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Children's Health Author: Staff Editor Last Updated: Sep 7, 2017 - 10:06:33 PM

'Giggle Incontinence' Is No Laughing Matter For Kids

By Staff Editor
Nov 24, 2015 - 10:16:50 AM

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( - OWINGS MILLS, Md., Nov. 24, 2015  -- Just as in adults, children can experience urinary incontinence and pelvic floor dysfunction, yet the condition is often under-diagnosed or not readily recognized. In some kids, a single laugh can cause urinary leakage and great anxiety.  During Bladder Health Awareness Month, the pediatric urology specialists at Chesapeake Urology For Kids are working to bring greater awareness to pediatric incontinence and pelvic floor muscle dysfunction, as well as the treatment options available to help children overcome this health challenge.

"Occasional daytime wetting in younger children and children who are still toilet training is a normal part of development," explains Robert Mevorach, M.D., Director of Pediatric Urology at Chesapeake Urology For Kids. "However, if urine leakage begins to interfere with a child's social development, academic progress in school, or sense of well-being, an evaluation for pelvic floor muscle dysfunction or other causes of incontinence by a pediatric urologist is important."

Recognizing Symptoms of Incontinence in Children

Parents may notice symptoms of urinary incontinence and/or pelvic floor muscle dysfunction in their child:

  • The child leaks urine when they laugh (giggle incontinence), cough or exercise.
  • The child may experience frequent urination and frequent urge to urinate, sometimes caused by a urinary tract infection (UTI).
  • Daytime wetting and bed wetting may go hand-in-hand for some children.

Common Causes of Urinary Incontinence in Kids

  • Constipation - In about 70% of cases, children experiencing urinary incontinence are constipated. A full bowel can put added pressure on the bladder, causing leakage of urine. Relieving the constipation will often alleviate incontinence.
  • A bladder or urinary tract infection (UTI).
  • "Holding it in" - a child may hold their urine during an entire school day for fear of using a public bathroom, leading to urinary voiding issues, accidents and urine leakage.
  • Younger children may hold their urine until the last second when they are distracted by play or activity, resulting in an "accident."

Experts Who Can Help

At Chesapeake Urology For Kids, Dr. Robert Mevorach and his team of pediatric urology specialists work to uncover the underlying causes of a child's urinary incontinence. For children who have been toilet trained for some time who continue to experience incontinence, an initial evaluation may also be followed by a referral to a pelvic health physical therapist. In fact, physical therapy is often a first line treatment for children experiencing urinary incontinence symptoms.

How Does Physical Therapy For Children's Incontinence Work?

Chesapeake Urology For Kids partners with pelvic health physical therapists that are specially trained in pediatric pelvic floor dysfunction. "By working with a physical therapist who specializes in pediatric pelvic floor muscles conditions,  we find that children experience a great deal of success in controlling and overcoming urinary issues," adds Dr. Mevorach.

How Physical Therapy Can Work for Urinary Incontinence in Kids

A pelvic health physical therapist will look at the muscles of the abdomen, legs, and back as well as the child's diet, sleep patterns, exercise and assess any behavioral issues that may be contributing to the problem.

Treatment is one-on-one and is focused on being fun as well as educational for the child and the parents. "We use tools such as animated biofeedback where kids receive a sticker on their bottom that can transmit images of their pelvic floor muscle contractions through animated games on a computer," explains Jodi Berger, MPT, of In Balance Physical Therapy. "For example, when a child squeezes their sphincter muscles, they make a space shuttle on the computer reach its dock. This way, we get the visual muscle feedback we need to identify problems and the kids are performing pelvic floor muscles exercises while playing fun computer games."

Pelvic health physical therapists educate with kids and parents about exercises that strengthen pelvic floor muscles as well as help develop strategies for overcoming incontinence in school and in social situations through positive reinforcement.

"Research has shown that proper pelvic floor muscle training and biofeedback dramatically improves voiding dysfunction such as urinary incontinence in children," adds Jodi.

Learn more about urinary incontinence in kids as well as solutions to daytime wetting and bedwetting in children - visit Chesapeake Urology For Kids - or call 410-738-8180.

About Chesapeake Urology

Chesapeake Urology is a fully-integrated urology practice providing a comprehensive array of urologic services to its patients. The Company operates 21 medical offices and 14 AAAHC-certified ambulatory surgery centers in Baltimore, Harford, Howard, Carroll, Montgomery, Prince George's, Charles and Anne Arundel counties and in Baltimore City, and has a staff of more than 500 including 63 physicians. Chesapeake Urology has been named one of the top 100 places to work in healthcare nationally by Modern Healthcare magazine and locally by Baltimore magazine. For information about Chesapeake Urology, please visit or follow us on social media:; and


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