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Review
. 2023 Jun;19(3):232-239.
doi: 10.1016/j.jpurol.2023.01.015. Epub 2023 Jan 31.

Pediatric neurogenic bowel dysfunction: ICCS review document

M S Kelly  1 , M A Benninga  2 , S S Yang  3 , I Franco  4 , C Payne  5 , C H Wei  6 , L Rodriguez  7 , P Beierwaltes  8 , S T Tanaka  9
Affiliations
Review

Pediatric neurogenic bowel dysfunction: ICCS review document

M S Kelly et al. J Pediatr Urol. 2023 Jun.

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.

Keywords: Constipation; Fecal incontinence; Neurogenic bowel.

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