Interventions for giggle incontinence: A scoping review of therapeutic strategies and outcomes.

Background: Giggle incontinence (GI) is a rare type of urinary incontinence that affects children and adolescents, impacting their quality of life by causing social isolation, reduced self-confidence, and low self-esteem. To counteract the symptoms of GI, various treatment approaches have been descr...

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Publicado en:Indian Journal of Urology Vol. 42; no. 3; pp. 184 - 190
Autores principales: Bhavsar, Rutuben Harshadbhai, Malik, Kritagya R., Kumar, Palani G.
Formato: research systematic review tables/charts Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Jul-Sep2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul-Sep2026
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      pub: Wolters Kluwer India Pvt Ltd
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        atl: Interventions for giggle incontinence: A scoping review of therapeutic strategies and outcomes.
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        au:
          Bhavsar, Rutuben Harshadbhai
          Malik, Kritagya R.
          Kumar, Palani G.
        affil: College of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
      sug:
        subj:
          Therapeutics
          Urinary Incontinence Therapy
          Biofeedback
          Methylphenidate Therapeutic Use
          Behavior Modification
          Treatment Outcomes
          Patient Safety
          Human
          Scoping Review
          Adolescence
          Male
          Female
          Gray Literature
          Behavior Therapy
          Child
          PubMed
          Embase
          CINAHL Database
          Cochrane Library
          Life Style Changes
          Kegel Exercises
          Enuresis Therapy
          Adolescent: 13-18 years
          Child: 6-12 years
          Male
          Female
      ab: Background: Giggle incontinence (GI) is a rare type of urinary incontinence that affects children and adolescents, impacting their quality of life by causing social isolation, reduced self-confidence, and low self-esteem. To counteract the symptoms of GI, various treatment approaches have been described, but there is a dearth of reporting on their effectiveness. Objective: This review aims to synthesize evidence on the management of GI in the adolescent population, focusing on pharmacological and nonpharmacological interventions. Methods: Ascoping review was conducted using the Joanna Briggs Institute methodology and Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping reviews guidelines, along with the Population, Concept, Context framework, to perform a comprehensive search across major databases and gray literature. Treatment outcomes and follow-up data were extracted. Results: Of the 72 records, 9 studies met the inclusion criteria, in which the commonly used interventions were pharmacologic (mainly methylphenidate [MPH]) and nonpharmacologic (biofeedback, behavioral modifications). Studies explored the effectiveness of these interventions and found positive outcomes. Follow-up showed a significant effect of both the types of interventions. Conclusions: GI remains under-recognized in the adolescent population despite its effects on psychological and urological health. A multidisciplinary approach targeting the GI can help improve outcomes. This review provides insights about the use of various nonpharmacological therapies, such as biofeedback and behavioral therapy, and pharmacological therapies in the form of MPH to improve GI. Nonpharmacological approaches are low-risk and can be adapted as the primary treatment. Future research with planned methodology to compare the treatment efficacy is needed to improve the outcomes.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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