Result of spina bifida with myelomeningocele

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Naomi has neurogenic bowel as a result of spina bifida with myelomeningocele. She has been having problems with fecal incontinence following the administration of anal irrigations in an effort to achieve continence. The continence nurse is discussing options for management of her bowel dysfunction with Naomi and her parents. These options would include the Malone antegrade continence enema (MACE) or a colostomy. She describes the following in regard to the MACE procedure.

Reference no: EM133816195

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