Kato Kumiko, Hirabayashi Hiroki, Matsuyama Aika, Sai Hiroki, Ishiyama Akinobu, Kurosu Haruka, Kato Takashi, Inoue Satoshi, Suzuki Shoji
Department of Female Urology Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital Nagoya Japan.
Department of Urology Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital Nagoya Japan.
IJU Case Rep. 2022 Mar 18;5(3):203-206. doi: 10.1002/iju5.12441. eCollection 2022 May.
We encountered six post-bath incontinence cases caused by bathwater entrapment in the vagina.
The age of onset was distributed from 16 to 78 (average 38) and five out of six patients were parous. Three patients developed post-bath incontinence immediately after vaginal delivery. One patient developed post-bath incontinence after beginning to bathe in a reclined position and another after undergoing transvaginal mesh surgery to treat prolapse. All patients showed dribbling incontinence without urgency limited to within 30 min after bathing. Patients were instructed to put a towel between their legs and apply abdominal pressure to evacuate the entrapped water. Additionally, they were advised to squat in the bathtub to prevent water entrapment. This simple behavioral therapy relieved symptoms.
The differential diagnosis of incontinence in women should include entrapped fluid incontinence such as bathwater incontinence, pool water incontinence, and vaginal reflux during micturition.
我们遇到了6例因洗澡水滞留在阴道内导致的洗澡后尿失禁病例。
发病年龄分布在16至78岁（平均38岁），6例患者中有5例经产妇。3例患者在阴道分娩后立即出现洗澡后尿失禁。1例患者在开始以斜躺姿势洗澡后出现洗澡后尿失禁，另1例在接受经阴道网片手术治疗脱垂后出现。所有患者均表现为点滴性尿失禁，无尿急，仅限于洗澡后30分钟内。指导患者在双腿间放一条毛巾并施加腹部压力以排出滞留的水。此外，建议他们在浴缸中蹲下以防止水滞留。这种简单的行为疗法缓解了症状。
女性尿失禁的鉴别诊断应包括滞留液体性尿失禁，如洗澡水尿失禁、泳池水尿失禁和排尿时的阴道反流。
