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Introduction: Incontinence during laughter is a symptom of different micturition disorders. It is seen in patients with overactive bladders, stress incontinence or as an isolated symptom in giggle incontinence. Aim of the study: To present the different micturition disorders associated with incontinence caused by laughter Material and methods: Case reports of 3 pathogenetically different cases of incontinence associated with laughter. Results: Case 1 - a 9-year-old girl with incontinence caused by laughter with a history of urgency and frequency. Her bladder diary showed frequent, low volume micturitions. Uroflowmetry revealed detrusor contractions during filling. An overactive bladder was diagnosed. Following 6 months of anticholinergic treatment all symptoms resolved. Case 2 - a 14-year-old girl with incontinence following laughter or exercise. Urgency and frequency developed after intense horse riding. Her micturition diary showed frequent and low volume micturitions. A urodynamic study revealed dysfunctional voiding without signs of an overactive bladder. Stress incontinence was diagnosed Successful biofeedback treatment was introduced together with oxybutynin. Case 3 - a 15-year-old teenager complained of episodes of complete bladder emptying during laughter with no other symptoms of abnormal bladder function. Both ultrasound and uroflow studies were normal. Giggle incontinence was diagnosed and treated successfully with biofeedback reinforcement of pelvic muscles. Conclusions: 1. Incontinence due to laughter is a symptom of a variety of micturition disorders. 2. A thorough medical history, bladder diary and uroflow study enable rapid diagnosis. 3. Treatment should be aimed at correction of the underlying problem. [ABSTRACT FROM AUTHOR]

Copyright of Physiotherapy / Fizjoterapia is the property of Physiotherapy and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Unlabelled: Giggle incontinence is a rare syndrome in which apparently complete voiding occurs specifically during laughing. It needs to be differentiated from stress incontinence and detrusor instability. Reports on the treatment outcome of this disorder are rare., The Aim of the Study: To present the effect of biofeedback treatment for giggle incontinence in a 15-year-old girl. A 15-year-old girl is presented with isolated symptoms of giggle incontinence from early childhood with 1-2 episodes per week of complete bladder emptying during laughter. She demonstrated no symptoms of detrusor hyperactivity or stress incontinence. Her urodynamic studies were normal. The child started pelvic floor muscle exercises using biofeedback according to the pediatric protocol of an UROSTYM device. Five hourly sessions were performed to teach the child control of her external urinary sphincter muscles. This was followed by daily home exercises and weekly biofeedback sessions. Improvement was immediate and during 2 months follow-up no incidents of giggle incontinence were observed., Conclusions: (1) Biofeedback can be used in children with giggle incontinence to strengthen their pelvic floor muscles and allow them to remain continent during an uncontrolled detrusor contraction provoked by laughing. (2) Biofeedback enables children to visualize the pelvic floor muscles during exercises helping them to attain better control of their function. (3) Pelvic muscle exercises with biofeedback technique are a promising additional mode of treatment for children with voiding disorders.