This really, really bothers me:
sometimes I laugh so hard I pee.
And then I need to do a dance
to keep what’s left inside my pants!
So, please do tell me, Dr. Jo,
why laughing makes me have to go—
though right before, as I recall,
I had no need to pee at all.
Most of the time, you can control
the urine that your bladder holds,
’cause at its exit, there are two
round sphincters guarding what gets through.
These rings of muscle stay shut till
the bladder really starts to fill.
Its stretching walls send signals that
will tell the brain, “It’s time to act.”
This makes one sphincter open wide
to let out all the pee inside.
The muscled bladder contracts too,
to help to push that urine through.
But nothing comes out until you
decide to open number two.
So you can hold it closed and wait
for the right time to urinate.
But once you let that sphincter go,
your urine quickly starts to flow.
And when you’re laughing, it can be
extremely hard to hold your pee.
The problem is the laughing act.
It causes muscles to contract
around your chest and abdomen,
which push your bladder, pressing in.
This pressure can be just enough
to open both the sphincters up,
which makes it very hard to keep
your urine in—and you might leak.
So even though you’re thinking, Please
don’t let me pee! and try to squeeze,
or even if you do a dance,
there’s still a chance you’ll pee your pants!