Satisfaction after the Malone antegrade continence enema procedure in patients with spina bifida

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The antegrade continence enema procedure and total anorectal reconstruction

Patients may present with anal incontinence (AI) following repair of a congenital anorectal anomaly years previously, or require total anorectal reconstruction (TAR) following radical rectal extirpation, most commonly for rectal cancer. Others may require removal of their colostomy following sphincter excision for Fournier's gangrene, or in cases of severe perineal trauma. Most of the data pert...

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Continence in patients with spina bifida: long term results.

One hundred and forty four questionnaires relating to bladder and bowel control were sent to a random selection of patients with spina bifida throughout the United Kingdom. One hundred and seventeen questionnaires were returned, of which 109 were usable. Twenty eight out of 109 responders had undergone some form of urinary diversion, of whom 20 (71%) were reliably dry. The remaining 81 responde...

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After the honeymoon--medium-term outcome of antegrade continence enema procedure.

PURPOSE The aim of this study was to determine medium-term outcomes of the antegrade continence enema (ACE) procedure. METHODS A retrospective casenote review plus telephone questionnaire was conducted. The study was performed at a regional paediatric surgical centre. The subjects were consecutive children undergoing the ACE procedure over a 5 year period. Main outcome measures were use of th...

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Success of Malone's antegrade continence enema (MACE) from the patients' perspective.

PURPOSE Fecal incontinence (FI) is a devastating problem for children. The failure of optimal medical treatment may require further interventions such as appendicocutaneostomy. We report on a patients' perspective of the success of a Malone procedure for FI. PATIENTS AND METHODS The records of 32 patients who had undergone ACE procedure in the past 9 years were reviewed. Patients and families...

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Osteoporosis in paediatric patients with spina bifida.

UNLABELLED The prevalence and morbidity associated with osteoporosis and fractures in patients with spina bifida (SB) highlight the importance of osteoporosis prevention and treatment in early childhood; however, the issue has received little attention. The method for the selection of appropriate patients for drug treatment has not been clarified. OBJECTIVE To review the literature concernin...

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ژورنال

عنوان ژورنال: Spinal Cord

سال: 2013

ISSN: 1362-4393,1476-5624

DOI: 10.1038/sc.2013.111