Outcome of antegrade continence enema procedures for faecal incontinence in adults

Lefèvre, Jérémie H.; Parc, Yann; Giraudo, Giorgio; Bell, Stephen; Parc, R; Tiret, Emmanuel

doi:10.1002/bjs.5383

Cited by 47 publications

(42 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…MACE procedure was introduced for one of the treatments for bowel dysfunction and many excellent results were reported. 12,21,22 In the present study, although MACE procedure was performed in four patients as concomitant surgery of augmentation ileocystoplasty, questionnaire for bowel symptoms and QOL showed MACE procedure unfortunately had no benefit compared to patients without MACE procedure. This result may be implicated in small number of patients in the present study.…”

Section: Discussioncontrasting

confidence: 53%

Outcomes of lower urinary and bowel function in meningomyelocele patients with augmentation enterocystoplasty

et al. 2008

View full text Add to dashboard Cite

Objectives: We evaluated the outcomes of augmentation ileocystoplasty in video-urodynamics (V-UDS) and questionnaires related to bowel and urinary function. Methods: In 22 meningomyelocele (MMC) patients (11 male and 11 female, a mean age at surgery 14.4 years) who underwent augmentation ileocystoplasties, V-UDS was performed before and at a median of 15 months (6-120 months) after the surgery and the questionnaires were answered at a median of 7.1 years (1.1-14.5 years) after surgery. Results: Concomitant procedures of urethral sling in four, cecostomy in four and ureteral reimplantation in two were performed at augmentation ileocystoplasty. V-UDS showed a significant improvement after the surgery in bladder capacity, bladder compliance and detrusor overactivity. Vesicoureteral reflux (VUR) disappeared after the surgery in 16 of 19 ureters with VUR. Although questionnaire for urinary condition using International Consultation on Incontinence QuestionnaireShort Form demonstrated that 80% of patients were completely free from urinary incontinence after surgery, more than a half of patients had persistent or deteriorated bowel function such as urgency of bowel movement and fecal incontinence in questionnaires for bowel function. Even with complaints in bowel function, more than 80% of MMC patients had a high level of satisfaction with augmentation enterocystoplasty in overall quality of life (QOL). Conclusions: Benefits of augmentation ileocystoplasty were maintained in urodynamic parameters as well as urinary continence. Although augmentation ileocystoplasty generally provides high QOL for MMC patients refractory to conservative therapies, an advance of fecal management can make MMC patients' QOL superior to a current state.

show abstract

Section: Discussioncontrasting

confidence: 53%

Outcomes of lower urinary and bowel function in meningomyelocele patients with augmentation enterocystoplasty

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Although MACE has been successfully used in adults, at age 66, she was older than most undergoing the procedure. 8 Having had a prior appendectomy, she also elected for a Monti catheterizable channel and augmentation of her ileal conduit. Her bladder could have potentially been augmented and used as a urinary reservoir.…”

Section: Discussionmentioning

confidence: 99%

Complications following breast cancer therapy in the adult spina bifida population: A case report

Hoy

Metcalfe

2013

CUAJ

View full text Add to dashboard Cite

Survival to adulthood in spina bifida has greatly increased with the advent of modern therapies. With this prolonging of life expectancy, patients are exposed to the risk of adult onset malignancies and the complications of subsequent treatment. We present the case of a 66-year-old woman born with a terminal lipomyelomeningocele, presenting with new fecal incontinence and a desire to undivert her ileal conduit. The deterioration was attributed to chemotherapy for breast cancer. We highlight the urologic challenges of breast cancer management in the neurogenic bowel population, as well as the utility of an adult spina bifida clinic. To the best of our knowledge, this is the first case report of a spina bifida patient presenting with fecal and urinary complications from breast cancer chemotherapy.

show abstract

“…It permits the administration of antegrade colonic enemas (ACE) for colonic evacuation, improving quality of life [5,6] and bowel function [7][8][9][10]. In children, the most frequent indications for MA are incontinence after reconstruction of congenital anorectal malformation or neurological disorders such as spina bifida.…”

Section: Introductionmentioning

confidence: 99%

Malone appendicostomy: an unexpected complication

Orabi¹,

Paterson²,

Goncette

et al. 2011

Tech Coloproctol

View full text Add to dashboard Cite

The Malone appendicostomy is a novel option for surgical management of faecal incontinence and chronic constipation, by permitting the administration of antegrade colonic enemas for colonic evacuation. We report the case of a 54-year-old female who had undergone abdomino perineal resection for low rectal cancer followed by total perineal reconstruction with perineal colostomy, dynamic double graciloplasty and Malone appendicostomy. After 7-year follow-up, functional results and quality of life scores were satisfactory. Suddenly the patient described increasing difficulty with intubation of her appendicostomy and complete reflux of the enema liquid, which radiology referred to a calcified body of 35 mm within the Malone appendicostomy causing nearly complete obstruction of the conduit. A surgical exploration was necessary to extract the fecolith allowing full recovery with return to satisfactory Malone appendicostomy function. To our knowledge, this is the first report of a fecolith causing obstruction within a Malone appendicostomy.

show abstract

Outcome of antegrade continence enema procedures for faecal incontinence in adults

Abstract: The Malone procedure or equivalent achieves good results in the management of faecal incontinence, although psychological distress persists after surgery.

Cited by 47 publications

References 31 publications

Outcomes of lower urinary and bowel function in meningomyelocele patients with augmentation enterocystoplasty

Outcomes of lower urinary and bowel function in meningomyelocele patients with augmentation enterocystoplasty

Complications following breast cancer therapy in the adult spina bifida population: A case report

Malone appendicostomy: an unexpected complication

Contact Info

Product

Resources

About