PTU - Polskie Towarzystwo Urologiczne
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Article published in Urologia Polska 1999/52/3.


Lidia Skobejko-Włodarska
Klinika Urologii Dziecięcej Instytutu Pomnika - Centrum Zdrowia Dziecka
Kierownik kliniki: prof. dr hab. n. med. C. Szymkiewicz


bladder neurogenic bladder and bowel dysfunction faecal incontinence urinary incontinence MACE (Malone Antegrade Continence Enema) procedure ? bladder augmentation


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
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.


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