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Journal of Paediatric Surgeons of Bangladesh
Case Reports · Vol. 6 No. 1 (2015)

Combined MACE & Mitrofanoff Procedure for Total Neurogenic Feco-urinary Incontinence A Case Report

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2015
CONTENTSVolume 06Number 1January 2015
Editorial
Residency Program A new era in postgraduate medical education in Bangladesh
Md Tosaddeque Hossain Siddiqui
01
Review Articles
Constipation in Children
Kaniz Hasina
20
Original Articles
Effectiveness of Dexamethasone compared with Prednisolone in Induction Therapy of Childhood Acute Lymphoblastic Leukemia
Tofazzal Hossain, MA Mannan, Shamsoon Nahar, AKM Amirul Morshed, Shahnoor Islam, Laila Helaly
03
Gender Specific Psychological Distress in Cancer Patients with Underage Children
Jamila Akter, Manzurul Haque Khan, Jaglul Gaffer Khan
10
Diagnostic Role of Pediatric Appendicitis Score (PAS) in Appendicitis of Children
Susankar Kumar Mondal, AKM Zahid Hossain, Mizanur Rahman, Gazi Zahirul Hasan, Kaniz Hasina, Md Nuruzzaman
16
Case Reports
Gastric Bezoar - A Rare Presentation in Infant
MTH Siddiqui, Mohammad Mahabubul Alam, AM Shahinur, AKM Zahid Hossain, Gazi Zahirul Hasan
24
Combined MACE & Mitrofanoff Procedure for Total Neurogenic Feco-urinary Incontinence A Case Report
KM Didarul Islam, Md Ruhul Amin, Abu Saleh Md Oliullah, AKM Khairul Basher, Amitava Biswas, Nazrul Islam
28
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • KM Didarul IslamAssociate Professor, Department of Paediatric Surgery, BSMMU, Dhaka
  • Md Ruhul AminProfessor & Chairman, Department of Paediatric Surgery, BSMMU, Dhaka
  • Abu Saleh Md OliullahAssistant Professor, Department of Paediatric Surgery, BSMMU, Dhaka
  • AKM Khairul BasherResident, Phase-B, Department of Paediatric Surgery, BSMMU, Dhaka
  • Amitava BiswasResident, Phase-B, Department of Paediatric Surgery, BSMMU, Dhaka
  • Nazrul IslamMedical Officer, Department of Paediatric Surgery, BSMMU, Dhaka

Keywords

Myelomeningocele (MMC) Faecal & Urinary incontinence Mitrofanoff procedure MACE procedure

Abstract

Intractable fecal and urinary incontinence, often associated with myelomeningocele (MMC), usually prevents children from achieving physical and social independence. The Malone Antegrade Continence Enema (MACE) procedure, often performed in conjunction with a Mitrofanoff procedure to gain fecal & urinary continence, can help these patients to attain a better quality of life. In patients, who underwent the combined Mitrofanoff and MACE procedures simultaneously, the success rate is- 83% satisfactory for both bowel & urinary continence. With this procedure we report here, for the first time in Bangladesh, to the best of our knowledge, an association between two previously described techniques (the Mitrofanoff principle and MACE), that can solve the problem of dual incontinence in children with MMC. The case involved a 14 years old boy with total neurogenic feco-urinary incontinence following excision & repair of MMC at the age of 4 months. After the surgery, the boy is continent with normal renal function.

Journal of Paediatric Surgeons of Bangladesh (2015) Vol. 6 (1): 28–31

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