Philip Toozs-Hobson Consultant Urogynaecologist

Philip is married with 3 children and a dog. He trained in London at St Mary's Hospital qualifying in 1989. He was the Clinical director for Gynaecology and Director of Pelvic floor medicine at Birmingham Women's Hospital until resigning to concentrate on research and his clinical practice. After qualifying Philip specialised in Obstetrics and Gynaecology and worked in both London and the Midlands. He began specialising in Pelvic floor disorders when he commenced a 3 year WellBeing of Women fellowship with Professor Linda Cardozo in 1995.

Research into pelvic floor problems

During this time he became interested in maternal injury as a result of childbirth culminating in his MD in 2003. Since this time he has continued to run a research and clinical practice. He established one of the country's first combined specialist clinics dealing with complex bowel prolapse with Simon Radley and now has over 15 years experience in this area through this clinic. He is currently the chief investigator of the C STICH study.

Surgery for prolapse & incontinence

Philip has also specialised in advanced surgical techniques for pelvic organ prolapse and has spent 15 years developing both keyhole surgery and vaginal approaches to surgery so that patients can have a choice of procedure to allow them to choose how they would like to be treated. He is a strong advocate of patient reported outcome measures and has an interest in value based healthcare. His results in the NHS are routinely recorded on the BSUG database and he uses the ePAQ system for quality of life measurement.

Further details of the results of his research portfolio are given in the publication section Much of Philip's current research interests focus on helping patients using psychological approaches and hypnotherapy. More recently in response to need, he has re-established his interest and expertise in menopausal problems. Examples of this include his recently published book OAB minimising symptoms maximising life available through the Lambert publishing website or via bgs@btinternet.com.




172. Managing pain after synthetic mesh implants in pelvic surgery. P. Toozs-Hobson, L. Cardozo, T. Hillard. EJOG (in press)

171. The Effect Of Body Mass Index On Retropubic Mid Urethral Slings. F. Bach, P.Toozs-Hobson, S Hill AJOG https://doi.org/10.1016/j.ajog.2018.12.018

170. United Kingdom Continence Society: Minimum standards for urodynamic studies, 2018. Working Group of the United Kingdom Continence Society, Abrams P, Eustice S, Gammie A, Harding C, Kearney R, Rantell A, Reid S, Small D, Toozs-Hobson P, Woodward M. Neurourol Urodyn. 2019 Jan 16. doi: 10.1002/nau.23909. [Epub ahead of print] No abstract available.

169. 2D USS of the pelvic floor in the 3rd trimester versus mode of delivery A. Obloza, P. Toozs-Hobson. European Journal of Obstetrics & Gynecology and Reproductive Biology 230 (2018) 153–158

168. Big data: why ignorance is no longer acceptable Toozs-Hobson, P., Toozs-Hobson, N. & Kelley, T. Int Urogynecol J (2018) 29: 1235. https://doi.org/10.1007/s00192-018-3672-9

167. Variation in the rates of surgical treatment for female stress urinary incontinence in England: an ecological study Geary, R1; Duckett, J2; El-Hamamsy, D3; Mahmood, T4; Monga, A5; Toozs-Hobson, P6; Wilson, A7; Van der Meulen, J1; Tincello, D3; Mamza, J1; Gurol, U1 BJOG 2018 Suppl RCOG WC

166. P. Latthe, L Middleton, S Rachaneni et al. Ultrasound bladder wall thickness and detrusor overactivity: a multicentre accuracy test. BJOG 124(9) 1422-1429

165. Caroline Foust-Wright Stephanie Wissig Caleb Stowell Elizabeth Olson Anita Anderson Jennifer Anger Linda Cardozo Nikki Cotterill Elizabeth Ann Gormley Philip Toozs-Hobson John Heesakkers Peter Herbison Kate Moore Jessica McKinney Abraham Morse (2018) Development of a core set of outcome measures for OAB treatment Int Urogynecol J (2017) 28(12) 1785-1993

164. Surgery for recurrent stress incontinence in the UK 2007-2015 DG Tincello F Bach, P Toozs-Hobson, Int Urogynecol (2017) vol 28 S1 115

163. What can we learn from large data sets? When we use bulking procedures and comparison to mid urethral slings (MUS) F. Bach, P Toozs-Hobson, J Duckett Int Urogynecol (2017) vol 28 S1 81

162. An Analysis of 10,500 Mid urethral Slings (MUS) and the impact of pre-operative urodynamic studies. F. Bach, P Toozs-Hobson, Int Urogynecol (2017) vol 28 S1 24

161. Heesakkers J, Espuna Pons M, Toozs-Hobson P, Chartier-Kastler E. Dealing with complex overactive bladder syndrome patient profiles with focus on fesoterodine: in or out of the EAU guidelines? Research and Reports in Urology (2017) Vol 9, 209-18.

160. Value Based Healthcare: The effect of body mass index (BMI) in success and complications of 12,000 mid urethral slings (MUS) F. Bach, P Toozs-Hobson, S Hill Int Urogynecol (2017) vol 28 S1 20

159. Managing overactive bladder in primary care. Robinson, D., Belal, M., Granitsiotis, P., Hamid, R., Toozs-Hobson, P. and Sahai, A. (2017), Trends Urology & Men Health, 8: 17–20. doi:10.1002/tre.589

158. Dilemmas at a vaginal hysterectomy with an ileoanal pouch S. Bulchandani, N. Sugget, M. Parsons & P. Toozs-Hobson Journal of Obstetrics and Gynaecology Vol. 37 , Iss. 4, 2017

157. European J O & G & Reproductive Biology Vol 210, 2017, P319–324 Normative bladder diary measurements in pregnant women Supriya Bulchandani , Alfred C. Coats, Ioannis D. Gallos, Philip Toozs-Hobson, Matthew Parsons

156. Indirect treatment comparison (ITC) of medical therapies of an overactive bladder. Obloza, Aneta, Kirby, Joshua Yates, Derrick Toozs-Hobson, Philip Neurourology and Urodynamics. http://dx.doi.org/10.1002/nau.23189 2017

155. What can we learn from large datasets? An analysis of 19,000 retropubic tapes. F. Bach & P. Toozs-Hobson. International urogynecology journal 28 (4), 629-636

154. pain-a double-edged sword with laparoscopic sacrohysteropexy and vaginal hysterectomy: ep10. 025 S Bulchandani, F Bach, P Latthe, P Toozs-Hobson Bjog: An International Journal of Obstetrics and Gynaecology 123, 181

153. Pelvic floor muscle training for secondary prevention of pelvic organ prolapse (PREVPROL): a multicentre randomised controlled trial. The Lancet. Hagen S, Glazener C, McClurg D, Macarthur C, Elders A, Herbison P, Wilson D, Toozs-Hobson P, Hemming C, Hay-Smith J, Collins M. 2016. 389 (10067), 393-402

152. Predicting urinary incontinence in women in later life: A systematic review Troko Joy, Bach Fiona, Toozs-Hobson P, . Maturitas , Volume 94 , 110 - 116

151. Air filled, including “air-charged,” catheters in urodynamic studies: does the evidence justify their use? Damaser, Margot S. Niblett, Philip Rosier, Peter F.W.M. Toozs-Hobson, Philip Hosker, Gordon Kightley, Robert Gammie, Andrew. Neurourology and Urodynamics. Neurourol. Urodynam.1520-6777. http://dx.doi.org/10.1002/nau.23108

150 Relationship between vaginal microbialdysbiosis, inflammation, and pregnancy outcomes in cervical cerclage L. M. Kindinger, D. A. MacIntyre, Y. S. Lee, J. R. Marchesi, A. Smith, J. A. K. McDonald, V. Terzidou, J. R. Cook, C. Lees, F. Israfil-Bayli, Y. Faiza, P. Toozs-Hobson, M. Slack, S. Cacciatore, E. Holmes, J. K. Nicholson, T. G. Teoh , P. R. Bennett,. Sci. Transl. Med. 8, 350ra102 (2016).

149. Urinary incontinence persisting after childbirth: extent, delivery history, and effects in a 12–year longitudinal cohort study. C MacArthur, D Wilson, P Herbison, et al. BJOG: An International Journal of Obstetrics & Gynaecology vol 123; 2016, P 1022-1029.

148. Does age affect the outcome of suburethral tape surgery? The importance of national registries in answering bigger questions. Philip Toozs-Hobson, Pooja Devani, Joseph Pick, Paul A. Moran, Philip Assassa & Claire Burton on line 21/4/16 Int Urogynecol J

147. Normative bladder diary measurements in pregnant women-volume per void versus total volume voided. S Bulchandani, A Coats, I Gallos, P Toozs-Hobson, M Parsons. BJOG Vol. 122. 2015.

146. Does vaginal estrogen treatment with support pessaries in vaginal prolapse reduce complications? S Bulchandani, P Toozs-Hobson, T Verghese, P Latthe. Post Reproductive Health: The Journal of The British Menopause Society (2015): 21(4) 141-5

145. Local audit: How tightly should we police antibiotic prescribing for urinary tract infection and how should we modify national policy? Brair, Amallia, Philip Toozs-Hobson, and Jim Gray. Post Reproductive Health: The Journal of The British Menopause Society (2015): 21(4) 151-157

144. Dantrolene an unusual option for detrusor overactivity: observations of a patient with cerebral palsy. Bulchandani, Supriya Toozs-Hobson, Philip Kennedy, Angus Sturman, Steve. European Journal of Obstetrics and Gynecology and Reproductive Biology September 2015 [Epub ahead of print]

143. The role of ambulatory urodynamics in investigation of female urinary incontinence. Chester J, Toozs-Hobson P, Israfil-Bayli F. Int Urogynecol J. (2016) 27: 381

142. Rectal packing at infracoccygeal sacropexy: a novel approach Israfil-Bayli, F, Toozs-Hobson, P., Latthe, P., & Mayne, C. BJOG-. Vol. 122. 334-334

141. What is the best surgical intervention for stress urinary incontinence in the very young and very old? An International Consultation on Incontinence Research Society update. Robinson, Dudley, Castro-Diaz, D., Giarenis, I., Toozs-Hobson, P., Anding, R., Burton, C., & Cardozo, L. International urogynecology journal (2015): 1-6.

140. Compliance with new Consort guidelines for RCT abstract publication Obloza, A., Burton, C., & Toozs-Hobson, P. (2015). IUJ Vol. 26, pp. S165-S166.

139. Indirect treatment comparison of medical therapies for an overactive bladder Obloza, A., Toozs-Hobson, P., Kirby, J., & Yates, D. J. (2015). IUJ Vol. 26, pp. S33-S35.

138. Urinary incontinence persisting after childbirth: extent, delivery history, and effects in a 12–year longitudinal cohort study. C MacArthur, D Wilson, P Herbison, et al. BJOG: An International Journal of Obstetrics & Gynaecology online: 2 APR 2015 DOI: 10.1111/1471-0528.13395

137. Managing women presenting with urinary incontinence: is hardiness significant? Israfil-Bayli F, Lowe S, Spurgeon L, Toozs-Hobson P. Int Urogynecol J. 2015 May 20. [Epub]

136. The Current Role of Retropubic Suspensions. Aneta Obloza & Philip Toozs-Hobson. Curr Bladder Dysfunct Rep. DOI 10.1007/s11884-014-0275-2. Published on line: 30th Jan 2015

135. Minimum standards for continence care in the UK. A Rantell, L Dolan, L Bonner, S Knight, C Ramage and Philip Toozs-Hobson Neurourology and Urodynamics. Published online: 16 Jan 2015

Urogynecological effects of menopause S Bulchandani, P Toozs-Hobson Expert Review of Endocrinology & Metabolism 9 (1), 73-77

134. Voiding difficulties in the elderly. Philip Toozs-Hobson, Matthew Parsons, Lynne Robinson, Dudley Robinson. Post Reprod Health December 2014 20: 143-147.

133. Cerclage outcome by the type of suture material (COTS): study protocol for a pilot and feasibility randomised controlled trial Fidan Israfil-Bayli, Philip Toozs-Hobson, Christoph Lees, Mark Slack and Khaled Ismail. Trials 2014, 15:415

132. Effect of anticholinergics on the overactive bladder and bowel domain of the electronic personal assessment questionnaire (ePAQ) S Bulchandani, P Toozs-Hobson, M Parsons, S McCooty, K Perkins, P Latthe. IUJ. 2014. (DOI) 10.1007/s00192-014-2527-2

131. Patient Factors influencing the likelihood of cure or improvement after treatment with botulinum toxin for refractory detrusor overactivity: Secondary analysis of data from a randomised trial. D Tincello, R. Owen, M Slack, P Toozs-Hobson, C. Mayne And K. Abrams. IUJ 2014 25(S1) 215.

130. Efficacy of repeat treatment with onabotulinum toxin for refractory detrusor overactivity :secondary analysis of an open label extension of a randomised trial. D. Tincello, R. Owen, M Slack, C Mayne, P Toozs-Hobson and K Abrams. IUJ 2014 25(S1) 59.

129. Bladder perforation during sling procedures: diagnosis and management of injury F. Israfil-Bayli & S. Bulchandani & M. Parsons & S. Jackson & P. Toozs-Hobson Int Urogynecol J (2014) 25:691–692 DOI 10.1007/s00192-013-2291-8

128. Twelve year follow-up of conservative management of postnatal urinary and faecal incontinence and prolapse outcomes: randomised controlled trial. CMA Glazener, C MacArthur, S Hagen, A Elders, R Lancashire, GP Herbison, PD Wilson and on behalf of The ProLong Study Group Article BJOG: Vol 121(1), p 112–120, Jan 2014

127. Management of prolapse in older women Ganesh Thiagamoorthy, Linda Cardozo, Sushma Srikrishna, Philip Toozs-Hobson, Dudley Robinson. Post Reprod Health March 2014 20: 30-35,

126. Hardiness and Outcome of Self-catheterisation Training (HOST): protocol for an observational study exploring the effects of personality traits in women on ability to learn clean intermittent self-catheterisation K Perkins, D Randall, P Toozs-Hobson, A Sitch, Khaled MK Ismail - BMJ open, 2014 BMJ Open 2014;4:e003986 doi:10.1136/bmjopen-2013-003986

125. POP-Q stage I prolapse: Is it time to alter our terminology? Philip Toozs-Hobson, Steven Swift International Urogynecology Journal April 2014, Volume 25, Issue 4, pp 445-446

124. Impact of ethnicity on urodynamic outcomes Journal of Obstetrics & Gynaecology. S. Jha & P. Toozs-Hobson Feb 2014, Vol. 34(2) 174-176

123. Urogynecological effects of Menopause Supriya Bulchandani and Philip Toozs-Hobson Expert Rev. Endocrinol. Metab. Early online, 1–5 (2014)

outpatient use of onabotulinum toxin type A (botox®): a novel use for pelvic floor muscle pain: ep4. 22 F Israfil-Bayli, C Burton, P Toozs-Hobson Bjog: An International Journal of Obstetrics and Gynaecology 120, 300

122. The effect of hormones on the lower urinary tract Dudley Robinson, Philip Toozs-Hobson and Linda Cardozo. Menopause International 2013. 19(4) 155–162

121. Cervical cerclage and type of suture material: A survey of UK consultants’ practice. F Israfil-Bayli, P Toozs-Hobson C Lees et al.The Journal of Maternal-Fetal & Neonatal Medicine Nov 28, 2013 (online)

120. Bladder extrophy combined with uterovaginal prolapse and its surgical management. Israfil-Bayli, F; Belal, M; Toozs-Hobson, P.BJOG 2013,Volume 120, issue Supplement s1,page 598, DOI: 10.1111/1471-0528.12310

119. Correlation of cystoscopy findings and histology results in patients with irritative bladder symptoms. Israfil-Bayli, F; Tincello, D; Toozs-Hobson, P, BJOG 2013,Volume 120, issue Supplement s1,page 290. DOI: 10.1111/1471-0528.12339

118. Botulinum toxin for conditions of the female pelvis: comment F. Israfil-Bayli C. Burton M. Parsons S. Bulchandani & P. Toozs-Hobson Online May 2013 International Urogynecology Journal

117. Pregnancy outcome after elective cervical cerclage in relation to type of suture material used. Med Hypotheses. [Epub ahead of print] Israfil-Bayli F, Toozs-Hobson P, Lees C, Slack M, Ismail KM. 2013 Apr 26. pii: S0306-9877(13)00173-4

116. Suturing versus alternative closure techniques for repair of episiotomy or second degree perineal tears (protocol). Ismail, Khaled MK, Israfilbayli, Fidan, Toozs-Hobson, Philip and Kettle, Christine (2013) The Cochrane Library. ISSN 1469-493X

115. Faecal incontinence persisting after childbirth: a 12 year longitudinal study. Macarthur C, Wilson D, Herbison P, Lancashire R, Hagen S, Toozs-Hobson P, Dean N, Glazener C; On behalf of the ProLong study group. BJOG. 2013 Jan;120(2):169-179.

114. Childbirth and prolapse: long-term associations with the symptoms and objective measurement of pelvic organ prolapse C Glazener, A Elders, C MacArthur, RJ Lancashire, P Herbison, S Hagen, N Dean, C Bain, P Toozs-Hobson, K Richardson, A McDonald, G McPherson, D Wilson, for the ProLong Study Group. BJOG Vol 120(2), pages 161–168, January 2013

113 pain on defaecation following obstetric anal sphincter injury: p133 S Webb, K Futaba, C Burton, S Radley, M Parsons, P Toozs-hobson Colorectal Disease 14, 33

112 Prophylactic antibiotics to reduce the risk of urinary tract infections after urodynamic Foon R, Toozs-Hobson P, Latthe P. studies. Cochrane Database of Systematic Reviews 2012, Issue 10. Art. No.: CD008224. DOI: 10.1002/14651858.CD008224.pub2. (see pub no. 95)

111. What are the causes and consequences of bladder overdistension?: ICI-RS 2011 Helmut Madersbacher, Linda Cardozo, Christopher Chapple, Paul Abrams, Philip Toozs-Hobson, John S. Young, Jean-Jacques Wyndaele, Stefan De Wachter, Lysanne Campeau, Jerzy B. Gajewski. Neurourology and Urodynamics Vol 31, Issue 3, pages 317–321, March 2012

110. Two-year follow-up of an open-label multicenter study of polyacrylamide hydrogel (Bulkamid®) for female stress and stress-predominant mixed incontinence Philip Toozs-Hobson, Waleed Al-Singary, Michelle Fynes, Gunilla Tegerstedt and Gunnar Lose International Urogynecology Journal: 2012 23:1373–1378

109. An International Urogynecological Association(IUGA)/International Continence Society (ICS) joint report on the terminology for reporting outcomes of surgical procedures for pelvic organ prolapse. Philip Toozs-Hobson, Robert Freeman, Matthew Barber et al Joint publication International Urogynecology Journal: Volume 23, Issue 5 (2012), Page 527-535 NNU Volume 31, Issue 4, pages 415–421, April 2012

108. Botulinum toxin A for refractory detrusor overactivity in women. A 240 patient randomised placebo controlled trial. European Urology published on line 5th Jan 2012

99. Patient-Reported Prolapse Outcomes Related To Childbirth: Association Between Prolapse Symptoms, Mode Of Delivery History And Objective Prolapse Staging Using Pop-Q System. Glazener C, Elders R, Lancashire R, Herbison P, MacArthur C, Hagen S, Richardson K, McDonald A, McPherson G, Dean N, Toozs-Hobson P, Wilson D Neurourology and Urodyn. 30(6) 270.

98. Clinicians' views on the feasibility of surgical randomized trials in urogynecology: results of a questionnaire survey. Bakali E, Pitchforth E, Tincello DG, Kenyon S, Slack M, Toozs-Hobson P, Mayne C, Jones DR, Taylor D. Neurourol Urodyn. 2011 Jan;30(1):69-74.

105. Prophylactic antibiotics to reduce risk of urinary tract infection after urodynamic studies (Protocol). Latthe P, Foon R, Toozs-Hobson P Cochrane Database of Systematic Reviews 2010, Issue 1

104. Anaesthesia for incontinence surgery: spinal anaesthesia or sedation? Foon R, Toozs-Hobson P, Cooper G. J Obstet Gynaecol. 2010;30(6):605-8

103. The Overactive bladder. Philip Toozs-Hobson Obstetrics, Gynaecology and reproductive medicine Vol 20 Oct 2010 P 300-305

102. Women’s views and experiences of a patient preference trial in surgery: a qualitative study of the CARPET 1 trial. Jackson, C J., Eborall, H C.,Tincello, D G, Kenyon S, Toozs-Hobson P, Dixon-Woods, M Clinical Trials: Journal of the Society for Clinical Trials 2010 Dec;7(6):696-704

101. Can Patients Benefit From Prophylactic Antibiotics Before urodynamics? A Systematic Review. Foon R, Toozs-Hobson P, Latthe P NUU

100. Further Properties Of The Pelvic Organ Prolapse Symptom Score: Minimally Important Change And Test-Retest Reliability. Hagen S, Glazener C, Cook J, Herbison P, Toozs-Hobson P NUU

99. Retrospective case modelling to assess the impact of early intervention for voiding dysfunction after retropubic tape. When is it best to intervene? Mirjam Huwyler, Claire Burton, Arasee Renganathan, Pallavi Latthe, Dudley Robinson, Matthew Parsons, Linda Cardozo and Philip Toozs-Hobson. Int J Urogyn and pelvic floor dys 21(7) 823-827

98. Urodynamics prior to treatment as an intervention: A pilot study Amitabha Majumdar Pallavi Latthe, Philip Toozs-Hobson Neurourology and Urodynamics 29 4; 522-526 2010

97. Minimum standards for urodynamic practice in the UK. Gurpreet Singh, Malcolm Lucas Lucia Dolan Stephanie Knight Carmel Ramage Philip Toozs Hobson Neurourology and Urodynamics Epub April 2010

96. Impact of anaesthesia and mode of delivery on the urinary bladder in the postnatal period. Richard Foon, Philip Toozs-Hobson, peter Millns & Mark Kilby. Int J of Obs & Gynaecol vol 110 (2); 114-117 2010

95. Inpatient bladder retraining: is it beneficial on its own? Amitabha Majumdar, Ismail Hassan, Sepeedeh Saleh and Philip Toozs-Hobson. Int Urogynaecol 21(6):657-63 2010

94. Two routes of transobturator tape procedures in stress urinary incontinence: a meta-analysis with direct and indirect comparison of randomized trials Pallavi M. Latthe, Pinki Singh, Richard Foon and Philip Toozs-Hobson *BJU international Jul:106(10 68-76

93. Urogynaecology training in the UK: past, present and future. Swati Jha, Robert Freeman, Philip Toozs-Hobson and David Richmond Int J Urogynaecology 2009; 20(4) 377-3802008

92. Colposuspension or TVT with anterior repair for urinary incontinence and prolapse: results of and lessons from a pilot randomised patient-preference study (CARPET 1). Tincello DG, Kenyon S, Slack M, Toozs-Hobson P, Mayne C, Jones D, Taylor D. BJOG. 2009 Sep 14.

91. Urinary ascites following caesarean section: An unusual presentation of bladder injury. Hassan I, López C, Gee H, Toozs-Hobson P. Eur J Obstet Gynecol Reprod Biol. 2009 Sep 17.

90. Urodynamics prior to treatment as an intervention: A pilot study. Majumdar A, Latthe P, Toozs-Hobson P. Neurourol Urodyn. 2009 Sep 3.

89. Has the new improved IUGA abstract format led to an improvement in the quality of abstracts reporting randomised controlled trials? C. Burton, P.Toozs-Hobson. Int  Urogynecol J 2009 20 S89

88. Results after vaginal repair of recurrent prolapse with and without xenograft reinforcement- a randomised study. L. Mouritsen, K Gavind, K Moller Bek, P. Toozs-Hobson Int  Urogynecol J 2009: 20 S173

87. What is the risk of a second obstetric anal sphincter injury after a previous injury? C Burton, S Webb, M Masood, M Parsons, S Radley, P Toozs-Hobson Int  Urogynecol J 2009 20 S228

86. Women’s experiences of stress incontinence surgery. Loane K, Toozs-Hobson P. Neurourol and Urodyn 2009 vol 28(7) 581 2008

85. Why successful treatments fail. Toozs-Hobson P, Loane K. Journal of the Association of Chartered Physiotherapists in Women's Health, 01 March 2008, vol. 102(4-7)

84. Subspecialty training in Urogynaecology. Mayne C, Cutner A, Toozs-Hobson P. The Obstetrician and Gynaecologist. 2008; 10:263-266

83. Mycoplasma and ureaplasma colonisation in women with lower urinary tract symptoms P. M. Latthe; P. Toozs-Hobson; J. Gray. Journal of Obstetrics and Gynaecology, Volume 28, Issue 5 July 2008 , pages 519 - 521 82. The effect of mode of delivery on pelvic floor functional anatomy philip Toozs-Hobson , James Balmforth, Linda Cardozo, Vik Khullar and Stavros Athanasiou International Urogynecology Journal vol 19 p 407-16

81. Does the mode of delivery predispose women to anal incontinence in the first year postpartum? A comparative systematic review SJ Pretlove, PJ Thompson, PM Toozs-Hobson, S Radley, KS Khan BJOG 115:4, P421–434 2008

80. Adjuvant materials in anterior vaginal wall prolapse surgery: a systematic review of effectiveness and complications Foon R, Toozs-Hobson P, Latthe PM. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Dec;19(12):1697-706

79. Roasting Chestnuts by the fire: Ramsay’s syndrome. S Kadian, P Latthe, M Afnan, P. Toozs-Hobson J Obstet Gynaecol 2008 Jan; 28 (1): 120-1

78. Does Preoperative urodynamics alter the management of prolapse surgery? Swati Jha, Philip Toozs-Hobson, Matthew Parsons. Journal of Obstetrics and Gynaecology. 2008 Volume 28, Number 3

77. Prophylactic antibiotics in urodynamics: A systematic review of effectiveness and safety:  Pallavi M. Latthe, Richard Foon, Philip Toozs-Hobson Neurourology and Urodynamics – 2008 vol 27: 167 – 173

76. Why women prefer to have urodynamics A Majumdar, P Toozs-Hobson Pelvic floor dysfunction in women with Parkinson disease S Jha, C Clarke, P Toozs-Hobson INTERNATIONAL UROGYNECOLOGY JOURNAL 19, S73-S74NEUROUROLOGY AND URODYNAMICS 26 (5), 615-616 75. Perineal and anal sphincter trauma. Diagnosis and clinical management. J Obstet Gynaecol. 2007 Nov ;27 (8):875 Philip Toozs-Hobson 74. Critical Evaluation of the Efficacy and Safety of Anticholinergics in Overactive Bladder , Philip Toozs-Hobson, Pallavi Latthe European Urology Supplements 2007 Vol. 6, Issue 5, Pages 425-431 73. Painful bladder syndrome and interstitial cystitis Swati Jha, Matthew Parsons, Philip Toozs-Hobson, The Obstetrician & Gynaecologist 2007;9:1:34-41

72. The role of specialised birth plans for women with previous third or forth obstetric anal sphincter injuries (OASIS) Sara Webb, Matthew Parsons, Philip Toozs-Hobson MIDRIS Midwifery digest 2007 17:3 353-4

71. Direct imaging of the pelvic floor muscles using two-dimensional ultrasound: a comparison of women with urogenital prolapse versus controls. Athanasiou S, Chaliha C, Toozs-Hobson P, Salvatore S, Khullar V, Cardozo L. BJOG 2007. 114 882-8

70. Early results of immediate repair of obstetric third degree tears:65% are completely asymptomatic despite persistant defects in 61% Hayes J, Shatari T, Toozs-Hobson P, Bushby K, Pretlove S, Radley S. Colorectal Dis.2007 9(4):332-6

69. Transobturator and retropubic tape procedures in stress urinary incontineince: a systematic review and meta-analysis of effectiveness and complications Latthe PM, Foon R, Toozs-Hobson P. BJOG 2007. 114(4) 522-31

68. Does the Mode of delivery predispose women to anal incontinence in the first year post-partum? A comparative systematic review. Toozs-Hobson P, Pretlove S, Radley S. Int J Pelvic floor Dysfunct. 2007. Suppl1 81

67. How does urodynamics affect subsequent patient behaviour? Toozs-Hobson P, Majundar A, Robb K, Powles K. Int J Pelvic floor Dysfunct. 2007. Suppl1 93

66. Partial third degree tears. Does type of repair matter?  Toozs-Hobson P, Webb S, Pretlove S, Radley S. Int J Pelvic floor Dysfunct. 2007. Suppl1 119

65. Patient experience of an electronic questionnaire in clinical practice. Jha S, Radley S, Toozs-Hobson P, Farkas A, Jones G. Int J Pelvic floor Dysfunct. 2007. Suppl1 244

64. Survey of use of local anaesthetic and vasoconstrictive infiltration in vaginal surgery. Latthe P, Kadian S, Parsons M, Toozs-Hobson P, Int J Pelvic floor Dysfunct. 2007. Suppl1 244

63. Current and future trends in the management of overactive bladder. Wagg A, Majundar A, Toozs-Hobson PM, Patel AK, Chapple CR, Hill S. Int Urogenital J Pelvic floor Dysfunct. 2007. 18: 81-94

62. Overactive Bladder: An Overview of the condition, its history and current pharmacotherapy.  Majumdar A. Toozs-Hobson PM BJOG suppl 2007(1)

61. Prevalence of anal incontinence according to age and gender: a systematic review and meta-regression analysis. Pretlove S, Radley S, Khan K Toozs-Hobson P. 2006. International Urogynecololgy Journal and pelvic floor dysfunction, 17(4) 407-417. 60. Aetiology of anal incontinence in the first year after childbirth: A systematic review and meta-analysis Pretlove SJ, Radley S, Toozs-Hobson PM, Thompson PJ, Khan KS Int J Urogynaecology 2006 59. Parsons M. Toozs-Hobson P. The investigation and management of interstitial cystitis Journal of the British Menopause Society. 11(4):132-9, 2005 Dec.

58. A comparision of the efficacy & tolerability of solifenacin succinate & extended release tolterodine at treatment of overactive bladder results of the STAR trial.

57. Chapple CR, Martinez-Garcia R, Selvaggi L, Toozs-Hobson P et al. Eur Urol 2005 48(7):464-70

56. Kentera: transdermal oxybutynin for urinary incontinence Robb K, Toozs-Hobson P Prescriber 19/10/05 p.51-55

55. Importance of evacuatory disturbance in evaluation of faecal incontinence after third degree obstetric tear Colorectal Disease 2005 Jan;7(1):18-21 Shatari T, Hayes J, Pretlove S, Toozs-Hobson P, Radley S, Keighley MR

54. Abdominal Sacrocolpopexy for vault prolapse without burial of mesh; a case series. Soheir Elneil, Alfred Cutner, Mary Remy, Andrew Leather, Philip Toozs-Hobson & Brian Wise. BJOG 2005, 112(4) 486-489

53. The safety and effectiveness of Duloxetine compared with placebo in women in the UK with stress urinary incontinence(SUI) Cardozo LD, Toozs-Hobson P, Parsons M, Cox J, Quail D, Voss S 111 vol 16 2005 Int Urogyn J

52. Prevelance of anal incontinence according to age and gender: A systematic review and meta-regression analysis Neurourology and Urodynamics 2005 Pretlove S, Coomarasany A, Thompson P, Radley S, Khan K, Toozs Hobson P

51. Endoanal ultrasound immediately postpartum: Results and correlations at six weeks post-partum.Pretlove S, Thompson P, Radley S, Toozs Hobson P Ultrasound Obstet Gynecol. 2003 Aug;22(2):215-7.

50. Majumdar A, Toozs-Hobson PM, Detrusor Overactivity. Current Obstetrics and Gynaecology. 2004, 14(6); 395-404

49. The first 18 months of a new perineal trauma clinic. Pretlove S. Thompson PJ. Toozs-Hobson PM. Radley S.. Journal of Obstetrics & Gynaecology. 24(4):399-402, 2004 Jun.

48. Detrusor overactivity an update. P.Toozs-Hobson & A. Elnaqa. BJOG (Suppl)2004, 111(7)53-56

47. Correlating structure and function: three-dimensional ultrasound of the urethral sphincter Robinson D. Toozs-Hobson P. Cardozo L. Digesu A.. Ultrasound in Obstetrics & Gynecology. 23(3):272-6, 2004 Mar

46. Pregnancy, childbirth and urinary incontinence. GA Digesu, P Toozs-Hobson, S Salvatore, R Milani, L Selvaggi, URODINAMICA 13 (4), 286-287


44. Detecting anal sphincter injury: acceptability and feasibility of endoanal ultrasound immediately postpartum. [Letter] Pretlove SJ. Thompson PJ. Guest P. Toozs-Hobson P. Radley S. Ultrasound in Obstetrics & Gynecology. 22(2):215-7, 2003 Aug.

43. Contigen or Macroplastique? A five year follow up. Anders K, Cardozo L, Bidmead J, Athanasiou S, Toozs-Hobson P, Robinson D. Neurourology and Urodynamics 2003

42. Obstetric anal sphincter injury-feasability and acceptability of endoanal ultrasound immediately postpartum Pretlove S. J., Guest P , Toozs-Hobson P., Thompson P., Radley S Neurourology and Urodynamics 2003

41. Ask not what childbirth can do to your pelvic floor but what can your pelvic floor do for childbirth Neurourology and Urodynamics 2003 Balmforth J, Toozs-Hobson P, Cardozo L

40. Consent in obstetrics‐a legal view S Pretlove, PJ Thompson, P Toozs‐Hobson, S Radley The Obstetrician & Gynaecologist 4 (4), 241-241

39. Management of Urge urinary incontinence. TOG July 2002 Vol 4(3) 135-138 Katharine J Barber & Philip M Toozs-Hobson.

38. Can ultrasound replace ambulatory urodynamics when investigating women with irritative urinary symptoms? Robinson D. Anders K. Cardozo L. Bidmead J. Toozs-Hobson P. Khullar V. BJOG: An International Journal of Obstetrics & Gynaecology. 109(2):145-8, 2002 Feb 145-148.

37. Moss E. Toozs-Hobson P. Cardozo L. Emens M. Pogmore JR. Constantine G. A multicentre review of the tension-free vaginal tape procedure in clinical practice. Journal of Obstetrics & Gynaecology. 22(5):519-22, 2002 Sep.

36. Does age affect the impact of genuine stress incontinence on quality of life? Toozs-Hobson PM, Kelleher CJ, Cardozo LD. Australian Continence Journal 2002 vol 8(1) 12-16

35. Refining surgical technique to prevent occurance of vault haematoma after vaginal hysterectomy. Morris EP, El-Toukhey T, Toozs-Hobson P, Hefni MA. J of Obstetrics & Gynaecology Vol 21(4) 379-382 2001

34. Three dimensional ultrasound: a novel technique for investigating the urethral sphincter in the third trimester of pregnancy. P. Toozs-Hobson, V. Khullar, L. Cardozo. Ultrasound Obstet Gynecol 2001; 17: 421-424

33. DO BLADDER NECK MOBILITY, URETHRAL SPHINCTER VOLUME AND LEVATOR HIATUS CORRELATE IN LATE PREGNANCY? P Toozs-Hobson, J Bidmead, L Cardozo, D Robinson, V Khullar NEUROUROLOGY AND URODYNAMICS 19 (4), 97B-97B 32. The pubofascial anchor sling procedure for recurrent genuine urinary stress incontinence J Bidmead, L Cardozo, V Khullar, P Toozs-Hobson BJU international 85 (1), 171-172 31. Urogenital problems and the role of oestrogens D Robinson, A Hextall, P Toozs-Hobson PRESCRIBER-LONDON- 11, 62-66 30. TRANSVAGINAL ULTRASOUND IMAGING OF THE PELVIC FLOOR; VALIDATION OF A NEW TECHNIQUE D Robinson, P Toozs-Hobson, L Cardozo, J Bidmead, G Digesu NEUROUROLOGY AND URODYNAMICS 19 (4), 57A-57A

29. Efficacy of trospium chloride in patients with detrusor instability: a placebo-controlled, randomized, double blind multicentre clinical trial. L. Cardozo, C.R. Chapple, P. Toozs-Hobson, et al. BJU (2000), 85;659-664

28. Current trends in management of ectopic pregnancy in the U.K. Philip Toozs-Hobson, John Bidmead, Asma Khalid, Linda Cardozo and Simon Hill. Journal of Obstet & Gynaecol 2000: 20 (1): 74-77

27. Rectal contractions are associated with detrusor instability V Khullar, K Anders, L Cardozo, J Bidmead, P Toozs-Hobson, .INTERNATIONAL UROGYNECOLOGY JOURNAL 10 (1), TU026-TU026

26. Gax collagen or macroplastique: does it make a difference? Anders K, Khullar V, Cardozo L, Bidmead J, Athanasiou S, Hobson P, Ashman O (1999) 21 Neurourol and Urodynamics 18

25. (4): 297-298Lower urinary tract symptoms and their impact on women with anorexia nervosa. K. Boos, A. Hextall, L. Cardozo, P. Toozs-Hobson, K. .Anders & J. Treasure. Brit J Obstet Gynaecol. 1999: 106;501-504

24. Prevalence of faecal incontinence among women with urinary incontinence. V. Khullar, Rocco Damiano, Phil Toozs-Hobson, Linda Cardozo. Brit J Obstet Gynaecol. 1998: 105; 11 1211-3

23. The urethral sphincter volume and pressure profile changes due to childbirth. P. Toozs-Hobson, L. Cardozo, K. Boos, & V Khullar. Brit Congress Obstet & Gynaecol 1998. Brit J Obstet & Gynaecol 105 Suppl 17: 29

22. Videocystourethrography with a ring Pessary in situ. A clinically useful preoperative investigation for continent women with urogenital prolapse?  A Hextall, K Boos, L Cardozo, P Toozs-Hobson, K Anders & V Khullar. Int Urogynecol J Pel fl Dysfunct 1998. 9;205-209.

21. Management of vaginal prolapse. Toozs-Hobson P. Boos K. & Cardozo L. Brit J Obstet Ggynaecol 1998; 105(1): (13-18)

20. Non drug treatment management of detrusor instability. P. Toozs-Hobson, K. Anders (1998). RCOG DIALOG, Vol1. Noor informatics, Sheffield.

19. Drug therapy for detrusor instability. Toozs-Hobson, K. Anders L Cardozo (1998). RCOG DIALOG, Vol1. Noor informatics, Sheffield.

18. Predicting incontinence six months after childbirth. Does urethral sphincter volume help? Philip Toozs-Hobson, Vik Khullar, Linda Cardozo and Kelvin Boos Neurourology & Urodynamics 1998; 17(4): 369

17. A Placebo controlled double blind trial of trospium chloride. P. Toozs-Hobson, L.  Cardozo, B Bruhl. Int Urogyne J Pel Floor Dys.1998. 342

16. Low compliance: urodynamic artefact or indicator of disease?  P. Toozs-Hobson, J. Bidmead, L. Cardozo. Int Urogyne J Pel Floor Dys.1998. 342

15. Physiotherapy For The Incontinent Woman Toozs-Hobson P. & Anders K. Maternal & Child Health 1997; 21 (8) :198-201

14. Ultrasound and the lower urinary tract P. Toozs-Hobson & V. Khullar. Current medical literature Gynaecology & Obstetrics. 1997; 3 (3 ): 67-70

13. Stress incontinence and Vault prolapse P. Toozs-Hobson & L. Cardozo. European journal of Urology . European urology Update series 1997; 6 (5): 105-111

12. Should we treat all? The relationship between quality of life and age in genuine stress incontinence. P. Toozs-Hobson, C. Kelleher, A. Hextall, K. Anders , K. Boos, L. Cardozo & J. Malone-Lee. Int Urogyn J. and Pelvic Floor Dys. 1997; 8(1) :58

11. Changes in the urethral sphincter in relation to child birth and the development of stress incontinence. P. Toozs-Hobson, S. Athanasiou, K. Anders, A. Hextall, K. Boos & L. Cardozo. Int Urogyn J. and Pelvic Floor Dys. 1997; 8(1) :59

10. Why do women develop incontinence after childbirth? P. Toozs-Hobson, S. Athanasiou, V. Khullar, K. Boos, K. Anders & L. Cardozo. Neurourology & Urodynamics 1997;16(5) : 384.

9. Does vaginal delivery damage the pelvic floor? P. Toozs-Hobson, S. Athanasiou, V. Khullar, K. Boos, A. Hextall & L. Cardozo. Neurourol & Urodyn 1997; 16(5): 385.

8. Controversies in management "All women should be given hormone replacement therapy" Philip Toozs-Hobson & Linda Cardozo. BMJ. 1996;313: 350

7. Controlling for artefacts on ambulatory urodynamics. S. Salvatore, V. Khullar, L. Cardozo, S. Athanasiou, K. Anders, K. Boos, P. Toozs-Hobson. Neurourology and Urodynamics 15(4):272-273

6. Interstitial cystitis-still an enigma after 80 years. P. Toozs-Hobson, C. Gleeson & L. Cardozo. British J Obstet and Gynaecol1996; 103 (7):

5. Physiotherapy For The Incontinent Woman. Toozs-Hobson P. & Anders K. Postgraduate Doctor Middle East 1996: 19 (3): 86-89

4. Serum concentrations of luteinizing hormone and progesterone in ovum recipients: their relationship with pregnancy and miscarriage. Johnson MR; Brooks AA; Abdulla HI; Toozs-Hobson P. Hum Reprod. 1995 May; 10(5): 1228-31.

3. Recent advances in Urogynaecology review. Kelleher C.J. Toozs-Hobson P.M. The Diplomate 1995; 2(1):

2. Quality of life in incontinence. Kelleher C.J., Cardozo L.D. & Toozs-Hobson P.M. Current Opinion in Obstetrics & Gynaecology 1995; 7: 404- 408

1. Minimum standards of care in the management of early pregnancy bleeding in the Accident and Emergency Units. Gilling-Smith C., Toozs-Hobson P., Potts D., Touquet R., and Beard R.  BMJ 1994; 309:574-6

Books & Chapters


OAB Missing Symptoms and Maximising Life

The Urogynaecology department at Birmingham Women's and Children's NHS foundation trust is has spent over 10 years researching the impact that an overactive bladder can have on women. As a result of this work, they have produced this book to help empower patients. This could range from a person's social life, how they feel emotionally or in their careers. This book strives to aid women who experience overactive bladders but also provides help with other bladder problems more generally.

If you would like to purchase a copy of this book you can do so by one of the following three ways:

  1. Over the internet with the use of lambert publishing or this link http://www.morebooks.de/
    • Go onto the site search engine and enter the book details
    • Their other website is https://www.lap-publishing.com/
  2. The use of the ISBN number through the internet or in book stores
    ISBN-13: 978-3-330-06155-2
    ISBN-10: 3330061553
  3. By Contacting us directly as we have a limited stock at birminghamgynaecology@gmail.com
    • The price of the book through us is £22 (including £2 p&p)

Urodynamics Illustrated

This book provides a practical guide for anyone performing or training to perform urodynamic studies. Details on how to set up urodynamic equipment and perform individual urodynamic techniques are discussed, ranging from basic tests such as uroflowmetry and subtracted cystometry through to the more complex videocystometry, ambulatory monitoring and urethral function tests. Many of the chapters include case studies to place the investigations within the context of a symptom complex. This book has a place in every urodynamics laboratory as an easy reference guide and is an essential illustrative text for teaching the fundamentals of good urodynamic practice.


Understanding Female Urinary Incontinence

  • Urodynamics illustrated. Eds Thacker, Toozs-Hobson and Dolan. RCOG press. ISDN 978-906985-11-0
  • I was section editor and chapter author to the second edition and third editions of the textbook of Urogynaecology & Female Urology. Eds Cardozo and Starskin. ISBN-10: 1841846929. ISBN-13: 978-1841846927
  • Drugs acting on the lower urinary system. PM Latthe & PM Toozs-Hobson in Therapeutic Management of Incontinence and pelvic pain Eds Haslem & Laycock ISBN 978 1 84628 756 5
  • The urinary system in pregnancy Pretlove S, Toozs-Hobson P M in The yearbook of Obstetrics & Gynaecology Eds Hillard & Purdie ISBN1 900364 82 4
  • Prophylactic Caesarean section Toozs-Hobson P & Thompson P in "Incontinence in Women" Eds Cardozo & MacLean RCOG Press ISBN 1-900364-67-0
  • Changes due to childbirth Toozs-Hobson P, Boos K, Cardozo L In "Pelvic floor dysfunction investigations & conservative treatment". Eds R Appell, A Bourchier, F La Torre. Casa editrice Scienifica Internaizionale Pediodici. ISBN 88-86062-43-5
  • Understanding Female urinary Incontinence. Family Doctor series. P. Toozs-Hobson & L.D. Cardozo. ISBN 1-898205-52-3
  • The British Medical Association Family Doctor Guide to Urinary incontinence in women. Dr Philip Toozs-Hobson & Prof. Linda Cardozo. ISBN 0-7513-0672-x
  • Pregnancy, childbirth and incontinence Toozs-Hobson P & Cutner A chapter in textbook of pelvic floor dysfunction. Eds Cardozo L & Starskin D
  • Clinical presentation of anterior vaginal wall prolapse. Chapter in "Pelvic Floor dysfunction" P. Toozs-Hobson & L Cardozo. Ed M Swash
  • Incontinence and Prolapse. Chapter in Obstetrics and Gynaecology in primary care. P. Toozs-Hobson & Samantha Pretlove. Eds M. Lathe,S. Bath & P. Lathe