Introduction:

Giggle incontinence (GI) is a rare form of daytime urinary incontinence characterized by involuntary, unstoppable, and large-volume voids with complete bladder emptying during or immediately after laughing.

Case report:

A 15-year-old girl presented to the Family Health Unit with concerns of involuntary bladder leakage while laughing, sometimes with total bladder emptying, during the past two years. Symptoms did not manifest while coughing, sneezing, straining, or with nocturnal enuresis. No complaints of dysuria, pollakiuria, or constipation were reported. On physical examination, the girl showed adequate growth and weight, and urine analysis, urine culture, and renal­-vesical ultrasound were normal. She was referred to the Pediatric Outpatient Clinic of a secondary hospital, where GI was diagnosed.

Discussion:

GI is a clinical syndrome with potentially underestimated incidence. Due to their closer relationship with patients, family doctors should be aware of this condition and recognize its symptoms.

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