KK Urogynecology (UG) Centre is the first urogynecology centre in Asia to provide one-stop services for the investigation and treatment of female bladder disorders and pelvic floor dysfunction. It is Singapore’s largest teaching and training Centre which provides training for both local and overseas fellows/doctors, medical students and nurses and is intensively involved in clinical research.
The KK UG Centre is equipped with sophisticated equipment to help accurately diagnose urogynecology problems. Its aim is to provide the best, cost effective and affordable medical care to patients. The Centre performs more than 700 urogynecology procedures (incontinence and prolapse) and 200 Urodynamic studies in a year.
Outcome of Pelvic Organ Prolapse
Pelvic organ prolapse (POP) is a common condition with approximately 10% of the female population having symptomatic POP.
The surgeries offered by the centre for the treatment of POP are:
Vaginal:
Laparoscopic:
Uterine preservation:
VNOTE:
We perform more than 600 urogynecology procedures each year for the treatment of pelvic organ prolapse.
Vaginal hysterectomy has an excellent surgical outcome with low post-operative morbidity and can be performed concurrently with other prolapse or continence surgeries. The pelvic floor repair is for the correction of bladder prolapse (cystourethrocoele) or rectal prolapse (rectocoele). Previously, vaginal meshes such as Prolift, Elevate and MIPS mesh were used for repair in severe or recurrent bladder prolapse. These vaginal meshes have become less popular in recent years because of the complications associated with the mesh implants. Our Centre has stopped using vaginal mesh for repair since early 2021 in line with other UG centers worldwide following the FDA warning on vaginal mesh use.
* The cure rate is defined as the percentage of patients who has undergone the operation successfully with no or grade 1 recurrence
Stress Urinary Incontinence affects 12-15% of the women population. For women who are 50 years old and above, the risk of having SUI increases to one in three women.
The surgeries offered by the centre for the treatment of SUI are:
Retropubic:
Trans obturator:
Minisling:
Laparoscopic/Open:
Burch Colposuspension was formerly the gold standard in the surgical treatment of female SUI. With the invention of mid-urethral sling in 1996, TVT has revolutionised the surgical treatment of female SUI and is now the gold standard for treating female stress urinary incontinence. KK UG Centre is proud to be the second centre in Asia to introduce the TVT procedure in late 1998.
With the constant advancement in surgical techniques and devices, the operative time and complication rates were further reduced with the introduction of the TVT-O. In 2004, KK UG Centre was the first in Asia to offer the TVT-O procedure.
In September 2011 and early 2012, we started using the new modified versions of the tape, TVT-Abbrevo and TVT-Exact respectively, to treat SUI condition. The Minisling which involving single incision, was introduced at our centre three years ago.
Our centre performed more than 200 midurethral sling procedures a year.
* The cure rate is defined as symptoms successfully treated and tests were negative.
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