6733 8810 
Urogynaecology
Dr Christopher Ng
Consultant Obstetrician & Gynaecologist
MBBS (Imperial College, UK), MMed (O&G) (S’pore), FRANZCOG (Aust-NZ), FAMS (O&G) (S’pore)
Urinary Incontinence
Urinary Incontinence is the involuntary leakage of urine. In stress urinary incontinence, these leaks occur with certain physical activities such as running, laughing, sneezing or coughing. Others leak urine only when they are pregnant, after childbirth and menopause. It occurs when the bladder sphincter muscles become too weak to withhold the urine. These leaks can become frequent or severe enough to cause embarrassment and effect the social lives of women and can be treated successfully with either physiotherapy or surgery.
Some women feel the urge to urinate and cannot control it. This is called urge incontinence and is caused by overactive involuntary contractions of the bladder muscles and this can be managed effectively with medication.
Tension-free vaginal tape (TVT-O) obturator system for Urinary Stress Incontinence
Urinary Incontinence Treatment
The tension-free vaginal tape (TVT-O) obturator surgery is now the surgical treatment of choice for stress urinary incontinence. This surgery takes 15 minutes to perform and is done under regional or general anaesthesia. It is usually performed as a day surgery so patients can return home on the same day.
Utero-vaginal Prolapse, Cystocele & Rectocele
Uterine Prolapse is the condition where the pelvic floor muscles become too weak to support the uterus, resulting in the uterus descending into the vagina. It mostly affects women whose pelvic tissues have weakened because of childbirth and menopause. The loss of oestrogen and repeated straining of the pelvis eventually result in a prolapse. Treatment is usually not needed for mild cases. However, when the condition is more severe and lifestyle becomes affected, surgical repair is usually recommended by your gynaecologist in Singapore.
Uterine Prolapse Symptoms
- Sensation of heaviness or pulling in the pelvis
- Vaginal laxity along with decreased vaginal tone and satisfaction during intercourse
- Involuntary urinary leakage, retention of urine or bladder infections
- Difficulties with bowel movement
- Abnormal protrusion of the uterus, bladder and bowel from the vagina
- Lower back pain
A cystocele occurs when there is a weakness of the tissue between the bladder and vagina resulting in the bladder bulging into the anterior vaginal wall. In mild cases, it can be managed conservatively but when it becomes symptomatic or the cystocele is severe, then surgical repair is warranted.
In a rectocele, defects in the tissue between the rectum and the posterior vaginal wall leads to bulging of the rectum into the vagina. Mild rectoceles do not require surgery but if the rectocele worsens and becomes bothersome or increases in severity, then surgery to repair the rectocele is usually the best method of treatment.
Uterine Prolapse Treatment
Both urinary incontinence and uterine prolapse can bring about distress and disruption of lifestyle. Depending on the severity, these conditions can be treated with surgery or non-surgically.
- Ring PessaryFor patients who are unfit for surgery, a ring pessary can be fitted into the vagina to support the pelvic floor tissue. This pessary has to be changed regularly every few months. Kegel exercises, also known as pelvic floor exercises, can help strengthen the muscles around the pelvic area.
- Urogynaecological surgeries that we perform to treat uterine prolapse, cystoceles and rectoceles include vaginal hysterectomy, pelvic floor repair (with or without a mesh), sacrospinous fixation and sacrocolpopexy.
In addition, we also provide diagnostic tests and treatment for women with other related conditions like overactive bladder (passing urine too frequently), voiding dysfunction (difficulty in passing urine), recurrent urinary tract infections and other urinary symptoms e.g. pain when passing urine, blood in the urine, bed-wetting.
Vaginal laxity and gaping vagina
Some women, as a result of traumatic vaginal deliveries and/or menopause, develop lax vaginas and a gaping introitus (vaginal opening). They may start to complain of decreased vaginal tone and sensation / satisfaction during intercourse.
Vaginal Laxity and Gaping Vagina Treatment
Vaginoplasty is a surgical procedure designed to tighten up the vaginal tissues and to reinforce vaginal tone. The normal external appearance of the vagina is restored at the same time.
Hypertrophic labia minora
The labia minora helps cushion the inner vagina and clitoris from friction, impact and damage. Most women who are born with longer or asymmetrical labia minora have no complaints and there is no cause of concern as this is part of the normal variation in appearance. For some women, however, this can cause discomfort during intercourse, frequent irritation and even abrasion ulcers during certain activities (cycling, horse riding and sexual intercourse). Others simply do not like the appearance.
Hypertrophic Labia Minora Treatment or Labiaplasty
Labiaplasty addresses these concerns by removing excess labia minora tissue and reshaping the labia minora to appear more naturally symmetrical and functional.
Gynaecological Services We Provide
From routine women’s health needs to complex medical issues, our clinic is here to support you.
Call us at 6733 8810 or message us by clicking the button.
Dr Christopher Ng
Consultant Obstetrician & Gynaecologist in Singapore
Qualifications & Credentials
- Bachelor of Medicine, Bachelor of Surgery (Imperial College, UK)
- Master of Medicine in Obstetrics and Gynaecology (Singapore)
- Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists
- Fellow of the Academy of Medicine, Singapore (Obstetrics & Gynaecology)
Dr Christopher Ng is a dedicated obstetrician and gynaecologist with over two decades of experience. Having been educated and trained in Singapore, the UK and the US, Dr Ng brings with him a wealth of experience and medical knowledge that puts his patient’s wellbeing to the fore.
Dr Ng also complements his practice with aesthetics and has obtained Certificates of Competence in all aesthetic procedures recognised by the Singapore Medical Council Aesthetic Practice Oversight Committee.
With over 30 years of dedicated service in the field of women’s health and rejuvenation, Dr Ng remains steadfast in his commitment to provide compassionate, personalised and effective care to all his patients.
Dr Christopher Ng is a dedicated obstetrician and gynaecologist with over two decades of experience. Having been educated and trained in Singapore, the UK and the US, Dr Ng brings with him a wealth of experience and medical knowledge that puts his patient’s wellbeing to the fore.
Dr Ng also complements his practice with aesthetics and has obtained Certificates of Competence in all aesthetic procedures recognised by the Singapore Medical Council Aesthetic Practice Oversight Committee.
With over 30 years of dedicated service in the field of women’s health and rejuvenation, Dr Ng remains steadfast in his commitment to provide compassionate, personalised and effective care to all his patients.
1 Orchard Boulevard, #04-03A Camden Medical Centre, Singapore 248649
Phone:+65 6733 8810
Fax:+65 6733 8850
After Office:+65 6535 8833
Email:gynaemd@singnet.com.sg
Mon - Friday:0900h to 1730h
Saturday:0900h to 1300h
Lunch Break:1300h to 1400h
Closed on Public Holiday and Sunday