The branches of medicine that are most commonly associated by many when discussing women’s health issues are gynaecology and obstetrics. Urogynaecology may be unfamiliar to some, but this sub-specialty is just as important to women’s health. Knowing these different fields is important so that women know which type of women’s health specialist they can consult with should any medical condition or concern arise.
What is Urogynaecology?
Urogynaecology is a subspecialty of gynaecology that focuses on the diagnosis and treatment of pelvic floor disorders and urinary tract conditions in women. This field combines expertise in urology and gynaecology to address a range of issues related to the bladder, urethra, vagina, and pelvic organs.
Below are key aspects of urogynaecology and what sets it apart from general gynaecology:
Key Focus Areas in Urogynaecology
- Pelvic Floor Disorders
- Pelvic Organ Prolapse: When the pelvic organs, such as the bladder, uterus, or rectum, descend into the vaginal canal.
- Chronic Pelvic Pain: Persistent discomfort or pain in the pelvic area.
- Bladder and Urinary Issues
- Urinary Incontinence: Difficulty controlling urination, including stress incontinence and urge incontinence.
- Overactive Bladder Syndrome: Frequent urination and sudden urges to urinate.
- Recurrent UTIs (Urinary Tract Infections): Chronic infections of the urinary tract.
- Vaginal and Urethral Conditions
- Vulvovaginal concerns or irritation.
- Urethral discomfort or dysfunction.
How is Urogynaecology Different from General Gynaecology?
- Gynaecology focuses on the reproductive system, addressing issues like menstrual irregularities, fertility, and menopause.
- Urogynaecology, on the other hand, specializes in the pelvic floor and urinary system, addressing concerns that affect both quality of life and physical functionality.
When Should You See a Urogynaecologist?
Women experiencing the following symptoms should consider consulting a urogynaecologist:
- A sensation of heaviness or bulging in the vagina.
- Difficulty urinating or emptying the bladder completely.
- Frequent urination or sudden urgency.
- Incontinence or accidental urine leakage.
- Pain or discomfort in the pelvic area, particularly after physical activity.
Getting a consultation with a medical professional to address this kind of health problem is not a cause of embarrassment at all. Many people experience this and conditions like these are definitely not new or strange to a urogynaecologist. The earlier you get examined, the faster your health can be restored with the proper treatments.
Available Treatments in Urogynaecology
- Non-Surgical Options
- Pelvic Floor Exercises (e.g., Kegel exercises): Strengthening pelvic muscles to address incontinence and support the bladder and other pelvic organs.
- Vaginal Pessary: A device inserted into the vagina to support pelvic organs and alleviate symptoms of prolapse.
- Medications: Prescribed for managing overactive bladder, infections, or pain.
- Physical Therapy: Focused on strengthening and relaxing the pelvic floor muscles.
- Injections: Botulinum toxin (Botox) injections for overactive bladder or bulking agents for stress incontinence.
- Surgical Options
- Pelvic Floor Reconstructive Surgery: Repairs to address prolapse or weak pelvic muscles.
- Hysterectomy: Removal of the uterus, often recommended for severe pelvic organ prolapse.
- Midurethral Sling Surgery: A minimally invasive procedure for stress incontinence that provides support to the urethra.
- Anal or Sphincter Muscle Repair: Restoring function in cases of anal incontinence or damage during childbirth.
- Rectovaginal or Vesicovaginal Fistula Repair: Closing abnormal connections between the rectum/vagina or bladder/vagina.
Your urogynaecologist may use a combination of non-surgical and surgical procedures to plan for your treatment.
Preparing for a Pelvic Exam
Undergoing a pelvic exam is a key part of diagnosing pelvic floor issues. Here are tips to prepare for the appointment:
- Avoid Vaginal Products: Refrain from using douches, creams, or suppositories two days prior to the exam.
- Skip Sexual Activity: Avoid intercourse for 24–48 hours before the appointment.
- Schedule Around Menstruation: While exams can occur during menstruation, many prefer scheduling outside this time for comfort.
- Communicate Concerns: Let your doctor know if you feel anxious or have experienced trauma. This ensures they provide extra support and sensitivity.
- Wear Comfortable Clothing: Choose outfits that are easy to remove for the exam.
Why Urogynaecology Matters
Pelvic floor and urinary conditions can significantly impact quality of life. These issues are more common than many realize, particularly after childbirth, during menopause, or with aging. Seeing a urogynaecologist ensures timely and effective management of these conditions, helping women restore comfort and confidence in their daily lives.
Final Thoughts
Urogynaecology is a vital field dedicated to addressing complex pelvic floor and urinary health issues. If you are experiencing any symptoms that affect your bladder, pelvic organs, or overall well-being, don’t hesitate to seek help from a qualified urogynaecologist. Early intervention can improve outcomes and ensure you receive the care and support you need.
For professional urogynaecology services, contact:
Dr. Ng Kai Lyn – Consultant Obstetrician and Gynaecologist
808 Thomson Road, #14-19 Singapore 298190
Visit Website
+65 60 1115 31
