Journal article
Management of functional nonretentive fecal incontinence in children: Recommendations from the International Children's Continence Society
Journal of pediatric urology, Vol.12(1), pp.56-64
02/2016
DOI: 10.1016/j.jpurol.2015.09.008
PMID: 26654481
Abstract
Fecal incontinence (FI) in children is frequently encountered in pediatric practice, and often occurs in combination with urinary incontinence. In most cases, FI is constipation-associated, but in 20% of children presenting with FI, no constipation or other underlying cause can be found – these children suffer from functional nonretentive fecal incontinence (FNRFI).
To summarize the evidence-based recommendations of the International Children's Continence Society for the evaluation and management of children with FNRFI.
Functional nonretentive fecal incontinence is a clinical diagnosis based on medical history and physical examination. Except for determining colonic transit time, additional investigations are seldom indicated in the workup of FNRFI. Treatment should consist of education, a nonaccusatory approach, and a toileting program encompassing a daily bowel diary and a reward system. Special attention should be paid to psychosocial or behavioral problems, since these frequently occur in affected children. Functional nonretentive fecal incontinence is often difficult to treat, requiring prolonged therapies with incremental improvement on treatment and frequent relapses.
Details
- Title: Subtitle
- Management of functional nonretentive fecal incontinence in children: Recommendations from the International Children's Continence Society
- Creators
- I.J.N Koppen - Department of Pediatric Gastroenterology, Emma Children's Hospital/Academic Medical Center, Amsterdam, the NetherlandsA von Gontard - Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg, GermanyJ Chase - Paediatric Gastroenterology Victoria, Royal Children's Hospital, Melbourne, AustraliaC.S Cooper - Division of Pediatric Urology, University of Iowa, Iowa City, United States of AmericaC.S Rittig - Department of Pediatrics, Aarhus University Hospital, Aarhus, DenmarkS.B Bauer - Department of Urology, Boston Children's Hospital, Boston, United States of AmericaY Homsy - Children's Urology Group, All Children's Hospital/Johns Hopkins Medicine, University of South Florida, Tampa, FL, United States of AmericaS.S Yang - Taipei Tzu Chi Hospital, Buddhist Medical Foundation, New Taipei, TaiwanM.A Benninga - Department of Pediatric Gastroenterology, Emma Children's Hospital/Academic Medical Center, Amsterdam, the Netherlands
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric urology, Vol.12(1), pp.56-64
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.jpurol.2015.09.008
- PMID
- 26654481
- ISSN
- 1477-5131
- eISSN
- 1873-4898
- Language
- English
- Date published
- 02/2016
- Academic Unit
- Stead Family Department of Pediatrics; Cardiovascular Medicine; Urology; Medicine Administration; Internal Medicine
- Record Identifier
- 9984051759602771
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