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Faecal incontinence in children with spina bifida: the best conservative treatment
P F Eire1, R V Cives, M C Gago
1Department of Pediatric Surgery, Hospital Xeral de Galicia, Santiago de Compostela, Spain.
Insights
Retrograde Colonic Enema (RCE) offers a conservative treatment for neurogenic fecal incontinence, significantly improving quality of life for patients with conditions like spina bifida and enhancing social integration.
Area of Science:
- Neuroscience
- Gastroenterology
- Rehabilitation Medicine
Background:
- Fecal incontinence significantly impacts myelodysplastic patients' quality of life.
- Neuropathic bladder management has improved survival and quality of life.
- Advances in fecal incontinence treatment aim for patient independence and social integration.
Purpose of the Study:
- To evaluate the effectiveness of Retrograde Colonic Enema (RCE) for neurogenic fecal incontinence.
- To assess RCE as a conservative treatment option for patients with neurological conditions affecting bowel function.
Main Methods:
- The study involved 33 patients with neurogenic fecal incontinence.
- Retrograde Colonic Enema (RCE) was the primary intervention applied.
- Patient outcomes related to fecal incontinence management were assessed.
Main Results:
- The Retrograde Colonic Enema (RCE) demonstrated positive outcomes in managing neurogenic fecal incontinence.
- The treatment enabled patients to achieve greater independence and social participation.
- RCE proved to be an effective conservative method for specific patient groups.
Conclusions:
- Retrograde Colonic Enema (RCE) is a highly effective conservative treatment for neurogenic fecal incontinence.
- This method is particularly beneficial for patients with spina bifida and related neurological issues.
- RCE contributes to improved quality of life and functional independence in affected individuals.
Abstract:
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.