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Bowel Dysfunction Related to Spina Bifida: Keep It Simple.

Charlène Brochard1, Benoît Peyronnet, Anne Dariel

  • 11 Service des Maladies de l'Appareil Digestif, Centre Hospitalier Universitaire Pontchaillou, Université de Rennes 1, Rennes, France 2 Service d'Explorations Fonctionnelles Digestives, Centre Hospitalier Universitaire Pontchaillou, Université de Rennes 1, Rennes, France 3 Institut National de la Santé et de la Recherche Médicale U1235, Université de Nantes, Nantes, France 4 Centre d'Investigation Clinique 1414, Inflammation and Physiology, Université de Rennes 1, Rennes, France 5 Service d'Urologie, Centre Hospitalier Universitaire Pontchaillou, Rennes, France 6 Centre Référence National Maladies Rares Spina Bifida, Centre Hospitalier Universitaire Pontchaillou, Rennes, France 7 Institut National de la Santé et de la Recherche Médicale U991, Université de Rennes, Rennes, France.

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Summary
This summary is machine-generated.

Adults with spina bifida experience high rates of fecal incontinence and bowel dysfunction. Obesity and urologic issues, not neurological factors, are linked to these conditions.

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Area of Science:

  • Urology
  • Gastroenterology
  • Neurology

Background:

  • Care for urological issues in spina bifida is established, but standardized bowel dysfunction management is lacking.
  • Bowel dysfunction is a significant concern for adults with spina bifida.

Purpose of the Study:

  • To assess bowel dysfunction and identify risk factors in adults with spina bifida.
  • Utilize validated instruments to evaluate bowel dysfunction prevalence and associated risks.

Main Methods:

  • Prospective data collection by a multidisciplinary team focusing on anorectal and urological symptoms.
  • Assessment of 228 adults with spina bifida at a French referral center.
  • Multivariate analysis to identify factors associated with severe fecal incontinence and bowel dysfunction.

Main Results:

  • High prevalence rates: 60% for severe fecal incontinence and 42% for severe bowel dysfunction.
  • Bowel dysfunction is the second most common patient concern after lower urinary tract dysfunction.
  • Independent risk factors for severe fecal incontinence include male sex, obesity, urinary incontinence, and constipation score ≥10. Soft stools were associated with less severe dysfunction. Neurologic features were not associated.

Conclusions:

  • High prevalence of severe fecal incontinence and bowel dysfunction in adults with spina bifida.
  • Obesity, urologic disorders, and stool consistency are associated with bowel dysfunction and fecal incontinence, rather than neurologic features.
  • Potential selection bias due to recruitment from a national referral center and missing data noted.