Urinary Incontinence

Urinary Incontinence in Women Involuntarily Leaking Urine due to Muscle Weakness
Pregnancy and the Bladder

Pregnancy and childbirth—particularly vaginal birth—places great strain on women’s pelvic floor muscles by stretching and weakening them. In serious cases, it can even tear the supports of the bladder and uterus.

While in most cases the woman’s body can recover back to its pre-pregnancy state within a few months after delivery, it is understandable why some cannot, causing the woman to live with weakened pelvic floor muscles and its common resultant problem—urinary incontinence.

Not only does pregnancy and childbirth weaken the pelvic floor muscles, they can also cause urinary incontinence due to damage of the nerves that supply the pelvic floor muscles, including the bladder.

Types of Urinary Incontinence
  • Stress Urinary Incontinence: This is when urine leaks out when sudden pressure is placed on the bladder and urethra, such as a sneeze, cough or laughter. In more severe cases, one may also leak urine when bending over or just walking.
  • Urge Incontinence: This refers to a sudden and strong urge to urinate, and may sometimes be referred to as an unstable or overactive bladder. This occurs when the bladder abnormally contracts when it shouldn’t, causing urine to leak.
  • Mixed Incontinence: A mix of the above two types.
Risk Factors of Urinary Incontinence
  • Pregnancy
  • Childbirth
  • Menopause
  • Obesity
  • Chronic constipation
  • Pelvic trauma
How is Urinary Incontinence Diagnosed?
  • Medical history
  • Physical examination
  • Pelvic ultrasound scan
  • Urine test (if a urinary tract infection is suspected)
  • Residual urine test
  • Urodynamic tests
More Than a Physical Condition

Urinary incontinence can be a very distressing condition. Beyond the physical inconvenience of constantly having to rush to the bathroom and wetting one’s pants, it can also result in significant embarrassment and social withdrawal.

It is a common misconception that urinary incontinence is a necessary effect of pregnancy—it can definitely be treated and one’s quality of life can be greatly improved.

Dr See Tho Kai Yin

Consultant Obstetrician & Gynaecologist
MBBS (Singapore), FRCOG (UK), FAMS

Having been in practice since the 1970s, Dr See Tho has devoted five decades of his career to the care of women’s health; and over the years found himself sub-specializing in the laparoscopic management of gynaecological conditions, including womb prolapse and urinary incontinence.

Effectively bilingual in English and Mandarin, Dr See Tho is currently a member of the American Association of Gynecologic Laparoscopists (AAGL) and a former President of the Obstetrical & Gynaecological Society of Singapore.

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Urinary incontinence and womb prolapse can cause significant distress and inconvenience to women, but can be effectively treated.

For a detailed assessment, please contact our clinic at 6472 2283 today

6 Napier Road, #07-11, Gleneagles Medical Centre,
Singapore 258499

Tel : 6472 2283 (call for appt)
Fax : 6473 5928
Email : kaiyinseetho@gmail.com
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