One-year impact of a bowel management program in treating fecal incontinence in patients with anorectal malformations

Abstract

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Improvement in Bladder Function in Children With Functional Constipation After a Bowel Management Program

“…It has been shown previously in patients with anorectal malformation who have underwent a BMP that the VSS improves as fecal continence in the population improves [15]. Children with anorectal malformation have known associated urologic abnormalities and commonly have di culty with urinary and bowel elimination.…”

“…The BCS is a scoring measure used to assess social continence in children who have underwent repair of an anorectal malformation [17]. The patients in this cohort had FC, not an anorectal malformation, but both populations have been known to have concomitant urinary dysfunction [6,11,15]. The CCCS, while validated for adults, is a scoring system that assesses the severity of symptoms of constipation [16].…”

“…A recent study examining continence outcomes in patients with anorectal malformation was able to show that undergoing a BMP improved urinary symptoms in these patients with underlying anatomic abnormalities of the urologic system [15]. While not speci c for improvement in BBD, the Baylor Continence Scale (BCS) and Cleveland Clinic Constipation Score (CCCS) are also PROMs that are used to assess changes in bowel and bladder symptoms after intervention, which the aforementioned study examined as well [16,17].…”

Improvement in bladder function in children with functional constipation after a bowel management program

“…It has been shown previously in patients with anorectal malformation who have underwent a BMP that the VSS improves as fecal continence in the population improves [ 15 ]. Children with anorectal malformation have known associated urologic abnormalities and commonly have difficulty with urinary and bowel elimination.…”

“…A recent study examining continence outcomes in patients with anorectal malformation was able to show that undergoing a BMP improved urinary symptoms in these patients with underlying anatomic abnormalities of the urologic system [ 15 ]. While not specific for improvement in BBD, the Baylor Continence Scale (BCS) and Cleveland Clinic Constipation Score (CCCS) are also PROMs that are used to assess changes in bowel and bladder symptoms after intervention, which the aforementioned study examined as well [ 16 , 17 ].…”