title: The Malone antegrade continence enema for neurogenic and structural fecal incontinence and constipation.
abstract: Problems of fecal elimination are commonly encountered by the pediatric urologist and surgeon. The Malone antegrade continence enema has been described as a means to administer a large volume enema via a continent catheterizable appendicocecostomy, resulting in reliable fecal elimination. Of 22 patients undergoing this procedure 16 reported total continence 4 months or longer after surgery. Complications are relatively minor and tap water appears to be a safe solution for the antegrade continence enema. A nonrefluxing, imbricated appendicocecostomy is preferable to prevent cutaneous fecal or gas leaks.
authors.affiliation: Section of Pediatric Urology, Children's Hospital, University of Colorado School of Medicine, Denver, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Koyle
authors.forename: D M
authors.initials: DM
authors.lastname: Kaji
authors.forename: M
authors.initials: M
authors.lastname: Duque
authors.forename: J
authors.initials: J
authors.lastname: Wild
authors.forename: S H
authors.initials: SH
authors.lastname: Galansky
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000628:therapy*; D004733:Enema / Q000009:adverse effects / Q000379:methods*; D005242:Fecal Incontinence / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male