Treatment of enuresis risoria in children by self‐administered electric and imaginary shock

Abstract

Until now, there was no specific treatment for enuresis risoria and not all patients outgrow the problem; this experimental conditioning programme shows promise in diminishing wetting incidents. However, the programme needs further testing in a prospective study.

Clinical and urodynamic effect of methylphenidate for the treatment of giggle incontinence (enuresis risoria)

“…Another therapeutic tool, self-administered electric and imaginary shock, reduced the frequency of wetting with a mean of 89% of children participated in that study. 21 It was thought that electric shock led to consecutive emotional and physical reaction that inhibited the reflex that causes micturition initiation. During our study no MPH side effects, including insomnia, tachycardia, hypertension, decreased appetite, bodyweight loss, abdominal pain, headache, irritability, and anxiety, 22 were reported by patients.…”

Treatment of daytime urinary incontinence: A standardization document from the International Children's Continence Society

“…The true etiology is unknown, while some believe that it is related to cataplexy. Methylphenidate, imipramine, oxybutynin, biofeedback, and cognitive‐behavioral training with classical conditioning were reported to be effective in managing giggle incontinence but all lack good levels of evidence.…”

Urge incontinence and voiding postponement in children: somatic and psychosocial factors

“…Consensus has been reached regarding rarer forms of wetting such as dysfunctional voiding or detrusorsphincter-dyscoordination , de ned as intermittent voiding with a paradox contraction instead of relaxation of the external urethral sphincter during micturition (5,6), lazy-bladder syndrome (7) with fractionated, infrequent voiding and retention, giggle enuresis characterized by complete bladder emptying provoked by laughing (8,9) and stress incontinence with voiding during increased intra-abdominal pressure due to malfunction of the urethral sphincter (6,10).…”