The Importance of Seeing a Urogynecologist in Singapore: Insights on Procedures and Consultation

Visiting a female urogynecologist in Singapore is something that is not on top of most women’s priority list. And that is understandable because not many are aware of how important a visit to one is. Urogynecologists are the specialists who have the knowledge about the intricate balance and support systems that keep everything in place in a woman’s pelvic region. Whether you are dealing with leaks or a mysterious discomfort that feels like an unwelcome guest at a party, a urogynecologist is your main ally. Seeing a urogynecologist, often referred to as a "urogynae," is crucial for many women, particularly those experiencing symptoms affecting their quality of life. Read more to discover the importance of seeing a urogynecologist, the types of procedures they perform, and what to expect during a consultation with a female urogynecologist in Singapore.

Why a visit to a urogynecologist matters?

Urogynecologist

Urogynecologists have specialized training in both gynecology and urology, allowing them to address complex pelvic floor disorders that affect the bladder, reproductive organs, and rectum. This dual expertise is essential for providing comprehensive care to women experiencing symptoms such as urinary incontinence, pelvic organ prolapse, and chronic pelvic pain.

Urogynecologists understand the unique anatomical and physiological aspects of women's health. They are equipped to provide personalized care tailored to each patient's specific needs, considering factors such as age, reproductive history, and overall health. This personalized approach ensures that women receive the most effective treatments for their conditions.

Pelvic floor disorders can significantly impact a woman's quality of life, causing discomfort, embarrassment, and limitations in daily activities. By seeking care from a female urogynecologist in Singapore, women can receive treatments that alleviate symptoms, restore normal function, and enhance their overall well-being. Early intervention and appropriate management can prevent the progression of these conditions and improve long-term outcomes.

Urogynecologists play a vital role in preventive care by educating women about pelvic floor health and promoting practices that reduce the risk of pelvic floor disorders. They provide guidance on lifestyle modifications, pelvic floor exercises, and other preventive measures that can help maintain pelvic health and prevent future issues.

Types of urogynecology procedures

Urogynecologists perform a variety of procedures to diagnose and treat pelvic floor disorders. These procedures range from non-invasive treatments to advanced surgical interventions.

Non-invasive procedures

Pelvic floor physical therapy involves exercises and techniques designed to strengthen the pelvic floor muscles and improve their function. A urogynecologist may refer patients to a specialized physical therapist who provides personalized exercise programs, biofeedback, and manual therapy to address issues such as urinary incontinence and pelvic pain.

Medications may be prescribed to manage symptoms associated with pelvic floor disorders. For example, anticholinergic drugs can help reduce urinary urgency and frequency, while hormone replacement therapy may be used to address vaginal atrophy and related symptoms in postmenopausal women.

Minimally invasive procedures

A pessary used to support pelvic organs and ease symptoms of pelvic organ prolapse. Pessaries come in various shapes and sizes and can be fitted inside the vagina by a urogynecologist during an office visit. They are a non-surgical option for managing prolapse and can be easily removed and cleaned.

Botox injections into the bladder muscle can help manage overactive bladder symptoms by relaxing the muscle and reducing involuntary contractions. This minimally invasive procedure is typically performed in an office setting and provides symptom relief for several months.

Surgical procedures

Sling procedures are commonly used to treat stress urinary incontinence. During this surgery, a sling made of synthetic material or the patient's tissue is placed under the urethra to provide support and prevent urine leakage during activities that increase abdominal pressure, such as coughing or sneezing.

Surgical repair of pelvic organ prolapse involves repositioning and supporting the prolapsed organs using sutures, mesh, or the patient's tissue. The specific approach depends on the type and severity of the prolapse. Common techniques include vaginal prolapse repair, sacrocolpopexy (using mesh to support the vagina), and uterine suspension.

Sacral nerve stimulation, also known as sacral neuromodulation, is a procedure used to treat overactive bladder and fecal incontinence. A small device is implanted under the skin near the sacral nerves, delivering electrical impulses to regulate bladder and bowel function. This procedure is typically considered when other treatments have failed.

In some cases, a hysterectomy (removal of the uterus) may be necessary to address pelvic organ prolapse, chronic pelvic pain, or other gynecological conditions. The decision to perform a hysterectomy is based on the patient's specific condition and overall health.

What happens during a consultation with a female urogynecologist

The first consultation with a urogynecologist typically begins with a thorough assessment of the patient's medical history, symptoms, and lifestyle. The doctor will ask questions about urinary and bowel habits, pelvic pain, sexual health, and any previous treatments or surgeries. This initial assessment helps the urogynecologist understand the patient's condition and identify potential underlying causes.

A physical examination is an essential part of the consultation. The urogynecologist will perform a pelvic exam to assess the pelvic floor muscles, evaluate for prolapse, and check for any abnormalities. The examination may include a speculum exam to visualize the vaginal walls and cervix, as well as a bimanual exam to feel the pelvic organs.

Depending on the patient's symptoms and initial findings, the urogynecologist may order additional diagnostic tests. Common tests include:

  1. Urinalysis and urine culture: To detect urinary tract infections or other abnormalities.
  2. Urodynamic testing: Measures bladder function and assesses how well the bladder and urethra store and release urine.
  3. Pelvic ultrasound: Uses sound waves to create images of the pelvic organs and detect abnormalities.
  4. Cystoscopy: A thin tube with a camera is inserted into the bladder to visualize the bladder lining and identify any issues.

After completing the assessment and diagnostic tests, the urogynecologist will discuss the diagnosis and treatment options with the patient. This discussion may include:

  • Conservative treatments: Such as pelvic floor exercises, lifestyle modifications, and medications.
  • Minimally invasive procedures: Like pessary insertion or Botox injections.
  • Surgical options: If necessary, the urogynecologist will explain the surgical procedures, potential risks, and expected outcomes.

Follow-up care

Follow-up care is an essential part of managing pelvic floor disorders. The urogynecologist will schedule follow-up visits to monitor the patient's progress, adjust treatment plans as needed, and address any concerns or complications.

Dr Ng Kai Lyn – Consultant Obstetrician and Gynaecologist

808 Thomson Road,

#14-19 Singapore 298190

https://drngkailyn.com

+65 60 1115 31

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