Urinary incontinence is the complaint of involuntary urine leakage.
Stress urinary incontinence is the involuntary urine leakage on effort or exertion or when coughing or sneezing.
Urge urinary incontinence is the one associated with or immediately preceded by urgency.
Mixed urinary incontinence is the involuntary urine leakage associated
with both urgency and with exertion, effort, coughing or sneezing.
Women who undergo caesarean delivery are more likely to have a lower rate of urinary incontinence and pelvic organ prolapse compared with those who undergo vaginal delivery, according to the results of a systematic review and meta-analysis. However, this finding should be weighed against the association with increased risks of fertility, future pregnancy and long-term childhood outcomes.
In obese women who undergo bariatric surgery, weight loss is associated with a significant improvement in pelvic floor disorders—including urinary incontinence (UI), pelvic organ prolapse and colorectal-anal complaints—as well as in sexual performance, a recent study suggests.
Electrical pudendal nerve stimulation (EPNS) may be a better treatment approach than transvaginal electrical stimulation (TES) for drug-refractory female idiopathic urgency urinary incontinence (UUI), a study suggests.
In Singapore, advanced breast cancer (aBC) is the leading cause of cancer death in women 30–49 years of age. For premenopausal women diagnosed with hormone receptor (HR)-positive, HER2-negative BC, cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitors provide new hope. Currently, ribociclib is the only CDK4/6 inhibitor studied in the first-line setting for premenopausal women with HR+/HER2- aBC, in the phase III MONALEESA-7 trial. Two experts, Dr Wong Seng Weng, Medical Director & Consultant Medical Oncologist at The Cancer Centre, Paragon Medical & Mount Elizabeth Novena Specialist Centre, and Dr Lee Guek Eng, Senior Consultant & Specialist in Medical Oncology at Icon Cancer Centre and Program Director of the Young Women Cancer Program, weigh in with their views on managing premenopausal women with aBC.