Dr Mohammed Musthaq

07/06/2025

25/05/2025

Tribute to in Legend field of Obstetrics and Gynaecology Dr Wimalasiri Abeykoon Sir

Dr Wimalasiri Abeykoon
Consultant Obstetrician and Gynaecologist at National Hospital Kandy

I had an unique opportunity to work under him at different dimensions in my career

He has been an unwavering source of inspiration, guidance, and support throughout my professional journey — my mentor, Abeykoon Sir

At every stage, his presence has been a steadying force, a source of wisdom, and a reminder of what true professionalism looks like.

He is more than just an excellent surgeon — he is a teacher in the truest sense. He has always believed that surgical skill is not just innate but learned — through dedicated practice, close supervision, and a willingness to keep improving. He created a learning environment where trainees like me were not just observers, but active participants. His trust in our potential gave us the confidence to grow.

Beyond the operating theatre, he has been a father figure — always supportive, always kind. We’ve shared many special memories over the years, built on mutual respect and a shared commitment to doing our best for our patients and our teams. His leadership is marked by humility, integrity, and compassion. He treats everyone — from junior doctors to support staff — with the same respect and kindness.

His management skills and ability to lead a team with calm authority and genuine empathy are traits I deeply admire and strive to emulate.

Dear Sir, thank you for believing in us, for teaching us not just how to operate but how to lead, and for showing me that mentorship is a lifelong commitment.

I am honored to have walked this journey under your guidance, and I will always carry your lessons with me.

29/04/2025

British Certification in Urogynaecology

06/03/2025

Can pregnant women fast during the month of Ramadan?

Fasting is the fourth basic duty of Islam. Everyone who is healthy obliged to fast throughout the month of Ramadan.

The purpose of fasting during the holy month of Ramadan is not only to starve but also to change your life towards the right path.

It has been scientifically proven to have various benefits in fasting and it has been slightly modified and used as a method of reducing body weight under the name of “intermittent fasting”.

Being hungry and thirsty from the end of Sahar until the sun sets is not for you to suffer. Almighty says that if you understand the benefits of fasting, you will try to fast every day.

We have already reached the holy month of Ramadan and we are looking forward to engage in more good deeds and be closer to the almighty Allah.

Islam, the religion of nature, does not oblige you to do things that is difficult for you.

It has provided incentives to avoid it in case when fasting is difficult . For example pregnant women, breast feeding mothers, the sick and the elderly.

There are many physiological adoptations in pregnancy to ensure continous supply of nutritions to the developing fetus.

Since developing baby solely receives nutrients and oxygen from the placenta , pregnant mothers need additional nutritions and these demands will gradually increase until delivery.

Fasting can be difficult for some pregnant women. Symptoms of dehydration , acid reflux and hypoglycemia may be present, especially in mothers who already have poor nutrition and those who are diagnosed with a variety of medical conditions ( high risk pregnancies).

Meanwhile ,it is better to postpone the fasting under certain medical conditions. for example in those who are diagnosed with growth restricted babies and identified as having low blood flow in fetus.

Similarly, pregnant mothers with diabetes may need to change their diet and medication if they are fasting. So please seek further advice from your doctor.

Fasting of a healthy ( low risk) mother does not result in low birth weight babies or preterm labor.

However, it is best to postpone if mother is anxious or believe that fasting will be difficult for her or to her baby's health.

It is also questionable whether it is good to fast if pregnant mothers with high risk pregnancies against medical advise when the religion provides incentives.

In conclusion, whether to fast or not during pregnancy will vary among each pregnant woman. Pregnant women who are healthy and free from other diseases can fast. Others with medical conditions please consult your doctor for further information

Sheikh Rishard Najimudeen (MPhil, Senior Lecturer, Jamiah Naleemiah)

&

Dr Mohammed Musthaq
Consultant Obstetrician and Gynecologist

04/02/2025

A blissful 77th Independence day!

31/12/2024

Happy New Year 2025

May this year bring new happiness , new goals, new achievements, and many new inspirations to your life

27/12/2024

*Stress Urinary Incontinence (SUI): Patient Information*

_What is Stress Urinary Incontinence?_

Stress Urinary Incontinence (SUI) is the unintentional leakage of urine during activities that increase pressure on the bladder, such as coughing, sneezing, laughing, or physical exertion.

It occurs when the muscles and tissues that support the bladder and urethra (pelvic floor muscles) become weak or damaged.

_Common Causes_

1. Pelvic floor weakness due to:
• Pregnancy and childbirth
• Aging or menopause (reduced estrogen levels)
• Obesity
• Chronic coughing (e.g., due to smoking or lung conditions)
2. Surgical procedures (e.g., hysterectomy) or injuries to the pelvic area.
3. Lifestyle factors: Heavy lifting, high-impact exercises, or long-term constipation.

_Symptoms_

• Leaking urine during physical activities (e.g., running, jumping, lifting).
• Leakage triggered by coughing, laughing, or sneezing.
• The amount of leakage can vary from a few drops to a larger volume.



_Treatment Options_

Treatment depends on the severity of SUI and the patient’s preferences. Options include:

1. Lifestyle Changes
• Weight loss to reduce pressure on the bladder.
• Avoid bladder irritants (e.g., caffeine, alcohol).
• Quit smoking to reduce coughing.

2. Pelvic Floor Exercises (Kegels)
• Strengthen pelvic muscles by contracting and relaxing them regularly.
• Supervised training by a physiotherapist can improve effectiveness.

3. Bladder Training
• Timed voiding and gradually increasing the interval between urination.

4. Surgery (for moderate to severe cases)

• Sling procedures: A sling made of synthetic material or tissue is placed under the urethra for support.

• Bulking agents: Injections around the urethra to reduce leakage.

• Colposuspension: Lifting the bladder neck with sutures to improve support. *Laparoscopic Burch Colposuspension* gives better clinical outcome with less morbidity and earlier recovery

Prevention
• Regular pelvic floor exercises.
• Maintain a healthy weight.
• Manage chronic cough or constipation early.
• Avoid heavy lifting or high-impact activities.

When to See a Doctor
• If leakage affects your daily life or causes embarrassment.
• If you have frequent urinary tract infections or pelvic pain.
• If symptoms worsen over time.

Feel free to ask your doctor about any concerns or treatment options.

*Dr A C M Musthaq
Consultant Obstetrician & Gynaecologist*
BH Teldeniya

MBBS, MD, MRCOG, MSLCOG
Diploma in Gynaecological Endoscopy & Urogynaecology

25/12/2024

Seasonal greetings for those who are celebrating

01/12/2024

Adenomyosis

Adenomyosis is a condition in which the tissue that normally lines the inside of the uterus (the endometrium) grows into the muscular wall of the uterus (the myometrium). This results in the uterine wall becoming thicker and can lead to inflammation, pain, and other symptoms.

Key Features of Adenomyosis:

• Endometrial tissue grows within the uterine muscle: In adenomyosis, the normal endometrial tissue (which usually sheds during menstruation) becomes embedded within the muscular layers of the uterus. When these areas of tissue break down and bleed during the menstrual cycle, they can cause pain and other symptoms.

• Uterine enlargement: The condition can lead to an enlarged uterus, which may feel swollen or tender to the touch.

Common Symptoms:

• Heavy menstrual bleeding: Many women with adenomyosis experience very heavy periods .
• Severe menstrual cramps: The pain can be intense, especially during menstruation.
• Pelvic pain: Constant or chronic pelvic pain .
• Pain during in*******se: Some women may experience pain during or after s*x.
• Enlarged uterus: A physically enlarged uterus may cause a feeling of bloating or pressure.

Causes:

The exact cause of adenomyosis is unclear, but several factors may contribute, including:

• Invasive growth: Some theories suggest that endometrial tissue may grow into the uterine muscle after childbirth or surgery, such as a C-section or dilation and curettage (D&C).
• Age and childbirth history: Adenomyosis is more common in women in their 40s or 50s, particularly those who have had children. However, it can occur in younger women as well.

Diagnosis:

Adenomyosis is often difficult to diagnose without imaging or sometimes surgical examination. Common methods of diagnosis include:
• Pelvic ultrasound: While it may not always provide a definitive diagnosis, an ultrasound can show an enlarged uterus or changes in the uterine wall.
• MRI (Magnetic Resonance Imaging): MRI is more accurate in diagnosing adenomyosis by showing characteristic features of the condition.
• Biopsy or hysterectomy: In some cases, a tissue sample from the uterus or a hysterectomy (removal of the uterus) may be the only way to definitively confirm the condition.

Treatment Options:

Treatment for adenomyosis depends on the severity of the symptoms, age, and whether the woman plans to have children. Some common approaches include:
• Pain management: Nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen, can help manage pain and inflammation.
• Hormonal treatments: Birth control pills, hormonal IUDs, or other hormonal therapies can help reduce menstrual bleeding and manage symptoms by controlling the growth of endometrial tissue.
• Hysterectomy: For women who have completed their family or have severe, persistent symptoms, the removal of the uterus may be considered, as this is the only definitive cure for adenomyosis.

Conclusion:

Adenomyosis can cause significant discomfort and disruption to a woman’s life, but with proper management, many women are able to control their symptoms and lead normal lives. If you suspect you may have adenomyosis or are experiencing symptoms like heavy periods or pelvic pain, it’s important to see a healthcare provider for evaluation and potential treatment.

Dr A C M Musthaq
Consultant Obstetrician & Gynecologist
Sri Lanka

18/11/2024