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The urologist's role in bowel management of adult spina bifida: a narrative review.


ABSTRACT:

Background and objective

Urologists are central to the coordinated care of patients with spina bifida (SB), and efforts to optimize bladder management and protection of the upper tracts are well established. However, the urologist's role in treating this population often extends to the management of bowel dysfunction which may be less defined. The methods available to the urologist for bowel management range from lifestyle modifications to medical and surgical therapy, with many patients requiring combinations of multiple strategies to combat conflicting symptoms of constipation and fecal incontinence (FI). This narrative review aims to compile a detailed algorithm of management options, for the practicing urologist to more confidently address this important facet of care.

Metho

SUBMITTER: Sundell M 

PROVIDER: S-EPMC10891392 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature