Management of postoperative fecal incontinence by pediatric surgeons in Nigeria: a pilot study | ||||
| Annals of Pediatric Surgery | ||||
| Volume 16, Issue 1, January 2020 PDF (439.29 K) | ||||
| DOI: 10.1186/s43159-020-00037-9 | ||||
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| Author | ||||
| Taiwo A Lawal | ||||
| Abstract | ||||
| Background Fecal incontinence is a challenging problem in pediatric surgical practice as it occurs in 25 to 50% of patients who have undergone surgery for anorectal malformation and in 5 to 23% after transanal pull-through for Hirschsprung disease. Fecal incontinence impacts on the quality of life of patients; hence, it is important that optimum management is instituted. The management of fecal incontinence in children in sub-Saharan Africa is largely unreported. The study, therefore, evaluated the management practices regarding fecal incontinence by pediatric surgeons in Nigeria. Results A total of 37 pediatric surgeons participated in the cross-sectional pilot study. The mean length of practice as specialists was 9.7 (± 7.8) years. The majority, 33 (89.2%), were males; 23 (62.2%) were ≤ 45 years of age, and 14 (37.8%) had practiced as consultant pediatric surgeons for ≥ 10 years. Conclusions A combination of modalities will be adopted by at least 60% of pediatric surgeons in Nigeria to manage postoperative pediatric fecal incontinence with bowel management favored by over 80% of specialists surveyed. | ||||
| Keywords | ||||
| Anorectal malformation; Bowel management; Enema; Fecal incontinence; Hirschsprung Disease | ||||
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