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Neurogenic Bowel Dysfunction

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Handbook of Neurourology

Abstract

People with central/peripheral, traumatic/nontraumatic neurologic disease or injury can suffer from disabling neurogenic bowel and neurogenic lower urinary tract dysfunction. The functional bowel disorder that occurs in this population can present with a hyperreflexic or hyporeflexic pattern and can include a wide range of defecatory disorders with or without colonic and gastrointestinal dysmotility. This chapter provides a guide for appropriate history, physical examination, and diagnostics which establish the foundation for essential medical management. Vital information is provided on how to customize therapeutics per individual to achieve successful bowel programs and bowel care with a toolkit of oral and rectal medications, devices, pelvic floor therapy, other strategies, and surgery if necessary. Ultimately, the goal for these individuals is to maintain overall health and psychological well-being, preserve quality of life so they can remain actively engaged in their homes and community.

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Rodriguez, G., Cameron, A.P., Bush-Arnold, M. (2023). Neurogenic Bowel Dysfunction. In: Liao, L., Madersbacher, H. (eds) Handbook of Neurourology. Springer, Singapore. https://doi.org/10.1007/978-981-99-1659-7_55

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