Mohamed Hosni

London North West University Hospitals
United Kingdom

Abstract Title: Emerging trends in the treatment of Endometriosis. What are we missing?. A prospective Cohort Pilot multisite study.

Biography:

Mr Mohamed Hosni is a Gynaecology Consultant at London North west University Hospitals, specialised in Advanced Gynaecological Endoscopic Surgery and endometriosis, with over 25 years of experience. His interest in gynaecology is in fertility enhancing minimal access surgery. He is a recognised trainer of British Society for Gynaecological Endoscopy Registrars in Gynaecological Surgery. Mr Hosni has a broad clinical research background and has collaborated with numerous doctors and scientists on different projects in Gynaecological research. He has presented both Nationally and Internationally, with several peer-reviewed publications in scientific journals. He has completed MD in Advanced Gynaecological Endoscopy, with degree of Merit.

Research Interest:

Endometriosis is one of the most complex gynaecological conditions that primarily affects women of childbearing age. The management of endometriosis mainly focus on alleviating pain and improving the quality of life. Nevertheless, for 20-40% of women, symptoms persist following surgical and/or pharmacological treatment. Alternative ways of managing pain are needed, which need to consider contemporary pain science and all biopsychosocial aspects of the persistent pain experience. Physiotherapists use a holistic approach to treat patients with persistent pain conditions through pain education, manual therapy, pelvic floor exercises and promotion of healthy bladder and bowel practices. At London North West University Endometriosis Centre, a prospective cohort pilot study was conducted across our three sites. Thirty patients were included in the study. From four to six sessions of physiotherapy were provided over the course of six months. British Society for Gynaecologic Endoscopy Pelvic Pain Questionnaire was conducted at the initial consultation and at the end of their physiotherapy sessions. At the end of six month of the study, 66% demonstrated improvements in Patient Reported Outcome Measures. Two patients declined further medical management including surgery. 69 % of patients recruited in the study reported improvement in symptoms and benefits from physiotherapy. Only 31% found it not very helpful. The results were encouraging to prove the underestimated role of physiotherapy in the treatment of such a challenging condition. A process is in place for commencing the first randomised controlled trial to evaluate the effect of physiotherapy treatment on endometriosis agony