Anorectal Malformation
Conditions
Brief summary
Using saline glycerin mixture once daily in children with fecal incontinence to reach aclean child without fecal accidents the next day.
Detailed description
Child lies on Lt lateral position. Foley catheter inserted to thr rectum and inflated Instillation of saline glycerin mixture. Child hold it for 15 minutes Foley catheter removed Child stay in bathroom for 45 min
Interventions
Rectal enema using saline \& glycerin for treatment of fecal incontinence in children
Sponsors
Study design
Eligibility
Inclusion criteria
InclusioChildren ≥3 and ≤16 years with Fecal incontinence (≥1 episode/week) due to corrected anorectal malformation (ARM), Hirschsprung disease after pull-through, perineal trauma, spinal anomalies/neurogenic bowel, or functional constipation with overflow incontinence. Ability to participate in a structured bowel-management regimen at home. Caregiver availability for training and daily administration. n Criteria: \- Age \<3 years. symptomatic anal stricture, or other anatomic issues requiring surgical correction before bowel management. Current enterocolitis, Active proctitis, painful fissure with bleeding, or severe perianal dermatitis precluding safe catheterization. Chronic kidney disease, unstable cardiac disease, or known electrolyte imbalance. Hypersensitivity/intolerance to glycerin; prior severe reaction to enemas. Stoma in situ or ACE dependence (separate pathway).
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of clean days (no stool accidents) during days 7-14 of titration and at week 4. | Follow up after 4 weeks and after 12 weeks |
Countries
Egypt