STUDY OBJECTIVE: Hematocolpos or @entity23744 in menstruating @entity1 raises suspicion of a partial uterine or @entity3885 . The study objective is to report two unusual cases of a spastic pelvic floor leading to urine collecting in the vagina and mimicking an outflow obstruction. DESIGN, SETTING, @entity1 : The study took place at a tertiary care university's Reproductive Health Care Clinic for @entity1 with @entity717 and involved two @entity1 with spastic @entity306 and @entity717 who presented with irregular menses and @entity490 and whose radiological evaluations were suspicious for an outflow obstruction. Medical records, including clinic visits, radiological findings, and surgical findings, were reviewed. INTERVENTIONS: Both @entity1 underwent ultrasound and MRI evaluation of their reproductive tracts that demonstrated fluid collections in the vagina. An examination under anesthesia was performed in one @entity1 to rule out an obstruction. In the second @entity1 , a pelvic examination under ultrasound observation revealed @entity365 with urine, which resolved after placement of a speculum. RESULTS: In both cases, the @entity8442 was felt to be a urine-distended vagina due to a spastic pelvic floor. CONCLUSION: A spastic pelvic floor in an incontinent @entity1 with @entity1688 may result in urine accumulation in the vagina, mimicking an outflow tract obstruction. If the history, pelvic examination, and radiological images are inconsistent, performing an ultrasound-guided examination may assist with diagnosis.

Spasticity of the pelvic floor mimicking XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'Women', 'patient', 'PARTICIPANTS'] @entity1688 :: ('MESH:D011782', 'Disease') :: ['spastic quadriplegia'] @entity8442 :: ('MESH:D007418', 'Disease') :: ['pseudo-obstruction'] @entity3885 :: ('MESH:D008173', 'Disease') :: ['vaginal obstruction'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity717 :: ('MESH:D009069', 'Disease') :: ['developmental disabilities', 'Developmental Disabilities'] @entity23744 :: ('MESH:D052202', 'Disease') :: ['hydrocolpos'] @entity365 :: ('MESH:D014627', 'Disease') :: ['initial vaginal distension'] @entity306 :: ('MESH:D002547', 'Disease') :: ['quadriplegic cerebral palsy']
@entity3885 :: (MESH:D008173,Disease) :: ['an obstructive anomaly']
