Astra Women's Specialists (James Lee Urogynaecology)
Mt ELIZABETH NOVENA SPECIALIST CENTRE
38 Irrawaddy Road
Suite 05-21/22
Singapore 329563

Wed & Fri: 9am - 5pm
TOA PAYOH CENTRAL CLINIC
177 Toa Payoh Central
#01-138
Singapore 310177

Mon, Tue & Thu: 9am - 5pm
Sat & Sun: 9am - 1pm
Tue & Thu: 6pm-9pm
Pub Hols: CLOSED
Please call for appointment:
+65 62585530

Health Screening

Pre-Pregnancy Screening

Young couples who are keen to start their family may do well in undergoing the pre-conception screening. The screening may yield certain deficiency that is best remedied before being pregnant. The screening usually include the following:

  Detail risk profiling
Physical examination (including breast examination)
Cervical (Pap) smear
Blood surveillance
Full blood count (including Hepatitis B, Syphilis, HIV, ABO & Rh testing, Rubella screen, CMV, Toxoplasmosis, Fasting glucose, thyroid)
Urine analysis
Ultrasound of the pelvis
Hormonal profiling (additional)


Well Women Screening

Today’s women are increasingly health conscious, which is a positive development. You are interested to screen for diseases like cancers of the breast, ovary, uterus and cervix. Other chronic illnesses like heart disease, diabetes and osteoporosis are common conditions to be screened as well. Against the back-drop of the high cost of treating cancers and other long term diseases, it makes great sense for you to attend a full body check up once a year. Early detection of these chronic conditions enables you to adopt only necessary minor intervention in order to achieve better long term control of these conditions.Our well women programme screens both the important gynecological diseases and chronic conditions like high blood pressure, diabetes, anaemia and others. When you come for your annual check-up, we provide the following:

Risk profiling of major and common illnesses
Full physical examination
Breast examination
Full gynaecological examination
Pap smear (when appropriate)
Urine and stool examination
Blood tests
Ultrasound scan of the abdomen, pelvis and breast when appropriate)


STD Screening

After becoming sexually active, many of you become aware of and concern about vaginal discharge and discomfort. The health of the vaginal canal has to be addressed at times. You may become anxious when you noticed excessive or abnormal vaginal discomfort or discharge. Normal physiological changes are often the cause. Nevertheless, it is also possible to be afflicted by the many infections that involve the genital tract. Screening for the variety of infective agents is important when you appreciate that some of the infections may have long term effect on your health and fertility. We encourage you to take the proactive step to prevent the consequences of pelvic inflammatory infection.

Metabolic Syndrome Screening

The metabolic syndrome gain prominence in the 1980s when it was noticed that people who are either suffering from, or have the family history of, a cluster of common conditions have raised level of insulin. This high insulin level results from the inability of muscles and fat, to make use of insulin effectively, thus the term “insulin resistance”. In order to overcome the poorer response of the tissues to actions such as sugar control, the pancreas has to produce extra insulin to get the desired effect. Insulin resistance is readily found amongst women with a strong family history of diabetes, heart disease, weight gain and polycystic ovaries. Besides stress, pregnancy and advancing age, a high carbohydrate snacking type diet also increases the risk. Women with insulin resistance have increased risk of heart diseases, central weight gain, abnormal hormone production leading to infertility and high blood pressure. They may have disturbed sleep patterns and mood stability, and often complain of bloating and bowel problems. Chronic ailments drain resources and we suggest that if you experience some of the above symptoms, it may be appropriate to check if insulin resistance contributes to their occurrences. Early confirmation of insulin resistance may delay progression of the condition by timely medical intervention and lifestyle changes. Improving insulin resistance reduces the degree of fat deposition, reduces central weight and the consequence on diabetes, high blood pressure and heart diseases.

The Astra Women's Specialists brought together five experienced and established senior obstetricians and gynaecologists. We offer the full range of OBGYN services and subspecialties like maternal fetal medicine, infertility, oncology, sexual medicine, urogynaecology and pelvic floor medicine.

Patient-centric Care

Our hallmark client-centric management ensures that every aspects of the condition will be explored before agreeing on an action plan that has your interest as the focus. We take extreme pride in our professional competence, integrity, honor and independence. We are confident that you will receive the best quality care there is to offer.

We have the expertise to manage the following common conditions afflicting women:

Delayed onset of menstrual periods, few and irregular periods, abnormally heavy periods, painful periods
Need to prevent pregnancy
Wish to use of various methods of contraception
Problem with unplanned unwanted pregnancy. Advice on pregnancy spacing
Abnormal vaginal bleeding
Abnormal Pap smear results. Cervical growth and cancer
Abdominal mass arising from womb and ovary. Benign or cancerous ovarian cyst
Urinary incontinence or poor control of bladder
Something coming down at the vagina
Menopause symptoms. Graceful ageing

Antenatal Pregnancy Care

Every pregnancy is unique, and the interaction between the mother, the fetus and the pregnancy is extremely dynamic. Majority of pregnancies are “uneventful” or rather progress as expected. It is crucial to have good management of the difficult pregnancies. However it is near impossible to tell which pregnancy will end up having complication. What has been established is that high standard of antenatal care and delivery care reduces the sufferings of the mother and the newborn. Our high standard of pregnancy care is founded on evidence-based practice, peppered with losts of common-sense and compassion. Our distinctive participative approach encourages the couple to involve actively in the progress of the pregnancy.

Antental Package

The antenatal package commences from week 20 (middle of second trimester). It includes consultation, physical examination, bed-side ultrasound examination and urine test and basic gestational supplements. Blood tests and the essential ultrasound scans for screening for Down's Syndrome and fetal anomaly are not included in the packages.

Delivery Package

Delivery package comprises the professional fees and the hospital charges. We will be most happy to discuss the hospital's packages when you have short-listed the hospital of choice. Our clients deliver at Mount Elizabeth Novena Hospital, Mount Alvernia Hospital and Thomson Medical Centre. You may also like to check with our staff the latest of our professional fees.

Acute Treatment of Gynecologic Diseases

Be ready to consult us when you experience any of the following symptom/condition. We aim to design a most cost-effective solution in the shortest possible time.

  Breast pain, lump or abnormal nipple discharge
Abdominal pain, mass or distension
Abnormal vaginal bleeding
Abnormal or painful menstruation
Post menopausal bleeding
Acute or chronic pelvic pain
Abnormal or excessive vaginal discharge
Vaginal lump protruding outVulval pain or lump
Vaginal or vulval itch
Changes in urinary habits
Changes in bowel habits

Managing Long Term Conditions

When you suffer from a medical / gynaecological condition, we are ever ready to offer an opinion and to further optimze the management plan. We respect your autonomy in making your option. There are times when we exercise strong advice when your indecisiveness may be detrimental to your health.

  Genital infections
Sexually transmitted disease
Abnormal or painful menstruation
Premenstrual syndrome
Chronic pelvic pain
Endometriosis
Uterine fibroids Menopause
Abnormal or excessive vaginal discharge
Vaginal lump protruding outVulval pain or lump
Vaginal or vulval itch
Changes in urinary habits
Changes in bowel habits
Female cancers (cervix, uterus, ovaries, vulva)

Outpatient Clinic Procedures

Our clinic is equipped to perform many outpatient procedurs; be it to diagnose your complaint or treat your affliction.

  Diagnostic colposcopy
Colposcopic procedures (e.g. LLETZ)
Termination of pregnancy (Early & late 1st trimester)
Endometrial Pipelle sampling
Intrauterine contraceptive device insertion & removal
Implanon insertion
Hormone implant insertion
Urodynamic tests (for evaluation of voiding and bladder function)
Incision and drainage of abscess
Excision of skin lesion

Our Specialist

Dr James Lee earned his medical degree at the NUS. After a career in family medicine, he advanced his training in obstetrics & gynecology in the United Kingdom. He gained wide experience in the specialty. He obtained the MRCOG in 2001. In 2004, he underwent subspecialty training in urogynecology and pelvic reconstructive surgery at the St George’s Hospital Medical School, London. He excels in managing women who suffer from lower urinary tract and pelvic floor disorders. Besides urodynamic evaluation of the urogenital tract, pelvic reconstructive & vaginal surgery, his other interests include laparoscopic surgery, male & female sexual dysfunction. Dr Lee is a member of International Urogynecology Association, International Continence Society, International Society of Sexual Medicine. He was the past president of the Society for the Study of Andrology & Sexology, Singapore (SSASS) and continues to be an active executive committee member

Hospital Surgery

When your ailment requires a major surgery, we will organize it at the most appropriate time. You will be advised to admit to the hospital of your choice (Mt Elizabeth Novena Hospital, Thomson Medical Centre or Mt Alvernia Hospital). Making the decision to have a major operatin is difficult, and every effort is made to facilitate it and to support you.

 

Hysteroscopy & hysteroscopic procedures

  Diagnostic hysteroscopy
Excision of synechiae
Uterine septoplasty
Endometrial ablation
Resection of submucosal fibroids
Resection of large endometrial lesions
 

Laparoscopy & laparoscopic procedures

  Diagnostic laparoscopy & dye hydrotubation
Ablation & resection of pelvic endometriosis
Adhesiolysis
Tubal ligation (sterilization)
Ectopic pregnancy treatment
Ovarian cystectomy
Myomectomy
Hysterectomy
 

Conventional abdominal surgery

  Total abdominal hysterectomy
Myomectomy
Ovarian cystectomy
Paravaginal repair
Abdominal sacro-colpopexy
Abdominal hysteropexy
 

Cancer surgery

  Cervical cone biopsy
Total abdominal hysterectomy & bilateral salpingo-ophorectomy
Radical hysterectomy
Omentectomy
 

Vaginal Surgery

  Labioplasty
Vaginal hysterectomy with or without bilateral salpino-ophorectomy
Vaginal myomectomy
Anterior vaginal wall repair (conventional plication, site specific repair, mesh repair, fascial repair)
Paravaginal repair (conventional tranvaginal, transboturator)
Vault suspension (uterosacral ligament suspension, ischiococcygeus fixation, sacrospinous fixation)
Posterior vaginal wall repair (conventional plication, mesh repair, levator myoplasty)
Perineoplasty
External anal sphincteroplasty
 

Incontinent Surgery

  Retropubic tape insertion
Transobturator tape insertion
Abdomino-vaginal fascial slingplasty
Burch colposuspension
Laparoscopic retropubic colposuspension
Transurethral injection of Botulinium toxin

Fees Schedule

First Consultation
Repeat Consultation
$80-$200
$50-$100

Ultrasound Examinations

Obstetric scan
NT scan
Fetal growth scan
AFI & Presenation
3D fetal scan
Gynaecologic scan
$50-$120
$100
$80-$100
$50
$100-$200
$60-$120

Outpatient Procedure

Pap smear
IUCD insertion
Diagnostic colposcopy
Colposcopic treatment
Urodynamic Tests
$40-80
$300-$450
$60-$150
$200-$300
$200-$500

Hospital Surgery

Diagnostic hysteroscopy
Diagnostic laparoscopy
Hysteroscopic resection
Therapeutic laparoscopy
Abdominal ovarian cystectomy
Abdominal hysterectomy
Vaginal hysterectomy
Total laparoscopic hysterectomy
Pelvic floor reconstruction
Mid-urethal tape (urinary incontinence)
Please call us for financial counseling