Understanding Blood in Urine (Hematuria) in Singapore

Urinary problems are common in Singapore, affecting many adults at some point in their lives. You’re not alone, and urologists treat these conditions regularly. Many patients delay seeking help due to embarrassment, but Dr Azhari views these as routine medical issues requiring proper evaluation.

While mild, temporary urinary symptoms from factors like dehydration or minor infections might improve independently, persistent symptoms lasting more than two weeks typically require medical evaluation. Most underlying causes of chronic urinary problems, such as prostate enlargement or bladder dysfunction, may worsen without treatment. Early intervention often means simpler treatment options and potentially improved outcomes, whereas waiting can lead to complications requiring more invasive procedures.

Although urinary changes can occur with ageing, problematic symptoms are not inevitable or untreatable. Normal ageing might involve slightly decreased bladder capacity or mild prostate enlargement. However, symptoms significantly impacting sleep, daily activities, or quality of life warrant evaluation. Waking more than twice nightly, incontinence, pain, or inability to empty your bladder are not normal ageing and may be assessed by a urologist.

Treatment timelines vary depending on the condition and chosen therapy. Medications like alpha-blockers may improve symptoms, while 5-alpha reductase inhibitors may take longer to have an effect. Behavioural modifications and pelvic floor exercises typically show benefits with consistent practice. Minimally invasive procedures may provide improvement, though recovery may take time. Your urologist can provide realistic timelines based on your specific treatment plan.

Most urinary problems may respond to conservative treatments, including medications, lifestyle modifications, and minimally invasive procedures. Surgery is typically reserved for severe cases, failed medical management, or specific conditions like large prostate enlargement or significant anatomical abnormalities. Urologists typically explore less invasive options first, recommending surgery only when clearly beneficial. Modern surgical techniques are less invasive than traditional approaches, with shorter recovery times.

Women don’t have prostates, so they cannot experience prostate-specific conditions like BPH. However, women commonly experience other urinary problems, including overactive bladder, stress incontinence, UTIs, and pelvic organ prolapse. The female urethra is shorter, making UTIs more common, while pregnancy and childbirth can affect pelvic floor strength. Urologists provide care for both male and female urinary conditions, with treatments tailored to each gender’s anatomy.

Your first consultation involves a confidential discussion about your symptoms, medical history, and how symptoms affect your daily life. The urologist can perform a focused physical examination, which may include abdominal and genital examinations and a digital rectal examination for men, if indicated. Basic tests, such as urinalysis, may be performed. The consultation allows a thorough assessment and discussion of treatment options. You’ll receive information about your condition and potential treatment approaches.

Singapore’s healthcare system provides access to contemporary urological treatments, including prostatic urethral lift (UroLift), water vapour therapy (Rezum), and various laser technologies for prostate treatment. Newer medications, neuromodulation techniques, and regenerative medicine approaches are also available. Urologists stay current with international developments and offer evidence-based treatments. Treatment selection depends on individual factors, and your urologist can discuss suitable options during consultation.