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Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common.
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Pediatric Incontinence : Evaluation and Clinical Management [Hardcover]

Current opinion in supportive and palliative care. Scintigraphic assessment of colostomy irrigation. Colorectal Disease.

Stress Urinary Incontinence Evaluation and Treatment

Irrigation for colostomized cancer patients: a rational approach. International journal of colorectal disease. Griffiths D, Malone P. The Malone antegrade continence enema.

Journal of pediatric surgery. Hughes S, Williams N. Continent colonic conduit for the treatment of faecal incontinence associated with disordered evacuation. British journal of surgery.


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Experimental study of faecal continence and colostomy irrigation. Antegrade continence enema ACE : current practice.

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Pediatric surgery international. Preliminary report: the antegrade continence enema. Continent appendicostomy in the bowel management of fecally incontinent children. Are cecal wrap and fixation necessary for antegrade colonic enema appendicostomy? A novel approach to the laparoscopic antegrade continence enema procedure: intracorporeal and extracorporeal techniques.

Clinical Presentation and Evaluation

The Journal of urology. Laparoscopic antegrade continence enema using a two-port technique. Cecal access for antegrade colon enemas in medically refractory slow-transit constipation. Emmertsen KJ, Laurberg S. Bowel dysfunction after treatment for rectal cancer. Acta Oncologica. Antegrade continence enema for the treatment of neurogenic constipation and fecal incontinence after spinal cord injury.

Archives of physical medicine and rehabilitation. Malone antegrade continence enema for adults with neurogenic bowel disease. Left-colon antegrade continence enema LACE procedure for fecal incontinence. Krogh K, Laurberg S.

About This Item

Malone antegrade continence enema for faecal incontinence and constipation in adults. Scintigraphic assessment of antegrade colonic irrigation through an appendicostomy or a neoappendicostomy. Ileal neoappendicostomy for antegrade colonic irrigation. Retrograde colonic irrigation for faecal incontinence after low anterior resection.

Pseudocontinent perineal colostomy following abdominoperineal resection: technique and findings in 49 patients. Perineal colostomy with appendicostomy as an alternative for an abdominal colostomy: symptoms, functional status, quality of life, and perceived health. Use of Malone antegrade continence enema in patients with perineal colostomy after rectal resection. Colonic irrigation for defecation disorders after dynamic graciloplasty.


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The antegrade continence enema procedure: a review of the literature. The Malone antegrade continence enema procedure: quality of life and family perspective. Per-rectal pulsed irrigation versus per-oral colonic lavage for colonoscopy preparation: a randomized, controlled trial. Gastrointestinal endoscopy. Colon cleaning during colonoscopy: a new mechanical cleaning device tested in a porcine model. Long-term results for Malone antegrade continence enema for adults with neurogenic bowel disease.

The Malone antegrade colonic enema enhances the quality of life in children undergoing urological incontinence procedures.


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Antegrade enemas for the treatment of severe idiopathic constipation. The Malone antegrade continence enema for neurogenic and structural fecal incontinence and constipation. The Royal Children's Hospital Melbourne.

The Diagnosis and Treatment of Enuresis and Functional Daytime Urinary Incontinence

Clinical Practice Guidelines Toggle section navigation. Urinary Incontinence - Daytime wetting. This guideline has been adapted for statewide use with the support of the Victorian Paediatric Clinical Network. See also Bowel and bladder dysfunction Constipation Nocturnal Enuresis Urinary Tract Infection Key Points Daytime urinary incontinence in school aged children is distressing and requires timely assessment and management.

The goal of evaluation of daytime incontinence is to distinguish neurological and anatomical causes from functional causes of bladder dysfunction. A thorough history of voiding symptoms and a Bladder diary are essential components to assessment, directing targeted investigation and treatment.

The most common treatment for urinary incontinence is behaviour modification. Daytime urinary continence is usually achieved by 4 years of age. Day wetting occurs in around 10 percent of year olds, decreasing with age. Functional causes of incontinence in children include: Over active bladder OAB - urgency being the most important feature. Voiding postponement- habitually delayed urination, with overfilling and leakage.

Underactive bladder- infrequent urination and overfilling leading to overflow incontinence. A large post-void residual is common. Assessment Red flags feature in Red History: Previously ever been dry during the day? Completed Bladder Diary Other: Post micturition dribble Girls; consider urethral-vaginal reflux with leakage of urine from the vagina after voiding when they stand up.

Boys; consider incomplete emptying or dysfunctional voiding. Polydipsia or polyuria ; Consider possible causes diabetes mellitus, diabetes insipidus, renal tubular disease, psychogenic. Inspection of perineum and external genitalia and perianal area if constipation also present. Exclude epispadias; opening on the dorsal surface of the penis in boys or a patulous urethra in girls may suggest a female epispadias.

Indicated when failing initial behavioural management, or if there are red flags present e. Consider in children with established daytime incontinence, review and repeat ultrasound if it is not adequate or recent. Micturition behaviour; timed voiding, avoidance of holding manoeuvers, optimal voiding posture.