The Importance of Consulting with a Urogynae in Singapore

Urogynae in Singapore

The term “Urogynaecology” may be new to some people’s ears. It is understandable as this field is fairly new in the field of obstetrics and gynaecology. Medical doctors who are experts in this field specialise in dealing with conditions that affect the female pelvic region as well as reconstructive medicine. This article will provide you with the various facts that you need to know about this branch of medicine and the importance of consulting with a female urogynae in Singapore.

Urogynaecologists: What exactly do they do?

Urogynaecologists are doctors that focus on examining, diagnosing, and treating issues relating to the female pelvic floor and bladder. They have undergone several years of study to get an undergraduate degree, a medical school degree, a residency program in urology or obstetrics and gynaecology, and successfully completing a fellowship in female pelvic medicine and reconstructive surgery. To top these off, urogynaecologists should have passed medical examinations and certifications needed in female pelvic and reconstructive surgery to practice this medical profession.

What conditions or disorders do urogynaes treat?

Various conditions and disorders concerning the pelvic floor region are treated by urogynaes. These can occur following instances such as:

  • Childbirth
  • Strenuous activities
  • Work that requires lifting heavy things

The factors mentioned above can lead to any of the following conditions or disorders:

  • Bladder and rectum incontinence
  • Bladder, cervix, or uterus prolapse
  • Fistulas
  • Interstitial cystitis
  • Overactive bladder
  • Urge incontinence
  • Urinary tract infections (UTI) that happen frequently

If you feel any of the symptoms mentioned below, be sure to book an appointment with a urogynae as soon as possible. These may not be easy to talk about, but your health condition will suffer if treatment is not done:

  • Bulging in the vagina
  • Challenges encountered during peeing
  • Difficulty in emptying the bladder completely
  • Feeling the urge to pee frequently
  • Frequent infections in the urinary tract
  • Pain or discomfort during sexual intercourse
  • Pain in the pelvic area
  • Pain in the vagina after bowel movement
  • Pee or feces that leaks involuntarily 

What treatments do urogynaes perform?

The treatments that urogynaes perform will depend on the diagnosis of their patients. Generally, urogynaes can carry out treatments such as:

  • Injections
  • Medications
  • Pelvic Floor Muscle Training
  • Nerve Stimulation
  • Surgery
  • Vaginal Pessary

Injections are used in combination with substances or “bulking  agents” to address issues concerning bladder control and incontinence.

Medications can be prescribed for pelvic floor conditions as well as incontinence disorders.

Pelvic floor muscle training is usually recommended for prolapsed disorders. A sample of pelvic floor muscle training is Kegels. This exercise is done by putting pressure to squeeze the pelvic floor muscles and relaxing them in repetition. 

Nerve stimulation is done for overactive bladder issues.

Surgery is usually the last treatment that urogynaes consider. This is recommended for severe cases or when all other treatment plans have failed. Surgical procedures are done to control the bladder, insert bladder replacements, remove the uterus, or repair the vaginal wall.

Vaginal pessaries are medical devices that support the internal organs experiencing prolapsed. They come in various sizes and shapes and are inserted into the vagina.

Are female adults only required to consult with a urogynae?

While a lot of the conditions that urogynaes treat often occur after childbirth, this does not mean that women who have not experienced childbirth are not qualified patients of urogynaes. In fact, some conditions and disorders that affect the pelvic area and bladder can happen to any woman at any time and age. Teenage girls, most especially, may be more hesitant to discuss these types of conditions, so it is important that they are aware of the fact that there is a urogynae in Singapore who can help them address their pelvic floor and bladder concerns. 

What can be expected during a consultation with a urogynae?

During your initial visit to a urogynaecologist, it is important that you come prepared. Expect that you will be asked about your medical history, including very private and intimate ones, such as your bowel, urinary, and sexual history. Your doctor will also do a routine physical exam, which involves a pelvic check that is based on your medical history and symptoms. 

Treatment plans usually start with conservative methods, like pelvic floor exercises, but again this will highly be influenced by the symptoms that the patient is experiencing. If the condition or disorder is at an advanced state, then treatment may start with other methods, like medications, injections, or even surgery.

What to look for when searching for a urogynae?

Talking about issues concerning the private areas can be really awkward, embarrassing, and even stressful for some people. However, keeping them in secret and not getting any medical treatment can cause further damage to your overall health. If you do not know where or how to begin with your search for a reliable doctor who can help treat your pelvic floor or bladder condition, then you can use this checklist to start:

  1. Look for urogynae that is recommended by family members or friends that you trust. Ask about their experience when it comes to the way a doctor communicates, their skills and experiences, as well as the clinic staff’s manners and service. 
  2. Read reviews. Most clinics have their own websites, so you can read about their services as well as patient reviews there. You can also check doctor rating websites to check unbiased reviews. 
  3. Check the doctor’s qualifications. Clinic websites usually have an “About” page where they list the names of doctors that manage the clinic, including their qualifications. Find out about their education, experience, skills, number of years in practice, their specialisation, as well as hospitals they are affiliated with. 
  4. Check which medical insurance they accept. Choosing a doctor whose services is within the means of your financial capability to pay will cause you less stress, so it is important to choose one that is covered by your insurance plan.
  5. Choose a doctor that you are comfortable with and has the same values as yours. You would want a doctor who listens to your needs and does not dismiss your concerns outright just to assert their knowledge or experience. In addition, you may want to consider the doctor’s gender. Some women may be more comfortable discussing their concerns with a female urogynae than with a male doctor. 

Dr Ng Kai Lyn – Consultant Obstetrician and Gynaecologist

Mount Elizabeth Novena: 38 Irrawady Road 05-34/35 

Singapore 329563

Hougang: 684 Hougang Ave 8 01-198

Singapore 530684

+65 60 1115 31

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