Incontinence giggle

Finally, there are children with intermittent minimal incontinence and so-called giggle incontinence (Niren-berg, 1991). Although it is seldom that these conditions require treatment, in such cases where children do request it the standard enuresis approach will generally suffice. Figure 51.4 provides an algorithm for DE interventions. 

In previous reports methylphenidate was reportedly effective in controlling giggle incontinence [64, 65 ]. 

Sher PK, Reinberg Y. Successful treatment of giggle incontinence with methylpheni-date. J Urol 1996 156 656-8. 

Berry AK, Zderic S, Carr M. Methylpheni-date for giggle incontinence. J Urol 2009 182(Suppl 4) 2028-32. 

Chandra M, Saharia R, Shi Q et al (2002) Giggle incontinence in children a manifestation of detrusor instability. J Urol 168 2184-2187... 

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