A challenging review of childhood incontinence: rare complications of dysfunctional elimination syndrome in an epileptic boy

Incontinence in childhood is a common symptom and requires a structured evaluation. Several overlapping causes can make the diagnosis challenging, and physicians can only cope with this problem with a detailed history and appropriate diagnostic tools. We report an epileptic boy with dysfunctional elimination syndrome (DES) with associated rare complications of giggle incontinence and idiopathic urethritis. The challenging diagnostic approach to illuminate the overlapping causes of incontinence is discussed herein. The possible interaction of laughing, incontinence, epileptic seizures, and urethritis in childhood is discussed in terms of cause, clinical outcome and therapeutic approach.