Pediatric Neurogenic Bladder and Bowel Dysfunction: Will My Child Ever Be out of Diapers?

Johnston, Ashley W.; Wiener, John S.; Purves, J. Todd

doi:10.1016/j.euf.2020.01.003

Cited by 22 publications

(9 citation statements)

References 116 publications

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“…Many teenagers can administer their antegrade enemas independently via an intermittently inserted catheter or an indwelling tube. The final surgical alternative in children is a colostomy (fecal diversion), but Malone s ACE procedure is by far the most utilized method [156]. Unfortunately, some other reconstructive techniques available to adults with NBD, such as artificial anal sphincter implantation [157], are generally not appropriate for the growing child.…”

Section: Bowel Surgerymentioning

confidence: 99%

Neurogenic Bowel Dysfunction in Children and Adolescents

Mosiello

Safder

Marshall

et al. 2021

JCM

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Neurogenic/neuropathic bowel dysfunction (NBD) is common in children who are affected by congenital and acquired neurological disease, and negatively impacts quality of life. In the past, NBD received less attention than neurogenic bladder, generally being considered only in spina bifida (the most common cause of pediatric NBD). Many methods of conservative and medical management of NBD are reported, including relatively recently Transanal Irrigation (TAI). Based on the literature and personal experience, an expert group (pediatric urologists/surgeons/gastroenterologists with specific experience in NBD) focused on NBD in children and adolescents. A statement document was created using a modified Delphi method. The range of causes of pediatric NBD are discussed in this paper. The various therapeutic approaches are presented to improve clinical management. The population of children and adolescents with NBD is increasing, due both to the higher survival rate and better diagnosis. While NBD is relatively predictable in producing either constipation or fecal incontinence, or both, its various effects on each patient will depend on a wide range of underlying causes and accompanying comorbidities. For this reason, management of NBD should be tailored individually with a combined multidisciplinary therapy appropriate for the status of the affected child and caregivers.

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Section: Bowel Surgerymentioning

confidence: 99%

Neurogenic Bowel Dysfunction in Children and Adolescents

Mosiello

Safder

Marshall

et al. 2021

JCM

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“…Urinary difficulties related to neurogenic bladder are frequent, and counselling should include a discussion on the likely bladder management plan. Long term, 76.8% of adults use intermittent catheterization and 45% achieve some form of continence, with or without catheterization 116–118 . Of young adults with myelomeningocele, 33.3% never have urinary accidents; 12.5% have accidents less than once a month; 27.1% at least once a month, but less than once a week; 14.6% once a week, but not every day; and 15.0% every day.…”

Section: Myelomingocelementioning

confidence: 99%

Antenatal counselling for prospective parents whose fetus has a neurological anomaly: part 2, risks of adverse outcome in common anomalies

Hart

Vasudevan

Griffiths

et al. 2021

Develop Med Child Neuro

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After diagnosis of a fetal neurological anomaly, prospective parents want to know the best and worst‐case scenarios and an estimation of the risk to their infant of having an atypical developmental outcome. The literature on developmental outcomes for fetal neurological anomalies is poor: studies are characterized by retrospective design, small sample size, often no standardized assessment of development, and differing definitions of anomalies. This review provides an aide‐memoir on the risks of adverse neurodevelopmental outcome for ventriculomegaly, cortical anomalies, microcephaly, macrocephaly, agenesis of the corpus callosum, posterior fossa anomalies, and myelomeningocele, to assist healthcare professionals in counselling. The data in this review should be used alongside recommendations on counselling and service design described in part 1 to provide antenatal counselling.

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“…Overall, contemporary data reports a continence rate of approximately 50%, with most responding to CIC and bladder relaxant medication (anti-muscarinic or beta-agonist). 8 Patients who fail conservative measures may respond to surgical intervention, although an improvement in quality of life is hard to prove. 9 Still, long-term associations with continence and quality of life are readily accepted.…”

Section: Managing Continence At School Agementioning

confidence: 99%