Continence in patients with spina bifida: long term results
One hundred and forty four questionnaires relating to bladder and bowel control were sent to a random selection of patients with spina bifida throughout the United Kingdom. One hundred and seventeen questionnaires were returned, of which 109 were usable. Twenty eight out of 109 responders had underg...
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| Veröffentlicht in: | Archives of disease in childhood 1994-02, Vol.70 (2), p.107-110 |
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| creator | Malone, P S Wheeler, R A Williams, J E |
| description | One hundred and forty four questionnaires relating to bladder and bowel control were sent to a random selection of patients with spina bifida throughout the United Kingdom. One hundred and seventeen questionnaires were returned, of which 109 were usable. Twenty eight out of 109 responders had undergone some form of urinary diversion, of whom 20 (71%) were reliably dry. The remaining 81 responders emptied their bladders by a variety of techniques including normal voiding, straining, expression, clean intermittent catheterisation, indwelling catheters, or they dribbled urine continuously. Only 31 (38%) of this group were reliably dry. Ninety four of 109 (86%) responders regularly sat on the toilet to evacuate their bowels and most used some aid such as manual evacuation, laxatives, suppositories, or enemas. Fifty five of 104 (53%) responders soiled regularly, 31 (56%) of whom were also wet. Forty seven per cent of dry patients (24/51) were faecally incontinent. Only 25 of 104 (24%) patients responding to all questions were reliably clean and dry. |
| doi_str_mv | 10.1136/adc.70.2.107 |
| format | Article |
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One hundred and seventeen questionnaires were returned, of which 109 were usable. Twenty eight out of 109 responders had undergone some form of urinary diversion, of whom 20 (71%) were reliably dry. The remaining 81 responders emptied their bladders by a variety of techniques including normal voiding, straining, expression, clean intermittent catheterisation, indwelling catheters, or they dribbled urine continuously. Only 31 (38%) of this group were reliably dry. Ninety four of 109 (86%) responders regularly sat on the toilet to evacuate their bowels and most used some aid such as manual evacuation, laxatives, suppositories, or enemas. Fifty five of 104 (53%) responders soiled regularly, 31 (56%) of whom were also wet. Forty seven per cent of dry patients (24/51) were faecally incontinent. Only 25 of 104 (24%) patients responding to all questions were reliably clean and dry.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/adc.70.2.107</identifier><identifier>PMID: 8129429</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Child ; Congenital Impairments ; Defecation ; Fecal Incontinence - etiology ; Female ; Humans ; Laxatives ; Male ; Malformations of the nervous system ; Medical sciences ; Middle Aged ; Neurology ; Patient Acceptance of Health Care ; Patients ; Pediatrics ; Questionnaires ; Spina bifida ; Spinal Dysraphism - complications ; Spinal Dysraphism - physiopathology ; Surveys and Questionnaires ; Urinary Bladder - physiopathology ; Urinary Catheterization ; Urinary Diversion ; Urinary Incontinence - etiology ; Urination</subject><ispartof>Archives of disease in childhood, 1994-02, Vol.70 (2), p.107-110</ispartof><rights>1994 INIST-CNRS</rights><rights>Copyright BMJ Publishing Group LTD Feb 1994</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b538t-2fb72c678d7e3df8d53ddee357725fff77e91a6fb459797e103d550da0cb5fa63</citedby><cites>FETCH-LOGICAL-b538t-2fb72c678d7e3df8d53ddee357725fff77e91a6fb459797e103d550da0cb5fa63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1029710/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1029710/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3967165$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8129429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Malone, P S</creatorcontrib><creatorcontrib>Wheeler, R A</creatorcontrib><creatorcontrib>Williams, J E</creatorcontrib><title>Continence in patients with spina bifida: long term results</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>One hundred and forty four questionnaires relating to bladder and bowel control were sent to a random selection of patients with spina bifida throughout the United Kingdom. One hundred and seventeen questionnaires were returned, of which 109 were usable. Twenty eight out of 109 responders had undergone some form of urinary diversion, of whom 20 (71%) were reliably dry. The remaining 81 responders emptied their bladders by a variety of techniques including normal voiding, straining, expression, clean intermittent catheterisation, indwelling catheters, or they dribbled urine continuously. Only 31 (38%) of this group were reliably dry. Ninety four of 109 (86%) responders regularly sat on the toilet to evacuate their bowels and most used some aid such as manual evacuation, laxatives, suppositories, or enemas. Fifty five of 104 (53%) responders soiled regularly, 31 (56%) of whom were also wet. Forty seven per cent of dry patients (24/51) were faecally incontinent. Only 25 of 104 (24%) patients responding to all questions were reliably clean and dry.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Congenital Impairments</subject><subject>Defecation</subject><subject>Fecal Incontinence - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Laxatives</subject><subject>Male</subject><subject>Malformations of the nervous system</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Patient Acceptance of Health Care</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Questionnaires</subject><subject>Spina bifida</subject><subject>Spinal Dysraphism - complications</subject><subject>Spinal Dysraphism - physiopathology</subject><subject>Surveys and Questionnaires</subject><subject>Urinary Bladder - physiopathology</subject><subject>Urinary Catheterization</subject><subject>Urinary Diversion</subject><subject>Urinary Incontinence - 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etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Laxatives</topic><topic>Male</topic><topic>Malformations of the nervous system</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Patient Acceptance of Health Care</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Questionnaires</topic><topic>Spina bifida</topic><topic>Spinal Dysraphism - complications</topic><topic>Spinal Dysraphism - physiopathology</topic><topic>Surveys and Questionnaires</topic><topic>Urinary Bladder - physiopathology</topic><topic>Urinary Catheterization</topic><topic>Urinary Diversion</topic><topic>Urinary Incontinence - etiology</topic><topic>Urination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Malone, P S</creatorcontrib><creatorcontrib>Wheeler, R A</creatorcontrib><creatorcontrib>Williams, J E</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of disease in childhood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Malone, P S</au><au>Wheeler, R A</au><au>Williams, J E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Continence in patients with spina bifida: long term results</atitle><jtitle>Archives of disease in childhood</jtitle><addtitle>Arch Dis Child</addtitle><date>1994-02-01</date><risdate>1994</risdate><volume>70</volume><issue>2</issue><spage>107</spage><epage>110</epage><pages>107-110</pages><issn>0003-9888</issn><eissn>1468-2044</eissn><coden>ADCHAK</coden><abstract>One hundred and forty four questionnaires relating to bladder and bowel control were sent to a random selection of patients with spina bifida throughout the United Kingdom. One hundred and seventeen questionnaires were returned, of which 109 were usable. Twenty eight out of 109 responders had undergone some form of urinary diversion, of whom 20 (71%) were reliably dry. The remaining 81 responders emptied their bladders by a variety of techniques including normal voiding, straining, expression, clean intermittent catheterisation, indwelling catheters, or they dribbled urine continuously. Only 31 (38%) of this group were reliably dry. Ninety four of 109 (86%) responders regularly sat on the toilet to evacuate their bowels and most used some aid such as manual evacuation, laxatives, suppositories, or enemas. Fifty five of 104 (53%) responders soiled regularly, 31 (56%) of whom were also wet. Forty seven per cent of dry patients (24/51) were faecally incontinent. Only 25 of 104 (24%) patients responding to all questions were reliably clean and dry.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>8129429</pmid><doi>10.1136/adc.70.2.107</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Archives of disease in childhood, 1994-02, Vol.70 (2), p.107-110 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adolescent Adult Biological and medical sciences Child Congenital Impairments Defecation Fecal Incontinence - etiology Female Humans Laxatives Male Malformations of the nervous system Medical sciences Middle Aged Neurology Patient Acceptance of Health Care Patients Pediatrics Questionnaires Spina bifida Spinal Dysraphism - complications Spinal Dysraphism - physiopathology Surveys and Questionnaires Urinary Bladder - physiopathology Urinary Catheterization Urinary Diversion Urinary Incontinence - etiology Urination |
| title | Continence in patients with spina bifida: long term results |
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