OBJECTIVES: The aim of this study was to evaluate the efficacy of the retrograde colonic enema relative to the Malone antegrade continence enema. METHODS: We retrospectively investigated 25 children with spina bifida and fecal incontinence. Thirteen children had started retrograde colonic enema and twelve had started Malone antegrade continence enema. Fecal continence, water volume, time to washout, procedure frequency, pain during procedure, performance independence and demographical data were compared between the two groups. RESULTS: Fecal continence was achieved for 10 of 13 (76.9%) in the retrograde group and 9 of 12 (75.0%) in the antegrade group. In the antegrade group 8 of 12 (66.7%) performed procedure independently, while 3 of 13 (23.1%) did so in the retrograde group. Achievement of fecal continence did not differ between the groups, but procedure independence was significantly better in the antegrade group. CONCLUSIONS: Our results suggest that retrograde colonic enema was not inferior to Malone antegrade continence enema on fecal continence. We recommend considering retrograde colonic enema prior to introduction of Malone antegrade continence enema in children with spina bifida.
OBJECTIVES: The aim of this study was to evaluate the efficacy of the retrograde colonic enema relative to the Malone antegrade continence enema. METHODS: We retrospectively investigated 25 children with spina bifida and fecal incontinence. Thirteen children had started retrograde colonic enema and twelve had started Malone antegrade continence enema. Fecal continence, water volume, time to washout, procedure frequency, pain during procedure, performance independence and demographical data were compared between the two groups. RESULTS: Fecal continence was achieved for 10 of 13 (76.9%) in the retrograde group and 9 of 12 (75.0%) in the antegrade group. In the antegrade group 8 of 12 (66.7%) performed procedure independently, while 3 of 13 (23.1%) did so in the retrograde group. Achievement of fecal continence did not differ between the groups, but procedure independence was significantly better in the antegrade group. CONCLUSIONS: Our results suggest that retrograde colonic enema was not inferior to Malone antegrade continence enema on fecal continence. We recommend considering retrograde colonic enema prior to introduction of Malone antegrade continence enema in children with spina bifida.
Authors: Elizabeth B Yerkes; Mark P Cain; Shelly King; Timothy Brei; Martin Kaefer; Anthony J Casale; Richard C Rink Journal: J Urol Date: 2003-01 Impact factor: 7.450
Authors: J L Lemelle; F Guillemin; D Aubert; J M Guys; H Lottmann; S Lortat-Jacob; P Mouriquand; A Ruffion; J Moscovici; M Schmitt Journal: Qual Life Res Date: 2006-10-11 Impact factor: 4.147
Authors: S Vande Velde; S Van Biervliet; K Van Renterghem; E Van Laecke; P Hoebeke; M Van Winckel Journal: J Urol Date: 2007-10-22 Impact factor: 7.450
Authors: Dana K Nanigian; Thuan Nguyen; Stacy T Tanaka; Angelo Cambio; Angela DiGrande; Eric A Kurzrock Journal: J Urol Date: 2008-08-21 Impact factor: 7.450