A bowel management program (BMP) to treat fecal incontinence and severe constipation is
utilized for patients with anorectal malformations, Hirschsprung disease, spinal anomalies …

Context Bladder management in spina bifida patients relies on clean intermittent
catheterization and oral antimuscarinics with a significant failure rate. The efficacy of …

Purpose: Most children with spina bifida now survive into adulthood, although most have
neuropathic bladder with potential complications of incontinence, infection, renal damage …

INTRODUCTION: Advances in care have allowed most children with spina bifida (SB) to live
to adulthood. The majority have neuropathic bowel dysfunction (NBD), resulting in …

PURPOSE: This article provides an update to the 2018 Spina Bifida Association's Transition
to Adult Care Guidelines. METHODS: A workgroup of topic experts was convened including …

Neurogenic lower urinary tract dysfunction (NLUTD), the abnormal function of the lower
urinary tract in the context of neurological pathology, has been the subject of multiple efforts …

Context Neurourological patients often encounter bacteriuria without any symptoms or may
experience symptoms suspicious of urinary tract infections (UTIs). However, there is a lack of …

Introduction Complex urological anomalies often require continued care as patients reach
adulthood. Adequate transition for adolescents with ongoing urological care needs is critical …

With an estimated 85% of individuals with spina bifida (SB) surviving into adulthood, SB-
specific transition to adult healthcare guidelines are warranted to address the diverse and …

Background: Patients with spinal abnormalities often struggle with fecal and/or urinary
incontinence (up to 87 and 92%, respectively) and require a collaborative approach to …