NAME:                                                  John Richard SUTHERST

 

ADDRESS:                                            20 Bath Street

                                                                Waterloo

                                                                Liverpool   L22 5PS

                                                                Tel:  051-920-0791

 

DATE OF BIRTH:                                16th March 1939      Age:  68.

 

NATIONALITY:                                  British

 

EDUCATION:                                       Sheffield City Grammar School  1951-1958,

                                                             State Scholar, Distinction Scholarship level Chemistry)

                                                                 Sheffield University Medical School, 1958-1963

                                                             ( Honours   Anatomy,    Physiology,   Pharmacology,

                                                                 Pathology, ENT, Ophthalmology, O&G, Paediatrics)

 

QUALIFICATIONS:                            M.B., Ch.B.  (Sheffield)                              1963

                                                                M.D. (Sheffield)                                           1980

                                                                Thesis entitled "A new test for

                                                                urethral incompetence in women"

                                                                M.R.C.O.G.  (London)                                1967

                                                                F.R.C.O.G.  (London)                                  1980

                                                                Eden Travelling Fellow (RCOG)                1982

 

 

PRESENT APPOINTMENT:             Consultant Gynaecologist,  BUPA Murrayfield

                                                               Hospital, Thingwall, Wirral

                                                               

PREVIOUS APPOINTMENTS:         Consultant in Obstetrics & Gynaecology

                                                               since 1974. Senior Lecturer/Consultant, 1974-                                                               1982, Reader, 1982- 1987, University of

                                                               Liverpool; NHS Consultant Arrowe Park

                                                               Hospital, Wirral, 1987-1995; and at Liverpool

                                                               Women's Hospital 1995-2006.

 

                                                                Clinical Director, Obstetrics & Gynaecology,

                                                                Arrowe Park Hospital, 1988-1992

 

                                                                Examiner,  Universities of Liverpool

                                                                (MB, MD), Leicester, Newcastle,

                                                                London, New South Wales (MD).

                                                      

                                                                Member, Scientific and Advisory  Committee

                                                                of the Royal College of  Obstetricians and 

                                                                Gynaecologists 1982-1985

                                                                 

                                                                Examiners panel for DRCOG and MRCOG,

                                                                Royal College of Obstetricians &  Gynaecologists.

 

                                                                Member Panel of Visitors (Urogynaecol)

                                                                of RCOG Subspecialty Training Board

 

Member Fellowship Selection Committee, RCOG

(1992-1995)

 

 

 

SOCIETIES:                                           Fellow  North of England Obstetrical and

                                                                Gynaecological Society.

 

Member of British Medical Association.

 

                                                                Member International Continence  Society.

 

 Member International Urogynaecology  Association.

 

 Member Blair Bell Research Society

 

  Member Ospreys Gynaecological Society

 

  Member Liverpool Medical Institute

 

  Associate Member British Association

                                                                                of Urological Surgeons.

 

                                                                  Member Pelvic Floor Group.

 

                               

SELECTED PUBLICATIONS

 

 

ORIGINAL PAPERS

 

 

1.             SUTHERST, J.R.,  BROWN, M.  (1978)  The effect on the  bladder pressure of sudden  entry of fluid into the posterior urethra.  Brit. J. Urol., 50, 406-409.

 

 

2.             BROWN, M.,  SUTHERST, J.R.  (1979)  A test for bladder neck competence: the fluid bridge test.  Urol, Int., 34,403-409.

 

 

3.             SUTHERST, J.R.  (1979)  Sexual dysfunction and urinary incontinence.  Brit. J. Obstet.         Gynaec., 86, 387-388.

 

 

4.             SUTHERST, J.R.  (1980)  A new test for urethral incompetence in women. 

                MD Thesis, Sheffield University.

      

 

5.             SUTHERST, J.R.,  BROWN, M.C.  (1980)  Detection of urethral incompetence in women using the fluid bridge test.  Brit. J. Urol., 52, 138-142.

 

 

 6.             SUTHERST, J.R.,  BROWN, M.C.,  SHAWER, M.  (1981). Assessing the

                 severity of  urinary incontinence in women  by weighing perineal pads.

                 Lancet, 1, 1128-1130.

 

 

 7.             SUTHERST, J.R.,  BROWN, M.C.,  (1984)  Comparison of single and

                 multichannel cystometry in diagnosing bladder instability.  Brit. Med. J. 288,

                 1720-1722.

 

 

8.             SUTHERST, J.R.  BROWN, M.C., RICHMOND, D.  (1986).  Analysis of the pattern of urine loss in women with incontinence as measured by weighing perineal   pads.  Brit. J. Urol., 58, 273-278.

 

 

9.             FRAZER, M.I., SUTHERST, J.R., HOLLAND, E.F.N.  (1987).  Visual analogue scores and urinary incontinence.  B.M.J. 295.582.

 

 

10.           WILSON, P.D., MASON, M.V., HERBISON, G.P., SUTHERST, J.R., (1989)             Evaluation of the home pad test for quantifying incontinence.  Brit. J. Urol 64.155-157.

 

 

11.           FRAZER, M.I., HAYLEN, B.T., SUTHERST, J.R. (1989)  The severity of urinary incontinence in women.  Brit. J.Urol. 63 14-15.

 

 

12.           HAYLEN, B.T., ASHBY, D., SUTHERST, J.R., FRAZER, M.I., WEST, C.R. (1989)  Maximum and average urine flow rates in normal male and female populations - the Liverpool nomograms.  Brit. J. Urol. 64.30-38.

 

 

13.           MOORE, K.H., SUTHERST, J.R.  (1990)  Response to treatment of detrusor instability in relation to psychoneurotic status.  Brit. J. Urol.  66: 486-490.

 

 

14.           SUTHERST, J.R.,  BROWN, M.C., ANNIS, D.  (1991)  A hydrogel implant for   the treatment of stress urinary incontinence in women.  Proc. Int. Cont. Soc.  218-219.

 

 

15.           MOORE, K.H., RICHMOND, D.H., SUTHERST, J.R., MANASSE, P. (1992)    'One-shot' biofeedback in relation to psychoneurotic status and treatment response in detrusor instability.  Neurology and Urodynamics. 11,365-366.

 

 

16.           MOORE, K.H., GILPIN, S.A., DIXON, J.S., RICHMOND, D.H., SUTHERST, J.R., (1992)  Increase in presumptive sensory nerves of the urinary bladder in idiopathic  detrusor instability.  Brit. J. Urol. 70. 370-372.

 

 

17.           MOORE, K.H., NICKSON, P., RICHMOND, D.H., SUTHERST, J.R., MANASSE, P.R., HELLIWELL, T.R. (1992)  Detrusor mast cells in refractory idiopathic instability.  Brit. J.Urol. 70: 17-21.

 

 

18.           SUTHERST, J.R. (1995) Cystitis in women.  Diplomate, 1:4. 252-258.

 

 

19.           TINCELLO, D.G., ADAMS, E.J., SUTHERST, J.R., and RICHMOND, D.H. (2000) Oxybutynin for detrusor instability with adjuvant salivary stimulant pastilles to improve compliance: results of a multicentre, randomised controlled trial.  BJU International. 85: 416-420

 

 

20.          HAYLEN, B.T., KRISHNAN,S., SCHILZ, L.V., LAW,M., ZHOU,J.,

               and  SUTHERST, J. (2007)  Has the true prevalence of voiding difficulty

                in urogynaecology patients been underestimated?  Int Urogynecol J, 18:

                53-56.

 

 

CHAPTERS/BOOKS

 

 

1.             SUTHERST, J.R.  (1981)  Urethral pressure measurements. Contribution to

                The  Incontinent Woman.  Eds. Jordan J.A. and Stanton S.L.,  Proceedings of Symposium at Royal College of Obstetricians and Gynaecologists, pp 27-38.

 

 

2.             SUTHERST, J.R.,  MURRAY, A.  (1985)  Objective assessment of bladder neck closure   before and after incontinence surgery.  Contribution to Gynecologic Urology and  Urodynamics, Second Edition.  Ed. Ostergard, D. Williams & Wilkins, Baltimore, pp 561-585.

 

 

3.             SUTHERST, J.R.,  FRAZER, M.I., RICHMOND, D.H., HAYLEN,B.T.  (1990)         (Joint Eds)  Introduction to Clinical Gynaecological Urology.  Butterworth Heinemann.  London.

 

 

4.             SUTHERST, J.R.,  GLASCOTT, V. (1994) (Joint Eds).  The Doctor-Manager. 

                Churchill  Livingstone.

 

 

5.             SUTHERST, J.R., GORTON, E. (1998).  Sensory disorders of the urinary bladder in  women. Contribution to  Gynaecology for Postgraduates and Practitioners.  Eds: Sengupta B S, Chattopadhyay S K, Dutta  D C.  Churchill Livingstone, New Delhi   London.  360-366.

 

 

 

EXPERIENCE

 

Research.   I have published over 100 papers on the investigation and treatment of female urinary incontinence.  Apart from my own doctorate thesis I successfully supervised 5 other doctorate theses on this subject. Most of my own work was done in collaboration with Medical Physicist, Dr Malcolm Brown.  Together we produced some of the seminal work on urodynamics when the science was in its infancy in the 1980s.

 

Clinical experience

In junior posts in Obstetrics & Gynaecology I was attached to units predominantly concerned with urogynaecology.  Trained under: Professor C.S. Russell – who was a national referral specialist for vesico-vaginal fistula repair and artificial vagina reconstruction; Professor J. Dewhurst, subsequently RCOG President, whose main interest was reconstructive surgery for congenital and paediatric abnormalities of the genito-urinary tract; and Dr D.W. Warrell, probably the most senior urogynaecologist in the U.K. until his recent retirement.

 

Middle-grade (senior SHO) training was in general surgery/urology and included a lot of general surgery including  the following: bowel surgery - stomach/intestinal surgery; large and small bowel resection; anterior resection; abdomino-perineal resections.  Prostatectomies; transvesical and retropubic prostatectomies.  Nephrectomies, splenectomies, gall bladder surgery, limb amputations, etc. Simple and radical mastectomies.  I did all these operations myself under supervision.

 

I later worked as the only gynaecology registrar in a busy teaching hospital were there were 3500 deliveries per year and approximately 4000 major gynaecological surgical cases per year.  I was responsible for the day to day management of all of these patients.  I had my own operating list twice per week.

 

As senior registrar (the only one) in Leicester I worked for the three consultants   (there are now approximately 18, each with senior registrars).  Surgically, this was even busier than previous appointments and I was exposed to a wide variety of general gynaecology and surgical cases, most of which I had to deal with without direct supervision.

 

As consultant/senior lecturer in Liverpool I was largely the clinical/surgical linchpin of the academic team (and was appointed as such). In central Liverpool I was able to establish a referral centre for the investigation and treatment of bladder problems. This subsequently became a tertiary referral centre for difficult and intractable cases of urinary incontinence.  Together with Miss Christine Evans, Consultant Urologist at the Royal Liverpool Hospital, and with Mr Timothy Stephenson, Consultant Urologist in Cardiff, I  was able to expand my surgical repertoire in reconstructive surgery. For a time I worked with both of these surgeons doing major implant and conduit surgery.  During this time I was awarded the Eden Travelling Fellowship of the RCOG and was able to learn techniques of sphincter  implant surgery at several centres in the USA – notably with Brantley-Scott who devised the artificial hydraulic implant sphincter.  I still have a number of women attending my follow-up clinics who have had artificial sphincters in situ for 20 years or so.

 

I was able to continue this subspecialty interest when I moved jobs to Arrowe Park.  There is now a fully established Urodynamic unit at Arrowe Park Hospital for the investigation of female incontinence.

 

I continued my interest in this arena whilst working in the private sector.  I had a  fully equipped unit at BUPA Murrayfield  Hospital  for the investigation of female incontinence.  I ran assessment programs for NHS patients who had incontinence disorders (both men and women). 

 

After taking early retirement from my NHS post at Arrowe Park Hospital I was invited to join the consultant staff of the Liverpool Women’s Hospital on a part-time contractual basis as Consultant in Urogynaecology.  I worked there ( on what was a short term contract) from 1995 until June 2006.  

 

 

MEDICO-LEGAL EXPERIENCE

 

I accept instructions on about 30 new cases/year.  In the medical negligence work I represent the Claimant about 50% of the time and the Defendant about 50% of the time.  On occasions I have been the sole expert.  I find this work interesting: it means I have to keep up-to-date; and it is a great challenge to remain impartial in difficult cases.