TREATMENT OF FAECAL INCONTINENCE IN CHILDREN
WITH NEUROGENIC BLADDER USING MACE PROCEDURE
WITH SYNCHRONOUS BLADDER AUGMENTATION
Article published in Urologia Polska 1999/52/3.
authors
-
Lidia Skobejko-Włodarska
- Klinika Urologii Dziecięcej Instytutu Pomnika - Centrum Zdrowia Dziecka
Kierownik kliniki: prof. dr hab. n. med. C. Szymkiewicz
keywords
-
bladder neurogenic bladder and bowel dysfunction faecal incontinence urinary incontinence MACE (Malone Antegrade Continence Enema) procedure ? bladder augmentation
summary
- Objective. We report our experience with synchronous bladder augmentation
- and Malone antegrade continence enema (MACE) procedure in the management
- of neuropathic urinary and faecal incontinence.
- Material and method. Three patients (3 girls) with a median age of ten years
- range 8-12
- and faecal incontinence after meningocele repair. MACE procedure (Malone
- antegrade continence enema) was performed in all patients with a simultaneous
- bladder augmentation. 2 children underwent colocystoplasty and 1 patient
- ureterocystoplasty.
- Results. Patients follow-up ranged from 1 to 6 months. All children were
- completely clean. They were all delighted with the result.
- Conclusion. Synchronous surgical procedures to make patients with
- neuropathic incontinence both clean and dry is effective. Patient motivation
- and selection is crucial in obtaining satisfactory results.
references
- [1] Curry, J. I., Osborne, A., Malone, P. S. J.: How toachievea successful Malo-
- ne Antegrade Continence Enema. J. Pediatr. Surg. 1998, 33,138-141.
- [2] Fukunaga, K., Kimura, K., Lawrence J. P.: Button devicefor antegrade ene-
- ma in treatment of incontinence and constipation. J. Pediatr. Surg. 1996,31,1038-
- 1039.
- [3] Griffiths, D. M., Malone, I' S.: The Malone antegrade, continence enema
- (MACE). J. Pediatr. Surg. 1995, 30, 68-71.
- [4] Malone, P. S., Ransley, P. C, Kiely E. M.: Preliminary report: The antegrade
- continence enema. Lancet, 1990, 336,1217-1218.
- [5] Malone, P. S., Curry, J. L.: The MACE procedure. Dialog. Pediatr. Urol., 1999,
- 22, 2-3.
- [6] Mitrofanoff, P.: Cystostomie continente trans-appendiculare dans le traitement
- des vessies neurologi±ues. Cir. Pediatr. 1980, 21, 297-305.
- [7] Roberts, J. P., Moon S., Malone, P. S.: Treatment of neuropathic urinary and
- faecal incontinence with synchronous bladder reconstruction and the antegrade con-
- tinence enema procedure. Br. J. Urol. 1995, 75, 386-389.
- [8] Shandling, B., Chait, .I'. G., Forrest Richards, H.: Percutaneous caecosto-
- my: A new technigue in the management of faecal incontinence. J. Pediatr. Surg.
- 1996, 31, 534-537.
- [9] Squire, R., Kiely, E. M., Carr, B., Ransley, P. G., Duffy, P. G.: Tee clinical
- application of the Malone antegrade colonic enema. J. Pediatr. Surg. 1993,28,1012-
- 1015.
- [10] Sugarman, 1. D., Malone, P. S., Terry, T. R., Koyle, M. A.: Transnersely
- tubularized ileal segments for the Mitrofanoff or the Malone antegrade continence
- enema procedure: The Monti Principle. Br. J. Urol. 1998, 81, 253-256.
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