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The enema continence catheter in spina bifida: successful bowel management
Journal of Pediatric Surgery
|March 1, 1987
Insights
A novel catheter improves large-volume saline enema administration for fecal incontinence in spina bifida patients. This method successfully achieved continence in 112 children and youths.
Area of Science:
- Pediatric Gastroenterology
- Urology
- Neurology
Background:
- Fecal incontinence is a common complication in patients with spina bifida.
- Current management often involves large-volume saline enemas, which can be challenging to administer effectively.
- Leakage of enema fluid can hinder treatment efficacy and patient comfort.
Purpose of the Study:
- To introduce a specially designed catheter for improved administration of large-volume saline enemas.
- To evaluate the efficacy of this new catheter in managing fecal incontinence in spina bifida patients.
Main Methods:
- A novel catheter was developed to prevent leakage during enema administration.
- Patients with spina bifida and fecal incontinence were managed using this specialized catheter and saline enemas.
Main Results:
- The specialized catheter effectively prevented leakage of enema fluid.
- Continence was achieved in 112 children and youths with spina bifida utilizing this enema administration method.
Conclusions:
- The developed catheter is an effective tool for administering large-volume saline enemas in pediatric patients with spina bifida.
- This approach offers a viable solution for managing fecal incontinence and improving quality of life in this population.
Abstract:
Patients with spina bifida who have fecal incontinence are managed by means of a large-volume saline enema. To facilitate administration of the enema, a special catheter has been devised that prevents leakage of the enema fluid. Continence has been achieved in 112 children and youths with spina bifida who were managed in this fashion.