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Malone Antegrade Continence Enemas vs. Cecostomy vs. Transanal Irrigation-What Is New and How Do We Counsel Our Patients?

Publication ,  Journal Article
Kelly, MS
Published in: Current urology reports
June 2019

No gold standard exists for managing neurogenic bowel dysfunction, specifically in individuals with spina bifida. Since the International Children's Continence Society published its consensus document on neurogenic bowel treatment in 2012, an increased focus on why we must manage bowels and how to improve our management has occurred. This review provides updated information for clinicians.A surge in research, mostly retrospective, has been conducted on the success and satisfaction of three types of management for neurogenic bowel. All three management techniques have relatively high success rates for fecal continence and satisfaction rates. Selection of which treatment to carry out still is debated among clinicians. Transanal irrigation is a safe and effective management option for neurogenic bowel that does not require surgery. Antegrade enemas can be carried out via cecostomy tube or Malone antegrade continence enema with similar fecal continence outcomes.

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Published In

Current urology reports

DOI

EISSN

1534-6285

ISSN

1527-2737

Publication Date

June 2019

Volume

20

Issue

8

Start / End Page

41

Related Subject Headings

  • Urology & Nephrology
  • Therapeutic Irrigation
  • Spinal Dysraphism
  • Neurogenic Bowel
  • Humans
  • Fecal Incontinence
  • Enema
  • Constipation
  • Child
  • Cecostomy
 

Citation

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Kelly, M. S. (2019). Malone Antegrade Continence Enemas vs. Cecostomy vs. Transanal Irrigation-What Is New and How Do We Counsel Our Patients? Current Urology Reports, 20(8), 41. https://doi.org/10.1007/s11934-019-0909-1
Kelly, Maryellen S. “Malone Antegrade Continence Enemas vs. Cecostomy vs. Transanal Irrigation-What Is New and How Do We Counsel Our Patients?Current Urology Reports 20, no. 8 (June 2019): 41. https://doi.org/10.1007/s11934-019-0909-1.
Kelly, Maryellen S. “Malone Antegrade Continence Enemas vs. Cecostomy vs. Transanal Irrigation-What Is New and How Do We Counsel Our Patients?Current Urology Reports, vol. 20, no. 8, June 2019, p. 41. Epmc, doi:10.1007/s11934-019-0909-1.
Journal cover image

Published In

Current urology reports

DOI

EISSN

1534-6285

ISSN

1527-2737

Publication Date

June 2019

Volume

20

Issue

8

Start / End Page

41

Related Subject Headings

  • Urology & Nephrology
  • Therapeutic Irrigation
  • Spinal Dysraphism
  • Neurogenic Bowel
  • Humans
  • Fecal Incontinence
  • Enema
  • Constipation
  • Child
  • Cecostomy