​Fellowship Programme

Urogynaecology and Pelvic Reconstructive Surgery

Urogynaecology, a sub-specialty of Obstetrics and Gynaecology deals with   diagnosis and treatment of women who have pelvic floor disorders.  These may include

• Incontinence: Loss of urinary or bowel control

• Prolapse: descent of pelvic organs (uterus,vagina,bladder,urethra,rectum )

• Difficulty   urinating or moving bowels

• Pelvic or bladder pain

• Sexual dysfunctions

• Overactive bladder: pressure and frequent need to void

Department of Obstetrics and Gynaecology introduced pelvic floor services with trained Urogynaecologist and Pelvic Physiotherapist in 2004.The department is pioneer in establishing pelvic floor services including Urodynamics, EMG, Pelvic Nerve Conduction studies and Surgery for Stress urinary Incontinence in Pakistan.

We have estimated the burden of disease in rural  Pakistan as Urinary Incontinence 11.5%and Utero-vaginal Prolapse 12.5%.Considering the magnitude of problem and shortage of trained Urogynaecologist in Pakistan .A Fellowship training programme was developed in year 2009.This involves multidisciplinary  approach and collaboration with department of Physiotherapy, Urology and  Colorectal Surgery to offer our Fellows a complete range of clinical and surgical training.

This highly competitive programme is the only programme of its kind in Pakistan and requires two additional years of training after completion of an accredited residency in Obstetrics and Gynaecology .The goals of the fellowship include leading the field through research and innovation with new and improved surgical methods for treating benign gynaecologic conditions (e.g.  Stress urinary incontinence, vault prolapse, nulliparous patient with prolapse .and non-descent vaginal hysterectomy) with a severe impact on women’s quality of life.

Our Urogynaecology services offer all the state of the art treatment options for a variety of inpatient and outpatient volumes.  The programme is designed in a way that training aspects are given equal attention to research and education through provision of protected time .The fellow is required to participate in all mandatory teaching sessions.
The fellowship curriculum has been developed according to the need of our population and by the end of fellowship we expect the fellow to

• Know the basis of pelvic floor dysfunction including urinary and fecal incontinence.
• Show an improvement in the quality of care of women with pelvic floor disorders
• Develop clinical competence to diagnose, evaluate common urinary, fecal and pelvic floor disorders.
• To perform surgery for stress urinary Incontinence, Utero-Vaginal Prolapse
• To conduct and interpret Urodynamic Studies ,EMG
• Demonstrate knowledge, practice and community teaching of urinary/fecal incontinence, pelvic floor injuries and defects.
• Develop a  close understanding and working relationship with other disciplines like colorectal surgeon, pelvic physiotherapist ,urodynamcist ,involved in field of urogynaecology

Course Faculty

Course director
Dr. Raheela Mohsin, FCPS (PK)
Clinical Fellowship Urogynaecology sydney, Australia
Assistant Professor
Department of Obstetrics & Gynaecology
Aga Khan University, Karachi

Other Faculty

Dr. Tahira Naru
Assistant Professor.
MD (Dusseldorf); FAOG (Germany)
Department of Obstetrics & Gynaecology
Aga Khan University, PO Box number 3500
Karachi 74800, Pakistan
Fax: +9221 34932095

Urology

Dr. Nuzhat  Faruqui, MBBS, FCPS (Urol), FEBU,
SIU Fellow, IUGA Fellow Female Urology & Pelvic Floor Reconstruction,
Assistant Professor,
Department of Surgery,
Aga Khan University, PO Box number 3500
Karachi 74800, Pakistan
Telephone (office): +92 213 4864746 Fax: +9221 34932095

Dr. Syed Raziuddin Biyabani, MBBS,FCPS
Associate Professor and Head of Urology Section.
Clinical Fellowshipin Urology (Singapore).
Department of Surgery
Aga Khan University, PO Box number 3500
Karachi 74800, Pakistan
Fax: +9221 34932095

Dr. Khurram Siddiqui, MBBS,MD,FRCS
Assistant Professor
Fellow of European Board of Urology
Fellowship in Laparoscopic Urology(USA).
Department of Surgery
Aga Khan University, PO Box number 3500
Karachi 74800, Pakistan
Fax: +9221 34932095

Colorectal Surgeon:

Dr. Rehman Alvi, MBBS, FCPS, FRCS
Assistant Professor
Department of Surgery
Aga Khan University, PO Box number 3500
Karachi 74800, Pakistan
Fax: +9221 34932095

Urodynamic Assistant:

Ms Zahida Rehan

Pelvic physiotherapist:

Ms Naheed Kapadia