Current Professional Posts

  • Consultant Gynaecologist and Accredited Subspecialist Urogynaecologist
  • Clinical lead for Gynaecology
  • Lead for Urogynaecology
  • Dept of Urogynaecology and Childbirth Injury
  • Epsom and St. Helier University NHS Trust

Areas of Expertise

  • Urinary incontinence in women
  • Prolapse of uterus and vagina
  • Childbirth injury including anal sphincter injury
  • Women who have had previous surgery for prolapse or incontinence
  • Pelvic Floor Problems
  • Bladder and vaginal pain
  • Repeated urinary infections/cystitis/interstitial cystitis
  • Bladder emptying problems
  • Vaginal, Perineal and Labial distortion
  • Menopause
  • Postmenopausal problems
  • Heavy periods
  • Pelvic pain

Treatments Offered

Conservative treatments for urinary incontinence

Medical treatments for urinary incontinence

Surgical treatments for urinary incontinence including slings, colposuspension, Botulinum toxin (Botox) treatment to the bladder, bulking to the bladder neck

Conservative treatements for prolapse including vaginal devices: ring, shelf, gellhorn, cube pessaries

Surgical treatments for prolapse including vaginal repair, vaginal hysterectomy, procedures to suspend the vaginal vault to ligaments in the pelvis and to the sacrum (tailbone)

Specialist in management of complex prolapse or incontinence including treatment for women who have had procedures that have failed once or more, women who have failed medical treatment in the past, chronic problems

Treatment for longstanding bladder/urethral/vaginal pain/recurrent cystitis

Childbirth injury including conservative and surgical treatments: vaginal/perineal reconstruction

General gynaecology including heavy periods, period pain, sterilisation, bleeding after menopause, menopause symptoms, vaginal dryness

Professional Details

Consultant in Obstetrics and Gynaecology at Epsom and St. Helier University Hospitals NHS Trust

RCOG Accredited Subspecialist Urogynaecologist

Clinical lead for Urogynaecology

Clinical lead for Gynaecology

Member of the Training Sub Committee for the British Society of Urogynaecologists

Member of the Southwest London Regional Pelvic Floor Network

SouthLondon Preceptor for RCOG Urogynaecology Advanced Training Skills Module

Member of the London Urodynamics Club

Memberships of Professional Societies

Member of the Royal College of Obstetricians and Gynaecologists

Member of the British Society of Urogynaecologists

Member of the International Urogynaecological Association

Member of the International Continence Society

Member of the International Society of Ultrasound in Urogynaecology

Personal Details

I am married with two young children and live and work in southwest London/ Surrey

I enjoy running, playing tennis, golf, skiing, and technology when my children allow me the time!

My wife and I also enjoy eating out, theatre and musicals. We are members of the National Trust and enjoy spending some of our weekends at these locaitons. We also travelling extensively when we are able.

Publications

 

  1. Changes in detrusor muscle oxygenation during detrusor overactivity contractions

Vijaya G, Digesu GA, Derpapas A, Panayi DC, Fernando R, Khullar V

Eur J Obstet Gynecol Reprod Biol. 2012 Jul;163(1):104-7. doi: 10.1016/j.ejogrb.2012.03.030. Epub 2012 Apr 23.

 

  1. Rectal distension: The effect on Bladder Function

Panayi DC, Khullar V, Digesu GA, Spiteri M, Hendricken C, Fernando Neurourol Urodyn. 2011 Mar;30(3):344-7. doi: 10.1002/nau.20944. Epub 2011 Jan 25.

 

  1. Womens perspective of botulinum toxin treatment for overactive bladder symptoms

Digesu GA, Panayi D, Hendricken C, Camarata M, Fernando R, Khullar V

Int Urogynecol J. 2011 Apr;22(4):425-31. Epub 2010 Nov 24

 

  1. Ultrasound measurement of vaginal wall thickness: a novel and reliable technique

Panayi DC, Digesu GA, Fernando R, Khullar V

Int Urogynecol J. 2010 Oct;21(10):1265-70. Epub 2010 May 26.

  1. Validity of Rome III Criteria in assessing constipation in women

Digesu GA, Panayi D, Kundi N, Tekkis P, Fernando R, Khullar V

Int Urogynecol J. 2010 Oct;21(10):1185-93. Epub 2010 May 21

 

 

  1. Transvaginal measurement of bladder wall thickness: a more reliable technique than transperineal and transabdominal techniques

Panayi DC, Khullar V, Fernando R, Tekkis P

BJU Int. 2010 Apr 29. [Epub ahead of print]

 

7.      A persistent bladder erosion with ureteric involvement following mesh augmented repair of cystocele

Derpapas A, Digesu GA, Panayi D, Vale J, Khullar V.

Am J Obstet Gynecol. 2010 Apr 27. [Epub ahead of print]

 

  1. Is the beneficial effect of antimuscarinics related to motor or sensory changes in the bladder?

Panayi DC, Tekkis P, Fernando R, Khullar V

Int Urogynecol J Pelvic Floor Dysfunct. 2010 Mar 27. [Epub ahead of print]

 

  1. Ultrasound measurement of bladder wall thickness is associated with overactive bladder symptoms

Panayi DC, Tekkis P, Fernando R, Hendricken C and Khullar V

Neurourol Urodyn. 2010 Feb 1. [Epub ahead of print]

 

  1. Is ultrasound estimation of bladder weight a useful tool in the assessment of patients with lower urinary tract symptoms?

Panayi DC, Khullar V, Digesu GA, Hendricken C, Fernando R, Tekkis P

Int Urogynecol J Pelvic Floor Dysfunct 2009 Dec;20(12):1445-9.

 

  1. Reliability and normal ranges for the patient perception of urgency scale (PPIUS)in normal women

Cartwright R, Panayi DC, Cardozo L, Khullar

BJU Int. 2009 Oct 10. [Epub ahead of print]

 

  1. Urogynaecological problems in pregnancy and postpartum sequelae

Panayi DC, Khullar V Curr Opin Obstet Gynecol. 2009 Feb;21(1):97-100

 

  1. Preoperative opening detrusor is predictive of detrusor overactivity following TVT in patients with preoperative mixed incontinence

Panayi DC, Duckett J, Digesu GA, Camarata M, Basu M, Khullar V

Neurourol Urodyn. 2009;28(1):82-5.

 

  1. Should we explain lower urinary tract symptoms to women?

Digesu GA, Khullar V, Panayi DC, Calandrini M, Gannon M, Nicolini U

Neurourol Urodyn. 2008;27(5):368-71.

 

Other Publications including Book Chapters

  1. Quality of life questionnaires in evaluating the overactive bladder

Panayi DC, Khullar V

European Urological Review Volume 3 Issue 1 2008 59-61

 

  1. An Overview of the Management of Urodynamic Stress Incontinence

Panayi DC and Khullar V

European Genitourinary Disease 78-80 2008

 

  1. CONTINENCE: Current Concepts and Treatment Strategies

Chapter 13: Surgery for Stress Incontinence: Midurethral Slings

Demetri Panayi and Vikram Khullar

 

  1. Strat OG Module ‘Perineal and Vaginal Surgery’ RCOG Website 2008

Demetri C Panayi

 

  1. Chapter 12 History and Examination: Vik Khullar and Demetri Panayi – Chapter revision for new edition

Textbook of Female Urology and Urogynecology, Cardozo and Staskin (in press 2009)

 

  1. Ultrasound Chapter for Urodyamics Illustrated (RCOG textbook (in press 2009) Demetri C Panayi and Vik Khullar

 

  1. Potential Role of Muscarinic Receptors in Pathophysiological Mechanisms

Demetri Panayi and Vik Khullar

(In press)

 

  1. Investigation of detrusor overactivity in the secondary care setting

Demetri Panayi and Vik Khullar

Presentations at National and International Meetings

 

Meeting: Annual Scientific Update Urogynaecology RCOG/BSUG Meeting November 2009

 

  1. Invited Speaker: Case Presentation of Mesh Erosion

DC Panayi

 

Annual Blair Bell Scientific Meeting November 2009

 

  1. Mean bladder wall thickness is an accurate objective measure of overactive bladder symptoms in women

Panayi DC

(Oral)

 

International Continence Society (ICS) 2009 San Francisco

 

  1. Is bladder wall thickness a better objective measure than urodynamics for overactive bladder symptoms?

Panayi DC, Khullar V, Fernando R, Hendricken C, Tekkis

(Oral)

 

  1. Anticholinergic medication: does it work via the sensory or motor route?

Panayi DC, Tekkis P, Fernando R, Digesu GA, Khullar V

(Poster)

 

International Society Ultrasound Obstetrics and Gynaecology (ISUOG) 2009 Hamburg

 

  1. Vaginal wall thickness is related to the degree of vaginal prolapse

Panayi DC, Khullar V, Fernando R, Digesu GA, Tekkis P

(Podium)

 

  1. Bladder wall thickness to assess if anticholinergics work via the sensory or motor route

Panayi DC, Khullar V, Fernando R, Digesu GA, Tekkis P

(Podium)

 

  1. The fascial defect theory for vaginal prolapse is not supported by ultrasound measurement of vaginal wall thickness

Panayi DC, Tekkis P, Fernando R, Digesu GA, Khullar V

(Podium)

 

  1. Are overactive bladder symptoms better objectively measured using mean bladder wall thickness

Panayi DC, Khullar V, Fernando R, Digesu GA, Tekkis P

(Oral Poster)

 

  1. Is ultrasound estimation of bladder weight a useful diagnostic tool?

Panayi DC, Tekkis P, Fernando R, Digesu GA, Khullar V

(Oral Poster)

 

  1. Ultrasound measurement of vaginal wall thickness is a novel and reliable technique

Panayi DC, Khullar V, Fernando R, Digesu GA, Tekkis P

(Oral Poster)

 

UK Continence Society (UKCS) Annual Meeting 2009 Swansea

 

  1. Botulinum toxin for the overactive bladder: the woman’s perspective

DC Panayi, GA Digesu, M Camarata, R Lee Wai, R Fernando, V Khullar

(Oral)

 

 

 

BMUS  Gynaecology Ultrasound Study Day  February 2009

 

Invited speaker:

  1. Assessing the pelvic floor and the use of ultrasound to assess the

urogynaecology patient

 

 

British Society of Urogynaecology (BSUG) Annual Research Meeting November 2008

 

 

  1. Is ultrasound estimation of bladder weight a useful diagnostic tool?

DC Panayi, C Hendricken, R Fernando, GA Digesu and V Khullar

(Oral)

 

ICS 2008 Annual Meeting Cairo

 

  1. A pilot randomised study to determine if rectal distension alters urodynamic findings

DC Panayi, V Khullar, M Spiteri, C Hendricken, R Fernando, P Tekkis

(One of three studies at the meeting published in the official ICS Newsletter)

(Oral)

 

  1. Reliability and Normal Ranges for the PPIUS in normal women

R Cartwright, DC Panayi, L Cardozo, V Khullar

(Oral)

 

International Urogynaecology Association (IUGA) Annual meeting 2008 Taipei

 

  1. A pilot randomised study to determine if rectal distension alters urodynamic findings

DC Panayi, V Khullar, M Spiteri, C Hendricken, R Fernando, P Tekkis

(Oral)

 

  1. Does the constipation questionnaire from the Rome III Criteria demonstrate test-retest reliability?

N Kundi, DC Panayi, R Fernando, M Rameez, V Khullar

(Oral)

 

  1. The Rome III Constipation Questionnaire: a Delphic and unreliable tool in diagnosing constipation

GA Digesu, N Kundi, DC Panayi, R Lee, R Fernando, V Khullar

(Oral)

 

  1. Do women perceive their bladder function differently after having children?

DC Panayi, R Fernando, W Lee, V Khullar

(Poster)

  1. Where is Botulinum Toxin being injected?

DC Panayi, GA Digesu, R Fernando, V Khullar

(Poster)

 

BSUG Annual Research Meeting 2007

 

  1. A pilot randomised study to determine if rectal distension alters urodynamic findings

DC Panayi, V Khullar, M Spiteri, C Hendricken, R Fernando, P Tekkis

(Oral)

ICS 2007 Rotterdam

 

 

  1. Can outcome of continence surgery be predicted using urodynamic parameters?

Panayi DC, Camarata M, Basu M, Digesu G, Khullar V, Duckett J
Dept of Urogynaecology, St. Mary’s Hospital, London, U.K., The Medway Maritime Hospital, Kent, U.K.

(Oral Poster)

 

  1. Is the placebo effect of anticholinergics related to the pelvic floor?

Panayi DC, Khan M, Digesu GA, Fernando R, Khullar V Dept of Urogynaecology, St. Mary’s Hospital, London, U.

(Oral poster)

 

 

IUGA 2007 Cancun

 

  1. Opening pressures, can they predict surgical outcome?

DC Panayi, M Camarata, GA Digesu, M Basu, V Khullar

and J Duckett

(Oral Poster)

  1. Is the pelvic floor the cause of the placebo effect?
    Panayi DC, Khan M, Digesu GA, Fernando R, Khullar V

(Oral Poster)

 

UKCS 2007 Birmingham

 

  1. Mesh shrinkage in Sacrocolpopexy: Fact or Fiction?

GA Digesu, T Miskry, DC Panayi and V Khullar (presenter)

(Oral)

 

28.: Opening pressures, can they predict surgical outcome?

DC Panayi, M Camarata, GA Digesu, M Basu, V Khullar

and J Duckett

(Oral)

  1. Is the pelvic floor responsible for the placebo effect?

Panayi DC, Khan M, Digesu GA, Fernando R, Khullar

(Oral)

  1. Does urodynamic diagnosis vary according to ethnicity?

Panayi D, Wooding K, Bundock H, Hendriken C, Digesu A, Fernando R, Khullar V
(Poster)

Mr Demetri C Panayi

Contact Details & Clinics

Phone Number
07990 781826

Secretary Email
amy@londonwomenscentre.co.uk


St. Anthonys Hospital

801 London Rd, North Cheam, Sutton, Surrey SM3 9DW

Phone: 020 8337 6691

Parkside Hospital

53 Parkside, London SW19 5NX

Phone: 020 8971 8000

New Victoria Hospital
184 Coombe Lane West, Kingston upon Thames, KT2 7EG

Tel: 020 8949 9000


GMC Number
4438782

Language Spoken
English