MALONE ANTEGRADE CONTINENCE ENEMA FOR ADULTS WITH NEUROGENIC BOWEL DISEASE
1998; Lippincott Williams & Wilkins; Volume: 160; Issue: 4 Linguagem: Inglês
10.1016/s0022-5347(01)62515-1
ISSN1527-3792
AutoresJoel M.H. Teichman, J. Mansel Harris, Donald M. Currie, Douglas B. Barber,
Tópico(s)Intestinal and Peritoneal Adhesions
ResumoNo AccessJournal of UrologyClinical Urology: Original Articles1 Oct 1998MALONE ANTEGRADE CONTINENCE ENEMA FOR ADULTS WITH NEUROGENIC BOWEL DISEASE JOEL M.H. TEICHMAN, J. MANSEL HARRIS, DONALD M. CURRIE, and DOUGLAS B. BARBER JOEL M.H. TEICHMANJOEL M.H. TEICHMAN More articles by this author , J. MANSEL HARRISJ. MANSEL HARRIS More articles by this author , DONALD M. CURRIEDONALD M. CURRIE More articles by this author , and DOUGLAS B. BARBERDOUGLAS B. BARBER More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62515-1AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We describe the outcomes of adults with neurogenic bowel disease who underwent a Malone antegrade continence enema procedure with or without concomitant urinary diversion. Materials and Methods: Consecutive adult patients with neurogenic bowel disease who underwent an antegrade continence enema procedure (continent catheterizable appendicocecostomy for fecal impaction) were retrospectively reviewed. Results: Of the 7 patients who underwent an antegrade continence enema synchronous urinary procedure (ileal conduit, augmentation ileocystoplasty with continent catheterizable abdominal stoma or augmentation ileocystoplasty) was also performed in 6. Mean patient age was 32 years and mean followup was 11 months. Of the 7 patients 6 who self-administered antegrade continence enemas regularly were continent of stool per rectum and appendicocecostomy, using the appendicocecostomy as the portal for antegrade enemas. All 6 compliant patients reported decreased toileting time and improved quality of life. Preoperative autonomic dysreflexia resolved postoperatively in 3 patients. All urinary tracts were stable. In 4 patients 5 complications occurred, including antegrade continence enema stomal stenosis requiring appendicocutaneous revision (1), antegrade continence enema stomal stenosis requiring dilation (1), superficial wound infection (1), small bowel obstruction requiring lysis of adhesions (1) and urinary incontinence (1 who underwent continent urinary diversion). Conclusions: Patients with neurogenic bladder and bowel disease may benefit from antegrade continence enema performed synchronously with a urinary procedure. Antegrade continence enema may be indicated alone for neurogenic bowel. Patient selection is important. References 1 : Management of Gastrointestinal, Genitourinary, and Sexual Function. In: Spinal Cord Injury: Clinical Outcomes from the Model Systems. Edited by . Gaithersburg, Maryland: Aspen Publishers1995: 122. Google Scholar 2 : Bowel dysfunction in spinal cord-injury patients. Lancet1996; 347: 1651. 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Murphy Veterans' Affairs Medical Center, San Antonio, Texas© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byBRUCE R, EL-GALLEY R, WELLS J and GALLOWAY N (2018) ANTEGRADE CONTINENCE ENEMA FOR THE TREATMENT OF FECAL INCONTINENCE IN ADULTS: USE OF GASTRIC TUBE FOR CATHETERIZABLE ACCESS TO THE DESCENDING COLONJournal of Urology, VOL. 161, NO. 6, (1813-1816), Online publication date: 1-Jun-1999. Volume 160Issue 4October 1998Page: 1278-1281 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information JOEL M.H. TEICHMAN More articles by this author J. MANSEL HARRIS More articles by this author DONALD M. CURRIE More articles by this author DOUGLAS B. BARBER More articles by this author Expand All Advertisement PDF downloadLoading ...
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