Pediatric neurogenic bowel dysfunction: ICCS review document.

M S Kelly, M A Benninga, S S Yang, I Franco, C Payne, C H Wei, L Rodriguez, P Beierwaltes, S T Tanaka

Journal: Journal of pediatric urology 2023;19(3):232-239

PMID: 36828731

Full Text on Elsevier Science View on PubMed

Abstract

INTRODUCTION

The International Children's Continence Society (ICCS) aims to improve the quality of life in children with lower urinary tract dysfunction. A substantial portion of children also have problems with bowel dysfunction. There is a lack of evidence-based information on managing neurogenic bowel dysfunction (NBD) in children.

OBJECTIVE/METHODS

The ICCS aimed to provide an up-to-date, selective, non-systematic review of NBD's definitions, assessment, and treatment.

RESULTS

Specific definitions and terminology are defined within the document. Recommendations and considerations for physical assessment, history taking, and diagnostic studies are made. Management updates, both surgical and non-surgical, are provided as well as recommendations for follow-up and monitoring of individuals with NBD.

CONCLUSION

This review of the current literature will help guide NBD management and research to improve NBD care.

Address: Division of Healthcare of Women and Children, School of Nursing, Duke University, Durham, NC 27710, USA; Department of Surgery, Division of Urology, Duke Health, Durham, NC 27710, USA. Electronic address: [email protected].; Department of Pediatrics, Emma Children's Hospital, Amsterdam University Medical Center, Amsterdam, the Netherlands.; Division of Urology, Taipei Tzu Chi Hospital and Buddhist Tzu Chi University, New Taipei City, Taiwan.; Department of Urology, Yale School of Medicine, New Haven, CT, USA.; Unaffiliated, USA.; Division of Pediatric Surgery, Department of Surgery, Shuang Ho Hospital, New Taipei City, Taiwan; Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.; Section of Pediatric Gastroenterology, Hepatology and Nutrition, Yale University School of Medicine, New Haven, CT, USA.; Minnesota State University, Mankato, College of Allied Health and Nursing, Mankato, MN, USA.; Department of Pediatric Urology, Children's of Alabama/ University of Alabama at Birmingham, Birmingham, AL 35233, USA.

DOI: 10.1016/j.jpurol.2023.01.015

Link outs

Subscription / membership required

Full Text Sources:

MeSH Terms: Child, Humans, Neurogenic Bowel, Quality of Life, Urinary Bladder, Intestinal Diseases, Consensus, Fecal Incontinence