The Northeastern Society of Plastic Surgeons

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LONG TERM OUTCOME OF TRANSANAL IRRIGATION SYSTEM (PERISTEEN®) FOR NEUROPATHIC BOWEL AND BLADDER DYSFUNCTION (NBBD)
Hamdan H. ALHAZMI, Associated professor and Consultant pediatric urol, Mahmoud Traby, consultant pediatric urology, Fahad ALYAMI, Assistant professor, Naif ALQARNI, Consultant pediatric urology, Khalid FOUDA, Professor.
King Saud University, Riyadh, Saudi Arabia.

Purpose:
To evaluate the long term efficacy and durability of Transanal irrigation management (pristeen®, Coloplast, Denmark) in patients With NBBD
Materials and Methods:
One hundred and fifteen patients (60 males and 55 females) with MMC108 and ARM 7, with stable bladder and failed to respond to conservative measures for stool incontinence before they were started on Peristeen irrigation.
All patients are followed regularly and their data are collected in a prospectively maintained database. All patients started on Peristeen irrigation 2-3 times per week.
Results: With average follow up of 10 years, 104 patients (90.4%) achieved complete stool continence, 9 patients were not able to do it and 2 patients were not too compliant to the protocol despite of successful result. Thirty patients (26%) stopped using diapers while 74 with occasional use in especial situations like long trip or school time (25 as precaution measure, 49 for urinary incontinence). The overall patients/parents satisfaction was 93%.
Conclusion:
Transanal irrigation with Peristeen system (Coloplast, Denmark) is safe and good alternative option for stool incontinence in patients with NBBD when conservative measures fail.


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