Senior Consultant Obstetrician & Gynaecologist
Medical Director & Clinical Governance Officer (CGO) of Monash IVF Singapore
Medical Director of Health & Fertility Centre for Women
Pelvic Organ Prolapse
The pelvic floor consists of the muscles, ligaments, connective tissue and nerves that support the pelvic organs, namely the uterus, vagina, rectum and bladder. When the pelvic floor is damaged or becomes weak e.g. with menopause or menopause, it may become unable to support the pelvic organs. As a result, one or more of the organs may drop (prolapse) below their normal positions, causing symptoms such as discomfort due to a protruding lump at the vagina and urinary incontinence.
Treatment options
- Non-surgical treatmentA ring pessary may be fitted during a gynaecological consultation; the pessary has to be changed every few months.
- Pelvic floor reconstructive surgeryThis consists of several procedures to restore the normal structure and function of the female pelvic organs.
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Urinary Incontinence
Urinary incontinence (UI) refers to involuntary leakage of urine. It is a distressing problem which occurs if your bladder muscles suddenly contract or the sphincter muscles are not strong enough to hold back urine.
There are different types of incontinence and treatment may be medical or surgical depending on the type and cause of the problem. If coughing, laughing and sneezing cause you to leak urine, you may have stress incontinence. Physical changes resulting from pregnancy, childbirth, and menopause often cause stress incontinence.
Treatment for stress urinary incontinence
This depends on the severity of the condition. Options include:
- Non-surgical treatmentPelvic floor exercises also called Kegel's exercises can be helpful.
- SurgeryThis involves the use of synthetic tapes which are placed midway along the urethra e.g. transvaginal tapes (TVT), and transobturator slings (TOT). The tape is inserted during a day surgery procedure and adjusted to provide the right amount of support to the urethra.
Dr Kelly Loi
Medical Director
BMBCh (Oxford), FRCOG (UK), FAMS (Singapore)
Dr Kelly Loi is the Medical Director of Health & Fertility Centre for Women and Monash IVF Singapore. She is known for her work in fertility and women’s health, with a focus on providing personalised and evidence-based care for women at different stages of their reproductive journey.
Dr Loi’s clinical interests include fertility, gynaecology, obstetrics, as well as minimally invasive laparoscopic and hysteroscopic surgery. She supports women through a wide range of reproductive and gynaecological concerns, including pelvic organ prolapse and urinary incontinence.
She has also completed clinical attachments at internationally recognised institutions including Johns Hopkins Hospital and Massachusetts General Hospital, Harvard Medical School, further deepening her experience in fertility care and reproductive medicine.
Gynaecology Services We Provide
Share your concerns with us
Thank you for considering our clinic. For further information, feel free to contact us at 6235 5066 or submit your enquiry using the form below. We will get back to you promptly.
3 Mount Elizabeth, #15-16, Mount Elizabeth Medical Centre, Singapore 228510
Tel: (65) 6235 5066Fax: (65) 6235 6455 Answering Service: (65) 6535 8833Email: info@healthfertility.com.sg
