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

• Published in: Spinal cord Vol. 36; no. 11; pp. 774 - 776
• Main Authors: FERNANDEZ EIRE, P, VARELA CIVES, R, CASTRO GAGO, M
• Format: Journal Article
• Language: English
• Published: London Nature Publishing 01.11.1998
• Subjects: Adolescent; Adult; Biological and medical sciences; Catheterization; Child; Child, Preschool; Diseases of the osteoarticular system; Diseases of the spine; Enema - instrumentation; Equipment Design; Fecal Incontinence - etiology; Fecal Incontinence - therapy; Female; Humans; Male; Medical sciences; Self Care; Spinal Dysraphism - complications; Treatment Outcome; Human; Nervous system diseases; Retrograde; Diseases of the osteoarticular system; Catheter; Instrumentation therapy; Spine disease; Congenital disease; Enema; Spina bifida; Malformation; Digestive diseases; Intestinal disease; Complication; Anal incontinence; Colon; Neurological disorder; Child; Anorectal disease; Technical equipment
• ISSN: 1362-4393; 1476-5624
• DOI: 10.1038/sj.sc.3100694

Incontinence is one of the major stigmata affecting the quality of life of the myelodysplastic patient. The appropriate management of the neuropathic bladder has led most patients to survive with good conditions. Major advances have also been made in the treatment of faecal incontinence for enabling patients to achieve their full potential, to become integrated in society and to be as independent as possible. We present the results of the Retrograde Colonic Enema (RCE) in 33 patients suffering neurogenic faecal incontinence. We believe that the RCE is one of the best conservative methods of treatment for relieving faecal incontinence originating from spina bifida and other neurological problems with intestinal dysfunction.