Publication
Title
Neurogenic bowel dysfunction : clinical management recommendations of the Neurologic Incontinence Committee of the Fifth International Consultation on Incontinence 2013
Author
Abstract
BackgroundEvidence-based guidelines for the management of neurological disease and lower bowel dysfunction have been produced by the International Consultations on Incontinence (ICI). These are comprehensive guidelines, and were developed to have world-wide relevance. AimsTo update clinical management of neurogenic bowel dysfunction from the recommendations of the 4th ICI, 2009. Materials and MethodsA series of evidence reviews and updates were performed by members of the working group. The resulting guidelines were presented at the 2012 meeting of the European Association of Urology for consultation, and modifications applied to deliver evidence based conclusions and recommendations for the scientific report of the 5th edition of the ICI in 2013. ResultsThe current review is a synthesis of the conclusions and recommendations, including the algorithms for initial and specialized management of neurogenic bowel dysfunction. The pathophysiology is described in terms of spinal cord injury, multiple sclerosis, and Parkinson's disease. Assessment requires detailed history and clinical assessment, general investigations, and specialized testing, if required. Treatment primarily focuses on optimizing stool consistency and regulating bowel evacuation to improve quality of life. Symptom management covers conservative and interventional measures to promote good habits and assist stool evacuation, along with prevention of incontinence. Education is essential to achieving optimal bowel management. DiscussionThe review offers a pragmatic approach to management in the context of complex pathophysiology and varied evidence base.
Language
English
Source (journal)
Neurourology and urodynamics. - New York
Publication
Hoboken : Wiley , 2018
ISSN
0733-2467
Volume/pages
37 :1 (2018) , p. 46-53
ISI
000423411800005
Full text (Publisher's DOI)
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 02.08.2018
Last edited 20.09.2021
To cite this reference