Urotherapy Book

57 Case 5: Giggle Incontinence and Treatment in a 10 year old girl Objectives After completing this chapter, you will be able to: 1. Understand the impact of Giggle incontinence on quality of life 2. Implement a teaching plan for 10 years old girl and her parents 3. Compare and contrast anatomic and physiological characteristics of the lower urinary tract in children 4. Relate the assessment findings to the child’s lower-urinary tract status. 5. Identify various factors associated with Giggle incontinence, daytime 6. Outline the therapeutic regimen for Giggle incontinence. Key words Giggle incontinence, flowmeter, ultrasound, bladder diary DUI Background Jennifer is a 10-year-old girl with daytime incontinence mainly when laughing. At home and at school Jennifer lives in a suburban area. Her family consists of her father, mother, brother 12 years old, and their dog. She is in primary school in grade 7. Jennifer is a cheerful, always happy and lively girl. She has many friends, and she likes to have a lot of fun. She does gymnastics and horse riding. She rides horses at a high level and rides in competitions. Assessment History: Jennifer comes with her mother to the clinic. She has been referred by the paediatrician because of wetting accidents during the daytime. She has been treated before when she was 7 years old, she had had physiotherapy already and she has