Incontinence and Voiding Dysfunction

Incontinence and voiding dysfunction deals with urinary bladder storage and voiding disorders in both men and women. Diagnosis may require the use of bladder function test at our computerised urodynamics laboratory.

Our one-stop continence clinic provides integrated evaluation and treatment for patients with urinary incontinence or voiding dysfunction. The service includes a clinical assessment by the urologist, pad tests, urodynamics and treatment. Treatment may consist of bladder training, pelvic floor exercise with biostimulation, counselling on fluid management, and prescription of oral medication or planning for surgical procedures.

For those with urinary stress incontinence, initial treatment consists of pelvic floor muscle training with biofeedback stimulation, fluid management and weight control. Patients with severe urinary incontinence may require surgical interventions such as tapes, slings or artificial urinary sphincters.

Patients with urinary urge incontinence from overactive bladder syndrome are managed with bladder training, fluid control and anti-cholinergic medication. Patients who do not respond to conservative management may be offered intra-vesical botox injection or augmentation cystoplasty.