Bowel Management Program in Children with True Fecal Incontinence and Its Efficacy on Their Quality of Life: Zagazig University Experience | ||
| Zagazig University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 21 October 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.412058.4100 | ||
| Authors | ||
| Amr Alsher1; Hesham Kasem* 2; Wael Elshahat3; Omar Atef Elekiabi4; Khalid Shereef5 | ||
| 1Pediatric surgery department, Faculty of Medicine, Zagazig University | ||
| 2Pediatric surgery department, Faculty of Medicine, Zagazig University, Egypt | ||
| 3Pediatric sugery Department, faculty of medicine, zagazig university | ||
| 4Pediatric surgery, faculty of medicine, Zagazig university | ||
| 5Pediatric surgery department, Faculty of Medicine zagazig university | ||
| Abstract | ||
| Background: Fecal incontinence (FI) in children significantly affects physical, emotional, and social well-being, particularly in those with anorectal malformations (ARM), Hirschsprung’s disease, and other congenital anomalies. Bowel Management Programs (BMP) provide a non-surgical strategy to achieve continence and improve psychosocial outcomes. The aim of this study was to evaluate the effectiveness of a structured BMP on the quality of life (QoL) in children with true FI following surgical treatment for ARM, Hirschsprung’s disease, or sacrococcygeal teratoma. Methods: A prospective case series was conducted at the Pediatric Surgery Department, Zagazig University Hospitals, including 26 children diagnosed with true FI. Patients were classified according to colonic motility into Group A (hypomotile colon) and Group B (hypermotile colon). All participants underwent a three-month BMP tailored to their colonic motility pattern. QoL was assessed before and after intervention using the Pediatric Quality of Life Inventory (PedsQL 4.0). Results: Both groups showed statistically significant improvement in physical, emotional, social, and school functioning after BMP (p < 0.001). While the hypomotile group exhibited slightly greater post-BMP scores, intergroup differences were not statistically significant (p > 0.05). A positive correlation was found between patient age and enema volume requirement. Loperamide was used selectively in hypermotile cases to enhance continence outcomes. Conclusion: A structured, individualized BMP leads to significant QoL improvement in children with true FI. Optimal results require a multidisciplinary, family-centered approach tailored to colonic motility patterns. Keywords: fecal incontinence; bowel management; anorectal malformation; quality of life; pediatric surgery | ||
| Keywords | ||
| Fecal incontinence; bowel management; anorectal malformations; quality of life; pediatric surgery | ||
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