Patient-Reported Outcomes of Bladder and Bowel Control in Children with Spina Bifida
Träff, Helen LU
; Börjesson, Anna
LU
and Salö, Martin
LU
(2021)
In Children
8(3).
- Abstract
BACKGROUND: The primary aim was to describe patient-reported morbidity from neurogenic bladder and bowel dysfunction in a cohort of children with spina bifida. The secondary aim was to describe the overall surgical burden in these children.
METHODS: Children with meningocele or myelomeningocele, born between 2000-2016, and followed by a tertiary spina bifida center were evaluated in a cross-sectional cohort study using data from charts and a prospective national follow-up program.
RESULTS: In the group of 62 patients, clean intermittent catheterization (CIC) was used by 47 (76%) of the patients, and anticholinergic treatment was used by 36 (58%). More than one third of the patients reported inadequate results with daily... (More)
BACKGROUND: The primary aim was to describe patient-reported morbidity from neurogenic bladder and bowel dysfunction in a cohort of children with spina bifida. The secondary aim was to describe the overall surgical burden in these children.
METHODS: Children with meningocele or myelomeningocele, born between 2000-2016, and followed by a tertiary spina bifida center were evaluated in a cross-sectional cohort study using data from charts and a prospective national follow-up program.
RESULTS: In the group of 62 patients, clean intermittent catheterization (CIC) was used by 47 (76%) of the patients, and anticholinergic treatment was used by 36 (58%). More than one third of the patients reported inadequate results with daily urinary leakage. Laxatives and enema were used regularly by 45 (73%) and 39 (63%) patients, respectively. Inadequate results were reported by seven (11%) patients. One or more urogenital or gastrointestinal operations had been performed in 26 (42%) patients, with a total of 109 procedures overall.
CONCLUSIONS: Despite substantial bowel and bladder management, a significant portion of children suffered from inadequate results concerning bladder and bowel control. Many surgeries were performed in a defined group of the children. Prospective, long-term studies can evaluate if more aggressive medical and/or surgical management could increase bowel and bladder control.
(Less)
- author
- Träff, Helen
LU
; Börjesson, Anna
LU
and Salö, Martin
LU
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Children
- volume
- 8
- issue
- 3
- article number
- 209
- publisher
- MDPI AG
- external identifiers
-
- pmid:33802114
- scopus:85112354365
- ISSN
- 2227-9067
- DOI
- 10.3390/children8030209
- language
- English
- LU publication?
- yes
- id
- 5d8de72a-d85f-4fff-a2f7-4b075e90d321
- date added to LUP
- 2021-04-16 14:07:22
- date last changed
- 2024-06-29 11:06:34
@article{5d8de72a-d85f-4fff-a2f7-4b075e90d321,
abstract = {{<p>BACKGROUND: The primary aim was to describe patient-reported morbidity from neurogenic bladder and bowel dysfunction in a cohort of children with spina bifida. The secondary aim was to describe the overall surgical burden in these children.</p><p>METHODS: Children with meningocele or myelomeningocele, born between 2000-2016, and followed by a tertiary spina bifida center were evaluated in a cross-sectional cohort study using data from charts and a prospective national follow-up program.</p><p>RESULTS: In the group of 62 patients, clean intermittent catheterization (CIC) was used by 47 (76%) of the patients, and anticholinergic treatment was used by 36 (58%). More than one third of the patients reported inadequate results with daily urinary leakage. Laxatives and enema were used regularly by 45 (73%) and 39 (63%) patients, respectively. Inadequate results were reported by seven (11%) patients. One or more urogenital or gastrointestinal operations had been performed in 26 (42%) patients, with a total of 109 procedures overall.</p><p>CONCLUSIONS: Despite substantial bowel and bladder management, a significant portion of children suffered from inadequate results concerning bladder and bowel control. Many surgeries were performed in a defined group of the children. Prospective, long-term studies can evaluate if more aggressive medical and/or surgical management could increase bowel and bladder control.</p>}},
author = {{Träff, Helen and Börjesson, Anna and Salö, Martin}},
issn = {{2227-9067}},
language = {{eng}},
number = {{3}},
publisher = {{MDPI AG}},
series = {{Children}},
title = {{Patient-Reported Outcomes of Bladder and Bowel Control in Children with Spina Bifida}},
url = {{http://dx.doi.org/10.3390/children8030209}},
doi = {{10.3390/children8030209}},
volume = {{8}},
year = {{2021}},
}