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Urinary incontinence during laughter in children: Is it giggle incontinence?
San, Soe T; Barnes, Elizabeth H; Caldwell, Patrina H Y.
Afiliação
  • San ST; Sydney Children's Hospitals Network, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
  • Barnes EH; National Health and Medical Research Council Clinical Trials Centre, Faculty of Medicine, University of Sydney, Sydney, New South Wales, Australia.
  • Caldwell PHY; Discipline of Child and Adolescent Health, University of Sydney, Sydney Children's Hospitals Network (Westmead), Sydney, New South Wales, Australia.
J Paediatr Child Health ; 57(12): 1971-1975, 2021 Dec.
Article em En | MEDLINE | ID: mdl-34170589
AIM: Giggle incontinence is a distinct entity of childhood daytime urinary incontinence (DUI), where children wet themselves only when they laugh. The prevalence of true giggle incontinence is unknown, with confusion about the diagnosis of urinary incontinence occurring during laughter and true giggle incontinence. The aim of the study is to improve our understanding of urinary incontinence during laughter by comparing those children with children who have DUI at other times, but not with laughter. METHODS: We conducted a retrospective medical record review of children with DUI who presented to a tertiary continence service from 2017 to 2018, collecting data on age, gender, associated comorbidities, lower urinary tract symptoms, investigations, provisional diagnosis at first visit and initial treatment responses. Differences between those with DUI occurring during laughter and those with DUI at other times, but not with laughter were compared using standard statistical methods. RESULTS: Of the 277 new patients seen during the study period, 140 (51%) had DUI, and of these, 72 (51%) had DUI occurring during laughter. Children with incontinence occurring during laughter were more likely to have incontinence associated with other activities. One child had giggle incontinence according to the International Children's Continence Society's definition. Four other children were referred specifically for urinary incontinence associated with laughter, with the term giggle incontinence sometimes used by the referring doctor. CONCLUSION: Children with DUI commonly experience incontinence during laughter, but true giggle incontinence is rare. Correct diagnosis is essential as it directs treatment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Incontinência Urinária / Enurese Diurna / Riso Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies Limite: Child / Humans Idioma: En Revista: J Paediatr Child Health Assunto da revista: PEDIATRIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Austrália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Incontinência Urinária / Enurese Diurna / Riso Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies Limite: Child / Humans Idioma: En Revista: J Paediatr Child Health Assunto da revista: PEDIATRIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Austrália