Cooper listed criteria for the diagnosis of giggle micturition (giggle incontinence). It may go unrecognized since affected patients are embarrassed and often will not mention it to others.



(1) Giggling or laughing causes the patient to have a sudden, involuntary and uncontrollable emptying of the urinary bladder. Once emptying starts it cannot be stopped.

(2) The patient is otherwise fully continent.

(3) Females are more often affected than males.

(4) The onset is usually during childhood.

(5) The condition disappears in some patients during adolescence, while others have a life-long condition.


As a result of the condition the patient may avoid social situations, especially if they may laugh.


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