Vaginal entrapment of bathwater: a source of extra-urethral incontinence
DOI:
https://doi.org/10.5489/cuaj.933Abstract
This report presents 2 cases of females (a prepubertal and a premenopausalfemale) with dribbling “incontinence” caused by vaginal
entrapment of bathwater. In the first case, an 8-year-old girl
presented with a history of bothersome wetness of her underwear,
noted mainly in the morning. History revealed that she bathed
almost nightly. She was instructed to shower or bath only, each
for one week. The wetting occurred only after bathing. In the second
case, a 39-year-old female, G2P2 with normal genitalia noted
occasional, yet significant, dribbling into her underwear only after
baths. She concluded this to be bathwater accumulating in her
vagina, which she evacuates digitally. The differential diagnosis
of dribbling incontinence in females of any age should include the
extra-urethral cause of entrapped fluids of immersion. Although this
condition may be rare, it is simple to rule out on history based on
its temporal association with fluid immersion. Once diagnosed,
the management is behavioural.
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