The Malone Antegrade Colonic Enema Enhances the Quality of Life in Children Undergoing Urological Incontinence Procedures

Abstract

The antegrade colonic enema procedure is easily performed and it should be considered for any child with significant physical limitations and/or refractory fecal incontinence before urological continence promoting procedures are done.

Faecal incontinence in children with spina bifida: The best conservative treatment

“…Results are excellent in patients with spina bi®da and is easier to use than RCE. 4,7,8,10,13,14 A`Percutaneous cecostomy' for achieving similar results has been recently published. 9 The`Arti®cial Anal Sphincter' has a limited usage in patients with spina bi®da where the voluntary control is very often abolished and the slow transit colon time produces hard stools.…”

“…For wheelchair users and other selected patients the Antegrade Continence Enema (being faster and easier) is better than the Retrograde Continence Enema which needs some help in its use. 7,8,10,13,14 …”

Combined MACE & Mitrofanoff Procedure for Total Neurogenic Feco-urinary Incontinence – A Case Report

“…In addition to this dependence, fear of accidents and foul odors has impeded the attainment of independent living and the level of socialization that many of these patients might otherwise have achieved. 11 Paediatric surgeons now frequently employ the MACE technique simultaneously with reconstruction of the lower urinary tract in patients with structural and neurogenic fecal and urinary incontinence, especially caused by congenital conditions such as myelomeningocele. The reported success of the MACE procedure, as defined by continence, is on the order of 90% for neuropathic patients.…”

Quality of Life Assessment in Spina Bifida for Children (QUALAS-C): Development and Validation of a Novel Health-related Quality of Life Instrument

“…[2][3][4][5][6] Others report patient satisfaction, rather than HRQOL. 7,8 Importantly, generic HRQOL instruments developed for healthy children 9,10 may be unable to capture small, but clinically important, differences because they were not designed to measure the impact of SB on HRQOL. 11 Moreover, no validated and comprehensive SB-specific HRQOL instrument exists which incorporates bladder and bowel domains.…”