Some women experience changes following pregnancy including urinary incontinence, vaginal laxity and prolapse while others experience changes in appearance or sexual function. In many cases, however, all of these issues can result in requiring the experience of a fellowship trained urogynaecologist with specialized training. There are only a few O&G Specialists in Singapore with this set of skills. Some of the usual reasons for requesting vaginal rejuvenation are birth trauma, tissue stretching, and improper surgical healing. This can lead to unsatisfying intimate contact and discomfort.
Urogynecologists are usually the specialists with the most advanced training in these types of advanced repairs. Vaginal rejuvenation can be solved through a variety of methods such as a few sessions of lasers or surgery in more severe cases. Dr Arthur Tseng is one of the few certified specialists in Singapore that deals with such complicated procedures. While his main objective is to restore the function of the vagina, he keeps in mind also that aesthetic appearance is of utmost importance to most women these days.
Percutaneous tibial nerve stimulation (PTNS) is the least invasive form of neuromodulation used to treat overactive bladder (OAB) that hasn’t responded to conventional medical treatment and the associated symptoms of urinary incontinence, urgency, and frequency. And also, certain problems like Interstitial Cystitis(IC) / Painful Bladder Syndrome (PBS) or certain types of urinary retention can also be treated with PTNS.
PTNS involves a needle electrode being inserted into the posterior tibial nerve at the medial malleolus of the ankle. It is inserted about 3-4 centimetres. The electrode is then connected to a hand held nerve stimulator which sends an electrical impulse to the nerve. This nerve impulse is then transmitted to the sacral plexus which regulates the control of bladder and pelvic floor muscles.
PTNS has become an increasingly more attractive option for treatment of OAB and IC/PBS due to its outpatient administration and the obviation of surgical implantation. Dr Arthur Tseng is also one of the few Urogynaes in Singapore who perform PTNS.