Urogynaecology Treatment

Some things are not always easy to discuss but are necessary for your well-being. We’re talking about pelvic health. 

Issues like urinary incontinence and an overactive bladder can impact your daily life. Fortunately, modern medicine has paved the way for effective urogynaecology treatments to help you reclaim control over your pelvic health.

What is urogynaecology, and what conditions does it address?

Urogynaecology zeroes in on urinary tract disorders and pelvic floor dysfunction in women. Pelvic floor dysfunction, which covers a wide range of conditions, canconditions can affect women of all ages.

The scope of urogynaecology encompasses a complete treatment approach that includes reviewing medical history, conducting physical examinations such as pelvic exams, and performing tests like urine culture and urodynamic testing. 

What are common types of urogynaecology conditions?

Anatomical variations make women more susceptible to developing pelvic floor disorders than men. This is largely due to pregnancy and childbirth, which can place additional strain on the pelvic floor muscles. The following are common urogynaecology conditions:

  • Overactive bladder
  • Pelvic organ prolapse
  • Urinary incontinence
  • Urinary tract infections
  • Interstitial cystitis

Overactive bladder

An overactive bladder can result from poor coordination between the bladder muscle and the urethra, leading to overactive bladder symptoms like urine leakage or a complete loss of bladder control. Given the potential of this condition to significantly disrupt daily life, prompt treatment is advisable.

Pelvic organ prolapse

Pelvic organ prolapse occurs when pelvic organs descend from their original position due to weakened or damaged pelvic floor muscles. This condition is common among older women or those who have given birth. The symptoms can range from discomfort to pain and urinary and bowel issues.

Urinary incontinence

Urinary incontinence can arise from bladder hypersensitivity (urge incontinence) or pelvic floor weakness (stress incontinence). This condition is prevalent among older adults and women who have undergone childbirth or surgery. Incontinence can be embarrassing for many women, but it’s important to remember that it’s a medical condition that can be treated.

Urinary tract infection

Urinary tract infections (UTIs) are a common issue for many women. While these infections can be effectively treated with medication, they also have a high chance of recurrence. 

You should seek appropriate medical advice for managing the condition, as it could develop into kidney infections or other serious health issues without treatment. Regular check-ups and maintaining good personal hygiene can also help prevent the onset of these infections.

Interstitial cystitis

Interstitial cystitis is a chronic condition that presents with bladder pressure, bladder pain, and sometimes pelvic pain. This condition can be challenging to manage due to its chronic nature, but urogynaecologists can provide expert care and treatment plans to alleviate symptoms and improve quality of life. Managing this condition usually involves lifestyle modifications, medications, and therapies.

Urogynaecology treatment & procedures

Myomectomy

A myomectomy is specifically aimed at removing uterine fibroids while preserving the uterus. While the primary goal is to address symptoms like heavy menstrual bleeding or pelvic pain, myomectomy may also indirectly improve urinary symptoms or pelvic floor function by reducing the size and pressure of fibroids on adjacent structures.

Hysteroscopy

Hysteroscopy involves inserting a thin, lighted tube called a hysteroscope into the uterus. A hysteroscopy primarily focuses on examining and treating issues related to the uterus and uterine, but it can be used in specific situations in urogynaecology.

  1. Evaluation of uterine anomalies: In cases where uterine anomalies are suspected alongside pelvic floor disorders or urinary symptoms, a hysteroscopy may be used to assess the structure of the uterus, such as uterine septum or intrauterine adhesions.
  2. Evaluation of endometrial pathology: If there are concerns about endometrial pathology contributing to pelvic symptoms, a hysteroscopy with endometrial biopsy may be performed to obtain tissue samples for further evaluation.
  3. Assessment of uterine fibroids or polyps: While uterine fibroids and polyps are primarily gynaecological issues, they can sometimes coexist with urogynaecological conditions. A hysteroscopy may be used to visualise and potentially remove these growths if they are contributing to symptoms such as pelvic pain or abnormal bleeding.

Other urogynaecology treatment options

Sling procedures: Tension-free vaginal tape (TVT) and trans obturator tape (TOT) procedures are common sling surgeries used to treat stress urinary incontinence.

Colporrhaphy: Anterior and posterior colporrhaphy are surgeries performed to repair the front (anterior) and back (posterior) walls of the vagina, addressing pelvic organ prolapse.

Laparoscopic sacrocolpopexy: This minimally invasive procedure involves using mesh to support the vaginal vault in cases of significant pelvic organ prolapse.

Sacral Nerve Stimulation (InterStim Therapy) involves implanting a device that stimulates the sacral nerves to manage overactive bladder and urinary retention.

Pelvic floor repair with mesh: Mesh can be used in pelvic floor repair surgeries to provide additional support for weakened tissues in cases of pelvic organ prolapse.

Our Urogynaecology Specialist: Dr Paul Tseng

At the heart of effective urogynaecological treatment is the expertise of the medical team. Dr Paul Tseng is a team member of the Singapore Women’s & Children’s Medical Group, and he specialises in Obstetrics & Gynaecology, with sub-speciality training in Urogynaecology. 

Dr. Tseng has amassed a wealth of experience and knowledge since starting his private practice in 1995 after leaving his consultant position at Singapore General Hospital. He is accredited to perform surgical procedures at Mount Elizabeth Novena Hospital, Thomson Medical Centre, and Mount Alvernia Hospital.

Dr Paul Tseng Seng Loke

Obstetrics & Gynaecology, Fertility, Urogynaecology

Why choose
Singapore Women's & Children's
Medical Group?

Full spectrum of obstetrics & gynaecology and tertiary paediatric services

At Singapore Women’s & Children’s Medical Group, we pride ourselves on our comprehensive range of services covering obstetrics, gynaecology, and tertiary paediatric care. Whether you’re seeking prenatal care, family planning services, or treatment for complex gynaecological conditions, our team is equipped to provide compassionate and expert care.

A team of experienced medical specialists

Our medical team consists of skilled and experienced specialists in obstetrics, gynaecology, and paediatrics. Each team member is committed to providing personalised care tailored to every patient’s unique needs. 

With a wealth of knowledge and practice in their respective fields, our specialists strive for excellence in diagnosis, treatment, and patient outcomes.

Dedicated management team

Behind the scenes, our dedicated management team works tirelessly to ensure you have a positive experience with Singapore Women’s & Children’s Medical Group. We want our patients to have a seamless and stress-free clinic experience.

Book an appointment with Dr Paul Tseng today to learn more about urogynaecology treatment.

Frequently asked questions

Symptoms of pelvic floor disorders can vary but often include urinary incontinence, pelvic organ prolapse, pelvic pain, and bowel dysfunction. Other symptoms may include urinary urgency, frequency, or difficulty emptying the bladder.

Urogynaecological issues can occur at any age but are more common as women age, particularly during and after menopause. However, certain conditions like urinary incontinence or pelvic organ prolapse can also affect younger women, especially after childbirth.

Pelvic organ prolapse may be caused by childbirth, ageing, hormonal changes, obesity, and conditions that increase intra-abdominal pressure. When the pelvic floor muscles and connective tissues weaken, it can cause the pelvic organs to descend into the vaginal canal.

Yes, both urinary incontinence and pelvic organ prolapse are common after childbirth. The process of pregnancy and childbirth can weaken the pelvic floor muscles and connective tissues, increasing the risk of these conditions. 

While some urogynaecological issues may not be entirely preventable, there are measures you can take to reduce their risk. These include maintaining a healthy weight, practising pelvic floor exercises, avoiding heavy lifting, quitting smoking (if applicable), and seeking prompt treatment for conditions like chronic cough or constipation that can strain the pelvic floor.