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Post-bath incontinence (bathwater incontinence) can be managed with behavioral therapy
Kumiko Kato1, Hiroki Hirabayashi2, Aika Matsuyama2
1Department of Female Urology Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital Nagoya Japan.
IJU Case Reports
|May 5, 2022
Summary
This study identifies post-bath incontinence caused by vaginal bathwater entrapment. Simple behavioral techniques, like squatting and abdominal pressure, effectively resolved symptoms in affected women.
Area of Science:
- Urology
- Gynecology
- Women's Health
Background:
- Urinary incontinence is a common condition affecting women.
- Differential diagnosis of incontinence requires considering various etiologies, including less common causes.
Observation:
- Six cases of post-bath incontinence were identified.
- Incontinence resulted from bathwater entrapment within the vagina.
- Onset varied, with some cases linked to childbirth, mesh surgery, or bathing positions.
Findings:
- Patients presented with dribbling incontinence, occurring within 30 minutes after bathing.
- Symptoms were consistently relieved by simple behavioral interventions.
- Recommended techniques included using a towel and applying abdominal pressure to expel entrapped water, and squatting during bathing.
Implications:
- Bathwater incontinence should be considered in the differential diagnosis of female urinary incontinence.
- Simple, non-invasive behavioral therapies can effectively manage this specific type of incontinence.
- Awareness of bathwater entrapment can aid clinicians in diagnosing and treating women with unexplained post-void dribbling.
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