Bowel Dysfunction Management

  • Giuseppe Masnata
  • Valeria Manca
  • Laura Chia
  • Francesca Esu
Part of the Urodynamics, Neurourology and Pelvic Floor Dysfunctions book series (UNPFD)


The term “bowel dysfunction” includes constipation, diarrhoea and faecal incontinence.

Bladder bowel dysfunction (BBD) is a generic expression to describe children with lower urinary tract symptoms (LUTS) associated with intestinal dysfunction. The International Children’s Continence Society (ICCS) recommends the use of the Rome III Criteria for the diagnosis of functional disorders of evacuation in children. The Bristol Stool Form Scale (BSFS) is a practical tool utilized for the diagnosis and for the evaluation of the treatment response. Faecal incontinence has a considerable impact in children’s quality of life (QoL). The European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) developed different guidelines for treatment of constipation in infants and children.

Treatment requires a comprehensive programme, including the use of laxatives, toilet training, a proper diet, transanal irrigation and Malone Anterograde Continence Enemas (MACE). All these different approaches, conservatives or surgical, can be combined for a better efficacy and tailored on a single patient.


Bowel dysfunction Constipation Bladder bowel dysfunction (BBD) Bristol Stool Form Scale (BSFS) Faecal incontinence Lower urinary tract symptoms (LUTS) Polyethylene glycol (PEG) Transanal irrigation Malone Anterograde Continence Enemas (MACE) 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Giuseppe Masnata
    • 1
  • Valeria Manca
    • 1
  • Laura Chia
    • 1
  • Francesca Esu
    • 1
  1. 1.Pediatric Urology Unit and Spina Bifida CenterBrotzu HospitalCagliariItaly

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