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Organo Oficial de la Sociedad Mexicana de Urología

2009, Number 6

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Rev Mex Urol 2009; 69 (6)

Malone antegrade continence enema in children with urinary and intestinal neurogenic disease

Landero-Orozco MA, García de León-Gómez JM

Language: Spanish
References: 17
Page: 268-272
PDF size: 392.09 Kb.


ABSTRACT

Chronic constipation and fecal incontinence are complaints found in a large number of children. Diseases such as spina bifida, myelomeningocele, anorectal malformations, infantile cerebral palsy, etc., present these conditions and at the same time can include pathologies such as neurogenic bladder and urinary incontinence.
Objective: The purpose of the present study is to describe the progress of pediatric patients during 7-year follow-up who underwent Malone antegrade continence enema surgical procedure and its impact on their quality of life.
Results: From October 2001 to July 2008, six pediatric patients (3 boys and 3 girls) with myelomeningocele, chronic constipation, neurogenic bladder and fecal and urinary incontinence underwent Malone procedure, augmentation cystoplasty and Monti channel for the Mitrofanoff procedure. Complications were surgical wound dehiscence in one patient and stomal stenosis in another. Fecal continence was achieved in 5 patients and great improvement of chronic constipation in all patients.
Conclusions: Because of the positive results that have been observed in regard to patient quality of life, Malone procedure is a highly recommendable surgical intervention in the selected patient.


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