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Understanding Urogynaecology

Urogynaecology is a recognised subspecialty within the Royal Australia and New Zealand College of Obstetricians and Gynaecologists.

To be called a Urogynaecologist, a surgeon has undergone extensive additional training, vigorous exam process, and gained expert knowledge and skills to manage prolapse, urinary incontinence and other pelvic floor dysfunctions. Many of these condition have non-surgical or surgical treatments which are very effective. Dr Chen completed her subspecialty qualifications at St George Hospital in Sydney and the Royal Brisbane Women’s Hospital.

To provide the best care for women, Dr Chen offers onsite urodynamic services with a female specialist nurse. In addition, she works in a multidisciplinary team with colorectal and urology specialists as women can often have co-existing bowel incontinence that needs to be managed in parallel.

Listed below are the conditions that Dr Chen provides treatment for.

Urogynaecology Conditions & Treatments

Pelvic Organ Prolapse

Prolapse of the vaginal wall or uterus can affect up to 40% of women in their life time with bulge symptoms or bowel and bladder symptoms.

Stress urinary incontinence

Leakage of urine with coughing, laughing or any strenuous activity.

Urge urinary incontinence

Also known as overactive bladder. Leakage with urgency when you don’t mean to or cannot make it to the bathroom in time.

Vaginal mesh removal

Vaginal mesh inserted for prolapse or incontinence which can cause chronic pain and require surgical removal.

Bladder pain

Also known as interstitial cystitis. Women to experience pain on bladder filling and need to void often >20 times daily.

Voiding Difficulties

Sensation of incomplete emptying or having to push to empty the bladder. Can occur on its own or after pelvic floor surgery.

Urinary tract infections

Very common condition affecting 50% of women in their life time.

Urethral diverticulum

Abnormal mass at the urethra which causes UTI, pain and vaginal discharge and needs urgent treatment.

Understanding Urodynamics

One in three women with pelvic organ prolapse will usually have co-existing urinary incontinence and incontinence alone also affects a large number of women. Many treatments for urinary incontinence is effective, but in circumstances when treatments fail or surgical repair is needed for pelvic organ prolapse, urodynamics studies are needed.

Urodynamics test refers to a group of tailored test on a women’s bladder. This is a functional test to investigate the bladder and urethral pressures. The test is performed awake with Dr Chen and her female nurse, and is generally well tolerated.

Other test that may be required as part of pelvic floor assessment include 3D translabial pelvic floor ultrasound.

Urodynamics

Uroflow

3D Pelvic floor ultrasound

Gynaecology Conditions

Women with pelvic floor dysfunction can have co-existing general gynaecological issues, which Dr Chen can also offer treatments for. Please see below.

Abnormal uterine bleeding

Medical or surgical treatment for heavy or painful periods, irregular bleeding or postmenopausal bleeding.

Cervical screening & associated abnormalities

Abnormal cervical screening test or HPV detected or cervical polyp.

Ovarian cyst

Both surgical and non surgical management of ovarian cyst.

Offering expert care & support to women suffering with pelvic floor disorders