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Improvement in neurogenic bladder after the antegrade continence enema procedure
Jacqueline Gividen1, John G Van Savage
1Division of Pediatric Urology, Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA.
Urology
|January 18, 2002
Insights
A child with neurogenic bladder and bowel underwent an antegrade continence enema procedure. This treatment improved both fecal incontinence and neurogenic bladder symptoms, including urinary incontinence.
Area of Science:
- Pediatric Urology
- Gastroenterology
- Neurology
Background:
- Neurogenic bladder and bowel dysfunction significantly impact a child's quality of life.
- Fecal incontinence and severe constipation are common challenges in pediatric neurogenic conditions.
Observation:
- A pediatric patient with neurogenic bladder and bowel dysfunction presented with fecal incontinence and constipation.
- The patient underwent an antegrade continence enema (ACE) procedure.
Findings:
- The antegrade continence enema procedure led to successful management of fecal incontinence and constipation.
- Post-procedure, the patient experienced significant improvement in neurogenic bladder symptoms and urinary incontinence.
Implications:
- The antegrade continence enema procedure is an effective intervention for managing complex bowel and bladder dysfunction in children.
- This approach offers a potential pathway to improved continence and quality of life for pediatric patients with neurogenic conditions.
Abstract:
A child with neurogenic bladder and bowel underwent an antegrade continence enema procedure for fecal incontinence and severe constipation. She subsequently demonstrated an improvement in her neurogenic bladder and urinary incontinence.