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Pelvic Floor Disorders Service

Have these accidents ever happened to you?

  • Leakage of urine when you cough, laugh, sneeze or jump?
  • Leakage of solid/liquid stools, or wind (gas)?
  • Soiling your underwear before you reach toilet?
  • A feel of dragging or heaviness in your pelvic area, as if your 'insides are falling out'?
  • A prolapsing lump at the vagina or anus when you pass urine/faeces?

Don't let these problems rob you of your life! Seek professional help at SGH Pelvic Floor Disorder Service

Pelvic floor disorders comprise a myriad of conditions that affect many Singaporeans every year. These include functional bowel conditions like faecal incontinence and constipation, as well as functional urological problems like urinary incontinence and gynaecological problems like pelvic organ prolapse. Many of these conditions occur concurrently as the pelvic organs are closely connected.

While many of such patients are elderly, a significant number of younger patients also present to us due to factors other than natural ageing, for example childbirth, diabetes and other medical conditions that weaken the pelvic floor. While these conditions more commonly affect women, men are certainly not spared as well.

As such conditions are potentially both physically and emotionally debilitating, they significantly impact a person’s quality of life and pose a tremendous burden to the patient as well as their families.
Pelvic floor disorders are often underdiagnosed as affected individuals are often embarrassed to seek medical attention or assume that such symptoms are a natural part of ageing. As a result, many end up suffering in silence with a poor quality of life. However, through a wide range of investigative and treatment modalities, it is certainly possible to effectively treat and potentially cure such conditions.


The SGH Pelvic Floor Disorder Service was established since 2008 with the aim of providing integrated and holistic care for patients with pelvic floor disorders. This is a multidisciplinary clinic jointly helmed by specially trained doctors from SGH’s Departments of Colorectal Surgery, Urology and Obstetrics and Gynaecology, with weekly clinic sessions evaluating patients with various pelvic floor disorders.

By having all the relevant disciplines in the clinic at the same time, it serves to provide a one-stop service, doing away with the need for multiple referrals especially for patients with pelvic floor conditions that involve various organ systems. Patients are thus able to seek the necessary treatment promptly in order to optimize their quality of life.

The SGH Pelvic Floor Disorders Service treats all functional conditions related to the pelvic floor, including:

  • Faecal incontinence
  • Urinary Incontinence
  • Overactive bladder
  • Voiding dysfunction
  • Pelvic floor and pelvic organ prolapse
    • Rectal prolapse
    • Uterovaginal prolapse
    • Rectocoele
    • Cystocoele
    • Enterocoele
  • Obstructed defecation
  • Chronic constipation
  • Pelvic floor dysfunction

The evaluation and management of all pelvic floor disorders may involve one of more of the following services:

  • Uroflow studies
  • Conventional & video urodynamics
  • Anorectal physiology testing:
    • Anorectal manometry - Measures the pressures in the anal canal when the patient is relaxed and when instructed to squeeze
    • Anorectal ultrasound - Provides detailed images of the anorectal anatomy, identifying signs of damage, infection or tumours
    • Pudendal Nerve Terminal Motor Latency - Determines if the nerves controlling the anal sphincter and pelvic floor muscles have been damaged
    • Transit Marker Studies - Measures the adequacy of colonic movement
  • Pelvic Floor Physiotherapy and Rehabilitation
  • Anorectal Biofeedback

    Specialised exercises that are tailored to condition the anal sphincter and pelvic floor muscles in patients with both incontinence and constipation

  • Myofascial therapy
    Treatment for patients with pain or discomfort related to excessive pelvic floor tightness

Sub-speciality procedures

Our specialists from the Departments of Colorectal Surgery, Urology and Obstetrics and Gynaecology are competent in various procedures for the treatment of pelvic floor conditions, including:

  • Laparoscopic ventral rectopexy
  • Rectocoele repair
  • Rectal prolapse surgery
  • Anal sphincter repair
  • Autologous & synthetic sling surgery for urinary incontinence e.g. pubovaginal sling, tension-free vaginal tape (TVT), transobturator tape (TOT)
  • Artificial urinary sphincter (AUS)
  • Botulinum toxin injection for over active bladder (OAB)
  • Cystocoele repair
  • Surgery for uterovaginal prolapse
  • Pelvic floor repair
  • Neuromodulation for faecal incontinence, overactive bladder and urinary retention
    • Sacral Nerve Modulation System (SNS)
    • Percutaneous Tibial Nerve Stimulation (PTNS)
  1. Dr Cherylin Fu Wan Pei
  2. Dr Emile John Tan Kwong Wei
  3. Dr Jason Lim Wei Min
  4. Dr Ng Lay Guat
  5. Dr Tricia Kuo Li Chuen
  6. Dr Chua Hong Liang
  7. Dr Jason Lim Shau Khng


To make or change appointment:

Last Modified Date :13 Dec 2017