Diagnosis and management of fecal incontinence in children and adolescents

Shen, Zhe-Ying; Zhang, Jin; Bai, Yuling; Zhang, Shucheng

doi:10.3389/fped.2022.1034240

Cited by 5 publications

(6 citation statements)

References 81 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In children, these congenital malformations require a multidisciplinary approach depending on the identified severity of anomalies. The diagnostic approach to fecal and urinary incontinence in patients with sacral anomalies is complex and involves various tests such as contrast colonography, colonic transit time, anorectal manometry, urodynamics, and EMG ( 44 – 46 ).…”

Section: Discussionmentioning

confidence: 99%

Case report: Sacral agenesis in two boxer dogs: clinical presentation, diagnostic investigations, and outcome

Dell'Apa,

Fumeo,

Volta

et al. 2023

Front. Vet. Sci.

View full text Add to dashboard Cite

Two boxer dogs from the same litter were presented at 3 months of age for urinary and fecal incontinence. Both dogs had an abnormal tail consisting of a small stump, an atonic anal sphincter, and absent perineal reflex and sensation. Neurological evaluation was indicative of a lesion of the cauda equina or sacral spinal cord. Radiology and CT scan of the spine displayed similar findings in the two dogs that were indicative of sacral agenesis. Indeed, they had 6 lumbar vertebrae followed by a lumbosacral transitional vertebra, lacking a complete spinous process, and a hypoplastic vertebra carrying 2 hypoplastic sacral transverse processes as the only remnant of the sacral bone. Caudal vertebrae were absent in one of the dogs. On MRI, one dog had a dural sac occupying the entire spinal canal and ending in a subfascial fat structure. In the other dog, the dural sac finished in an extracanalar, subfascial, well-defined cystic structure, communicating with the subarachnoid space, and consistent with a meningocele. Sacral agenesis—that is the partial or complete absence of the sacral bones—is a neural tube defect occasionally reported in humans with spina bifida occulta. Sacral agenesis has been described in human and veterinary medicine in association with conditions such as caudal regression syndrome, perosomus elumbis, and Currarino syndrome. These neural tube defects are caused by genetic and/or environmental factors. Despite thorough genetic investigation, no candidate variants in genes with known functional impact on bone development or sacral development could be found in the affected dogs. To the best of the authors' knowledge, this is the first report describing similar sacral agenesis in two related boxer dogs.

show abstract

Section: Discussionmentioning

confidence: 99%

Case report: Sacral agenesis in two boxer dogs: clinical presentation, diagnostic investigations, and outcome

Dell'Apa,

Fumeo,

Volta

et al. 2023

Front. Vet. Sci.

View full text Add to dashboard Cite

show abstract

“…I am not sure of the reason; perhaps, the neuromodulation may play roles in 2 directions, and it can both strengthen and decrease the tension of pelvic floor. In the other hand, in different disease state (incontinence or constipation), the different frequency and frame of the electric current in regimes may partly account for the effects (4,5).…”

Section: Conflicts Of Interestmentioning

confidence: 99%

Response to Bolia

Zhang

2023

Am J Gastroenterol

View full text Add to dashboard Cite

“…The available scientific data indicate that the frequency of Fl/UI increases with age and is one of the most important reasons for geriatric patients being admitted to nursing homes. It is noteworthy that Fl also occurs in children, with boys being more likely to suffer from it [8].…”

Section: Epidemiologymentioning

confidence: 99%

Pelvic floor muscle morphology and its impact on urinary incontinence and faecal incontinence

Lazarchuk¹,

Barzak²,

Woźniak³

2022

Medical Journal of Cell Biology

View full text Add to dashboard Cite

Health problems related to pelvic floor muscles, as faecal incontinence (FI), urinary incontinence (UI) and constipation have a significant negative impact on a person’s life. The disease is accompanied by a serious symptoms, which exclude the patient from the local community. It is noteworthy that FI and UI involve increased financial outlays for the treatment of these disorders. Definition of the faecal incontinence is an uncontrolled passage of faecal materials that has occurred at least two to four times within four weeks of the last six months. Anatomy of pelvic fundus is strictly corelated with those diseases, because ability to contract and relax the muscles of the pelvic floor helps with the body’s daily basic functions. Risk factors of FI/UI include age, gender, comorbidities such as diabetes and irritable bowel syndrome, and obstetric factors. It could be treated with physiotherapy, pharmacotherapy or invasive treatment. A review of the literature indicates that the problem of FI/UI is a significant clinical issue of concern to clinicians due to very limited treatment techniques. There is a lack of primary research covering this issue in the world literature. The authors of this paper therefore believe that a holistic view of the subject based on the latest scientific data is necessary.

show abstract

Diagnosis and management of fecal incontinence in children and adolescents

Cited by 5 publications

References 81 publications

Case report: Sacral agenesis in two boxer dogs: clinical presentation, diagnostic investigations, and outcome

Case report: Sacral agenesis in two boxer dogs: clinical presentation, diagnostic investigations, and outcome

Response to Bolia

Pelvic floor muscle morphology and its impact on urinary incontinence and faecal incontinence

Contact Info

Product

Resources

About