Durability of the Malone antegrade continence enema in pregnancy.
The Malone antegrade continence enema (MACE) is a therapeutic option to treat chronic constipation and fecal incontinence in patients with neurogenic bowel. Previous reports have described the short-term success of this procedure, but no report has described the durability of the procedure during pregnancy. We present the case of a spinal cord injury patient who underwent an uncomplicated pregnancy after a MACE procedure with no stomal catheterization difficulties or leakage during or after the pregnancy.
Wren
Francis J
FJ
Department of Surgery, Section of Urology, Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, Pennsylvania, USA
Reese
Carl T
CT
Decter
Ross M
RM
D000328:Adult; D001065:Appendix / Q000601:surgery*; D002431:Cecostomy / Q000379:methods* / Q000592:standards; D036861:Delivery, Obstetric; D004733:Enema / Q000379:methods*; D005242:Fecal Incontinence / Q000208:ethnology / Q000601:surgery*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000601:surgery*; D013119:Spinal Cord Injuries / Q000150:complications; D054047:Surgical Stomas / Q000502:physiology / Q000592:standards; D001750:Urinary Bladder, Neurogenic / Q000209:etiology; D014948:Wounds, Gunshot / Q000150:complications