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Achieving continence with a neurogenic bowel

Susan R Leibold1

  • 1Developmental Disabilities, Texas Scottish Rite Hospital for Children, 2222 Welborn Street, Dallas, TX 75219, USA. Sue.leibold@tsrh.org

Pediatric Clinics of North America
|October 2, 2010
PubMed

Insights

This article provides guidance for families of children with spina bifida to achieve bowel continence. It outlines developmental strategies, medications, and techniques for optimal success at appropriate ages.

Area of Science:

  • Pediatric Gastroenterology
  • Developmental Pediatrics
  • Urology

Background:

  • Spina bifida presents significant challenges in achieving bowel continence.
  • Family support and education are crucial for managing this condition.

Purpose of the Study:

  • To review developmental considerations for achieving bowel continence in children with spina bifida.
  • To present evidence-based strategies and interventions for optimal outcomes.

Main Methods:

  • Review of current literature on spina bifida and bowel management.
  • Development of an algorithmic approach to guide interventions.
  • Discussion of age-appropriate medications and techniques.

Main Results:

  • Successful bowel continence is achievable with tailored, developmentally appropriate interventions.
  • An algorithmic approach enhances the systematic application of strategies.
  • Current medications and techniques offer effective solutions when applied timely.

Conclusions:

  • A structured, developmental approach is key to improving bowel continence in children with spina bifida.
  • Families require comprehensive guidance on managing bowel function.
  • Timely and appropriate interventions lead to better long-term outcomes.

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