasound Obstet Gynecol. 2012 Apr;39(4):372-83. doi: 10.1002/uog.11080. PMID: 22190408.

Abdool Z, Sultan AH, Thakar R. Ultrasound imaging of the anal sphincter complex: a review. Br J Radiol. 2012 Jul;85(1015):865-75. doi: 10.1259/bjr/27314678. Epub 2012 Feb 28. PMID: 22374273; PMCID: PMC3474057.

Oliver R, Thakar R, Sultan AH. The history and usage of the vaginal pessary: a review. Eur J Obstet Gynecol Reprod Biol. 2011 Jun;156(2):125-30. doi: 10.1016/j.ejogrb.2010.12.039. Epub 2011 Jan 21. PMID: 21255901.

Thakar R. Review of current status of female sexual dysfunction evaluation in urogynecology. Int Urogynecol J Pelvic Floor Dysfunct. 2009 May;20 Suppl 1:S27-31. doi: 10.1007/s00192-009-0830-0. PMID: 19440780.

Abdool Z, Thakar R, Sultan AH. Postpartum female sexual function. Eur J Obstet Gynecol Reprod Biol. 2009 Aug;145(2):133-7. doi: 10.1016/j.ejogrb.2009.04.014. Epub 2009 May 29. PMID: 19481858.

Jha S, Thakar R. Female sexual dysfunction. Eur J Obstet Gynecol Reprod Biol. 2010 Dec;153(2):117-23. doi: 10.1016/j.ejogrb.2010.06.010. Epub 2010 Aug 1. PMID: 20678854.

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 Aug;63(8):527-37. doi: 10.1097/OGX.0b013e31817f13e3. PMID: 18631409.

Shah SM, Sultan AH, Thakar R. The history and evolution of pessaries for pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2006 Feb;17(2):170-5. doi: 10.1007/s00192-005-1313-6. Epub 2005 Apr 14. PMID: 15830115.

Thakar R, Sultan AH. Hysterectomy and pelvic organ dysfunction. Best Pract Res Clin Obstet Gynaecol. 2005 Jun;19(3):403-18. doi: 10.1016/j.bpobgyn.2005.01.008. Epub 2005 Feb 12. PMID: 15985255.

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

Kapoor DS, Thakar R, Sultan AH. Combined urinary and faecal incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2005 Jul-Aug;16(4):321-8. doi: 10.1007/s00192-004-1283-0. Epub 2005 Feb 24. PMID: 15729476.

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 Pract Res Clin Obstet Gynaecol. 2004 Feb;18(1):157-73. doi: 10.1016/j.bpobgyn.2003.09.007. PMID: 15123064.

Thakar R. Dispelling the myth--does hysterectomy cause pelvic organ dysfunction? BJOG. 2004 Dec;111 Suppl 1:20-3. doi: 10.1111/j.1471-0528.2004.00461.x. PMID: 15663152.

Thakar, R. and Sultan, A.H. (2003), Management of obstetric anal sphincter injury. The Obstetrician & Gynaecologist, 5: 72-78. https://doi.org/10.1576/toag.5.2.72

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

Thakar R, Stanton S. Management of genital prolapse. BMJ. 2002 May 25;324(7348):1258-62. doi: 10.1136/bmj.324.7348.1258. PMID: 12028982; PMCID: PMC1123216.

Sultan AH, Thakar R. Lower genital tract and anal sphincter trauma. Best Pract Res Clin Obstet Gynaecol. 2002 Feb;16(1):99-115. doi: 10.1053/beog.2002.0258. PMID: 11866500.

Thakar R, Stanton S. Management of genital prolapse. BMJ. 2002 May 25;324(7348):1258-62. doi: 10.1136/bmj.324.7348.1258. PMID: 12028982; PMCID: PMC1123216.

Thakar R, Manyonda R, Stanton SL, Clarkson P, Robinson G. Bowel function and hysterectomy--a review. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(5):337-41. doi: 10.1007/pl00004041. PMID: 11716002.

Thakar R, Stanton SL. Weakness of the pelvic floor: urological consequences. Hosp Med. 2000 Apr;61(4):259-66. doi: 10.12968/hosp.2000.61.4.1314. PMID: 10858803.

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

Thakar R, Stanton S. Regular review: management of urinary incontinence in women. BMJ. 2000 Nov 25;321(7272):1326-31. doi: 10.1136/bmj.321.7272.1326. PMID: 11090517; PMCID: PMC1119067.

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

Thakar R, Manyonda I, Stanton SL, Clarkson P, Robinson G. Bladder, bowel and sexual function after hysterectomy for benign conditions. Br J Obstet Gynaecol. 1997 Sep;104(9):983-7. doi: 10.1111/j.1471-0528.1997.tb12053.x. PMID: 9307521.

Books

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

Sultan A, Thakar R, Fenner D. Perineal and anal sphincter trauma. Springer 1st ed. 2007

Sultan A, Thakar R, Lewicky-Gaupp C. Pelvic Floor, Perineal, and Anal Sphincter Trauma During Childbirth: Diagnosis, Management and Prevention. Springer.2nd ed. 2024

Thakar R, Toosz-Hobson P, Dolan L, editors. Urodynamics Illustrated. Cambridge: Cambridge University Press; 2011.

Rogers R, Sung WV, Thakar R, Iglesia C Invited editor for Female Pelvic Medicine and Reconstructive Surgery: Clinical Practice and Surgical Atlas, Williams Gynecology Highly commended by BMA in the Obstetrics & Gynaecology category

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

Thakar R, Toozs-Hobson P, Dolan L, editors. *Urodynamic Illustrated.* Cambridge University Press; 2011.

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

Chapters in Books

Sultan, A.H., Thakar, R. (2010). Posterior Compartment Disorders and Management of Acute Anal Sphincter Trauma. In: Santoro, G.A., Wieczorek, A.P., Bartram, C.I. (eds) Pelvic Floor Disorders. Springer, Milano. https://doi.org/10.1007/978-88-470-1542-5_17

Thakar, R., Sultan, A.H. (2021). Prevention of Perineal Trauma. In: Santoro, G.A., Wieczorek, A.P., Sultan, A.H. (eds) Pelvic Floor Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-40862-6_15

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

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, A.H. (2010). Prevention of Perineal Trauma. In: Santoro, G.A., Wieczorek, A.P., Bartram, C.I. (eds) Pelvic Floor Disorders. Springer, Milano. https://doi.org/10.1007/978-88-470-1542-5_18

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. (2008). Role of a Perineal Clinic. In: Baessler, K., Burgio, K.L., Norton, P.A., Schüssler, B., Moore, K.H., Stanton, S.L. (eds) Pelvic Floor Re-education. Springer, London. https://doi.org/10.1007/978-1-84628-505-9_28

Sultan, A.H., Thakar, R. (2009). Third and Fourth Degree Tears. In: Sultan, A.H., Thakar, R., Fenner, D.E. (eds) Perineal and Anal Sphincter Trauma. Springer, London. https://doi.org/10.1007/978-1-84628-503-5_4

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. 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, https://doi.org/10.1093/med/9780198567301.001.0001

Thakar R. Vulval/Perineal Haematoma. In S Arulkumaran (eds) Emergencies in Obstetrics and Gynaecology Oxford: Oxford University Press: 2006, https://doi.org/10.1093/med/9780198567301.001.0001

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, 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

Scheer I, Thakar R, Sultan AH, Newman-Saunders T. Voiding dysfunction after abdominoplasty--an unusual complication. Int Urogynecol J Pelvic Floor Dysfunct. 2007 Feb;18(2):213-4. doi: 10.1007/s00192-006-0114-x. Epub 2006 Apr 5. PMID: 16596460.

Fernando RJ, Sultan AH, Thakar R, Jeyanthan K. Management of the neglected vaginal ring pessary. Int Urogynecol J Pelvic Floor Dysfunct. 2007 Jan;18(1):117-9. doi: 10.1007/s00192-006-0089-7. Epub 2006 May 13. PMID: 16699913.

Viswanatha RK, Moore CM, Thakar R. Intra-ureteric placement of a urinary catheter in the previously undiagnosed duplex ureter. Int Urogynecol J. 2014 Jan;25(1):143-4. doi: 10.1007/s00192-013-2099-6. Epub 2013 Jun 8. PMID: 23749239.

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. 2021 Jan 1;27(1):e252-e255. doi: 10.1097/SPV.0000000000000987. PMID: 33208656.

Taithongchai A, Sultan AH, Thakar R. Autologous rectus fascial slings for stress urinary incontinence: can we see them on ultrasound? Int Urogynecol J. 2020 Feb;31(2):415-417. doi: 10.1007/s00192-019-04056-y. Epub 2019 Jul 25. PMID: 31346672.

Jan H, Ghai V, Thakar R. Laparoscopic Colposuspension for Recurrent Stress Incontinence after Tension-free Vaginal Tape. J Minim Invasive Gynecol. 2019 Mar-Apr;26(3):402-403. doi: 10.1016/j.jmig.2018.06.017. Epub 2018 Jul 11. PMID: 30005842.

Jan H, Ghai V, Thakar R. Simplified Laparoscopic Sacrohysteropexy. J Minim Invasive Gynecol. 2018 Nov-Dec;25(7):1134. doi: 10.1016/j.jmig.2018.01.014. Epub 2018 Jan 31. PMID: 29371171.

Letters

Thakar BR, Ugwumadu AH, Manyonda IT. A randomised prospective trial comparing laparoscopic and abdominal hysterectomy. Br J Obstet Gynaecol. 1996 Nov;103(11):1171. doi: 10.1111/j.1471-0528.1996.tb09605.x. PMID: 8917010.

Manyonda I, Thakar RB, Ayers S. Randomised controlled trial of total compared with subtotal hysterectomy with one-year follow up results. BJOG. 2004 Jul;111(7):760; author reply 760-1. doi: 10.1111/j.1471-0528.2004.00164.x. PMID: 15198771.

Sultan AH, Thakar R. Diagnosis of anal sphincter tears to prevent fecal incontinence: a randomized controlled trial. Obstet Gynecol. 2005 Nov;106(5 Pt 1):1108-9; author reply 1109. doi: 10.1097/01.AOG.0000186051.88740.7f. PMID: 16260538.

Kapoor DS, Sultan AH, Thakar R. A retrospective review of patients seen in a multidisciplinary pelvic floor clinic. J Obstet Gynaecol Can. 2010 Nov;32(11):1028-1029. doi: 10.1016/S1701-2163(16)34707-7. PMID: 21226236.

Van Delft KW, Thakar R, Sultan AH. Levator avulsion using a tomographic ultrasound and magnetic resonance-based model. Am J Obstet Gynecol. 2012 Apr;206(4):e7. doi: 10.1016/j.ajog.2012.01.012. Epub 2012 Jan 13. PMID: 22365039.

de Leeuw JW, Kalis V, Ismail KM, Thakar R, Sultan AH. Not only residents, but gynecologists and obstetricians, too…. Acta Obstet Gynecol Scand. 2019 Jul;98(7):945. doi: 10.1111/aogs.13593. Epub 2019 Mar 15. PMID: 30801656.

Kleprlikova H, Kalis V, Lucovnik M, Rusavy Z, Blaganje M, Thakar R, Ismail KM. Slowing of fetal head descent is an integral component of manual perineal protection. Acta Obstet Gynecol Scand. 2020 Apr;99(4):558-559. doi: 10.1111/aogs.13799. Epub 2020 Jan 16. PMID: 31891186.

Roper JC, Okeahialam NA, Thakar R, Sultan AH. A Clinical Risk Calculator to Predict Obstetric Anal Sphincter Injuries in Laboring Patients. Female Pelvic Med Reconstr Surg. 2020 Dec 1;26(12):779. doi: 10.1097/SPV.0000000000000851. PMID: 32487883.

Okeahialam NA, Wong KW, Roper J, Thakar R, Sultan AH. Re: Cesarean section in the second delivery to prevent anal incontinence after asymptomatic obstetrical anal sphincter injury: the EPIC multicentre randomised trial. BJOG. 2021 Mar;128(4):770-771. doi: 10.1111/1471-0528.16578. Epub 2020 Nov 20. PMID: 33215820.

Okeahialam NA, Banerjee I, Wong KW, Thakar R, Sultan AH. More answers are needed before proposing surgical management of pudendal nerve entrapment after sacrospinous ligament fixation. BJOG. 2022 Oct;129(11):1942. doi: 10.1111/1471-0528.17247. Epub 2022 Jun 27. PMID: 35757842.

Wong KW, Okeahialam N, Thakar R, Sultan AH. Response to letter to the Editor 'Clarifying risk factors and missed opportunities in levator ani muscle avulsion research. Eur J Obstet Gynecol Reprod Biol. 2025 Apr 17;308:263. doi: 10.1016/j.ejogrb.2025.02.059. Epub 2025 Mar 1. PMID: 40050147.

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