The impact of bowel management on the quality of life in children with spina bifida with overactive bladder and detrusor sphincter dyssynergia

Radojičić, Zoran; Milivojevic, Sasa; Lazović, Jelena; Bečanović, Sara; Korićanac, I.; Milić, Nataša

doi:10.1016/j.jpurol.2019.05.005

Cited by 13 publications

(14 citation statements)

References 28 publications

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“…They improve bladder dynamics by suppressing detrusor hypertonicity and hyperreflexia [14]. Institution of bowel management program with high fiber diet, laxatives, and enema improves the symptoms of fecal and urinary incontinence in patients with neurogenic bladder due to spinal dysraphism [15].…”

Section: Discussionmentioning

confidence: 99%

Pseudotail with closed neural tube defect and neurogenic bladder masquerading as posterior urethral valve: a case report

et al. 2021

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Background Pseudotail with occult spinal dysraphism with neurological deficit is a rare phenomenon. Ignoring pseudotail as sign of occult spinal dysraphism may lead to catastrophe in diagnosis and further management. Case presentation We are reporting a case of a 30-month-old male child who presented with a tail-like structure at lower back and dribbling of urine since birth. On initial evaluation at some other hospital, he was misdiagnosed as posterior urethral valve and underwent fulguration of valve. However, dribbling of urine persisted after initial procedure. On evaluation at our center, he was found to have pseudotail with occult spinal dysraphism and neurogenic bladder. Conclusion Pseudotail with occult spinal dysraphism with neurological deficit is a rare phenomenon. Neurogenic bladder in such case can be misdiagnosed as posterior urethral valve. So, neurogenic bladder with pseudotail should be evaluated cautiously to avoid misdiagnosis and mismanagement.

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Section: Discussionmentioning

confidence: 99%

Pseudotail with closed neural tube defect and neurogenic bladder masquerading as posterior urethral valve: a case report

et al. 2021

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“…Já os níveis de lesão abordados foram: torácico (sete artigos) 8,[10][11][12]16,18,19 , L1-5 (sete artigos) 8,[10][11][12]16,18,19 , S1-5…”

Section: Métodounclassified

“…(sete artigos) 8,[10][11][12]16,18,19 , toracolombar (dois artigos) 11,18 , lombossacral (dois artigos) 11,18 . Porém, em cinco estudos os níveis de lesão da população estudada não foram descritos 3,[13][14][15]17 .…”

Section: Métodounclassified

“…Em suma, o objetivo dessa revisão de literatura foi reunir artigos que verificaram a qualidade de vida de pessoas com espinha bífida, e os possíveis fatores que se relacionam e impactam na qualidade de vida, além de identificar e reunir os principais instrumentos de avaliação utilizados. mielomeningocele (nove artigos) 3,8,11,12,[15][16][17][18][19] , meningocele (dois artigos) 11,12 e lipomeningocele (dois artigos) 12,15 .…”

Section: Introductionunclassified

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Fatores associados à qualidade de vida de pessoas com Espinha Bífida

Lucio,

Sambe,

Valenciano

et al. 2023

Rev Neurocienc

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Introdução. Espinha bífida é um distúrbio neurológico caracterizado pelo desenvolvimento incompleto do tubo neural, sendo a mielomeningocele seu tipo mais comum e grave, no qual possui fatores que impactam em seu estado de saúde, e consequentemente na qualidade de vida. Objetivo. Verificar e reunir fatores que impactam na qualidade de vida de indivíduos com espinha bífida e os principais instrumentos de avaliação utilizados. Método. Trata-se de uma revisão de literatura, com buscas bibliográficas nas bases Science Direct, Lilacs, Pubmed, Cochrane e Scielo, no período de janeiro de 2022 e atualizada em dezembro de 2022. Resultados. Foram incluídos 12 estudos realizados entre 2005 a 2019. O instrumento de avaliação Child Health Questionnaire foi encontrado como o questionário mais utilizado entre os artigos. E os desfechos encontrados que mais impactam na qualidade de vida de indivíduos com espinha bífida foi a incontinência intestinal e urinária. Conclusão. Espinha bífida é uma condição complexa que leva a comprometimento de diferentes componentes do corpo, podendo levar a limitações em atividades e restrições na participação. A presença de incontinência urinária e fecal são os fatores que mostraram impactar de forma negativa a qualidade de vida nessa população, havendo necessidade de maior atenção em ações de educação e manejo. Além disso, definir um instrumento de avaliação e identificar os desfechos em saúde que impactam é essencial para o trabalho multidisciplinar e o tratamento.

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“…A structured approach to bowel management in these patients can improve continence and allow them to achieve better functional outcomes [ 8 , 9 , 10 , 11 , 12 , 13 , 14 ]. Participation in a dedicated bowel management program (BMP) can help children with spinal anomalies to be continent in 77% of cases [ 15 ], decrease associated urinary concerns, and improve their quality of life [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

State of the Art Bowel Management for Pediatric Colorectal Problems: Spinal Anomalies

Bokova,

Prasade,

Rosen

et al. 2023

Children

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Background: Patients with spinal abnormalities often struggle with fecal and/or urinary incontinence (up to 87 and 92%, respectively) and require a collaborative approach to bowel management in conjunction. Methods: To define existing approaches and propose state-of-the-art bowel management, a literature search was performed using Medline/PubMed, Google Scholar, Cochrane, and EMBASE databases and focusing on the manuscripts published July 2013 and July 2023. Results: Patients with spinal anomalies have impaired innervation of the rectum and anal canal, decreasing the success rate from laxatives and rectal enemas. Thus, transanal irrigations and antegrade flushes are widely utilized in this group of patients. Based on spinal MRI, the potential for bowel control in these children depends on age, type, and lesion level. On referral for bowel management, a contrast study is performed to assess colonic motility and evacuation of stool, followed by a series of abdominal X-rays to define colonic emptying and adjust the regimen. The options for management include laxatives, rectal enemas, transanal irrigations, antegrade flushes, and the creation of a stoma. Approximately 22–71% of patients achieve social continence dependent on the type and level of the lesion. Conclusion: Patients with spinal anomalies require a thorough assessment for continence potential and stool burden prior to initiation of bowel management. The optimal treatment option is defined according to the patient’s age, anatomy, and mobility. The likelihood of independent bowel regimen administration should be discussed with the patients and their caregivers.

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The impact of bowel management on the quality of life in children with spina bifida with overactive bladder and detrusor sphincter dyssynergia

Cited by 13 publications

References 28 publications

Pseudotail with closed neural tube defect and neurogenic bladder masquerading as posterior urethral valve: a case report

Pseudotail with closed neural tube defect and neurogenic bladder masquerading as posterior urethral valve: a case report

Fatores associados à qualidade de vida de pessoas com Espinha Bífida

State of the Art Bowel Management for Pediatric Colorectal Problems: Spinal Anomalies

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