Laughter-Induced Urinary Incontinence Among Late Adolescent College Students: A Cross-Sectional Survey

BACKGROUND Giggle incontinence is an underrecognized type of urinary incontinence that occurs exclusively during laughter, most commonly affecting adolescent girls. It can significantly impact self- esteem, social participation, and overall quality of life. Although true prevalence is uncertain, survey data suggest that up to 25% of adolescents may experience giggle induced leakage at least once, with around 10% continuing to have episodes into late adolescence. AIM To assess the prevalence, awareness, and symptom severity of giggle incontinence among hostel students aged 18 to 20 years METHOD A cross-sectional survey was conducted among 110 adolescent girls residing in hostels at Jnana Jyoti Nagar, Prudence College of Institution, Bangalore. A structured questionnaire was used to gather information on urinary leakage during laughter, associated factors, and management strategies. Data were analyzed to determine prevalence and awareness levels of giggle incontinence RESULT Among 110 participants, 13 reported giggle incontinence, mostly of mild severity. Awareness of the condition was low, and most participants coped through self-managed behavioural strategies. Chi-square analysis revealed a significant association between BMI and giggle incontinence (χ² = 8.21, df = 3, p < 0.05). Overweight participants exhibited the highest prevalence (5 out of 13). These findings suggest that BMI may influence the likelihood of experiencing giggle incontinence. CONCLUSION Giggle incontinence is prevalent among adolescent girls but remains underdiagnosed due to lack of awareness. Early recognition and health education can reduce psychosocial distress. KEY WORDS Giggle incontinence, Prevalence, Adolescents; Laughter-induced incontinence, BMI