{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T12:47:11Z","timestamp":1771505231982,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T00:00:00Z","timestamp":1532476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To examine the effects of bowel management on urinary incontinence in patients with spina bifida associated with overactive bladder (\n                      <jats:styled-content style=\"fixed-case\">OAB<\/jats:styled-content>\n                      ) and detrusor sphincter dyssynergia (\n                      <jats:styled-content style=\"fixed-case\">DSD<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      The research was carried out during the period 2014\u20132017. A total of 35 patients (group 1) were administered bowel management combined with anticholinergic medication therapy and clean intermittent catheterization (\n                      <jats:styled-content style=\"fixed-case\">CIC<\/jats:styled-content>\n                      ) and 35 patients (group 2) were treated only with anticholinergic medication therapy and\n                      <jats:styled-content style=\"fixed-case\">CIC<\/jats:styled-content>\n                      . Bowel management included daily enema, laxative application and a special diet, with the aim of treating constipation, evaluated according to the Roma\n                      <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\n                      criteria and echosonographically determined transversal rectal diameter. The effects of the administered bowel management on urinary incontinence were assessed according to the mean dry interval between two\n                      <jats:styled-content style=\"fixed-case\">CIC<\/jats:styled-content>\n                      s for all patients. All patients were followed up for 1 year, during which data were prospectively collected.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was no statistically significant difference with regard to age, gender and baseline clinical features between the two groups. In group 1, the mean \u00b1\n                      <jats:sc>sd<\/jats:sc>\n                      dry interval between two\n                      <jats:styled-content style=\"fixed-case\">CIC<\/jats:styled-content>\n                      s was 150.0 \u00b1 36.4 min, and group 2 it was 101.3 \u00b1 51.6 min. There was a significant difference in urinary incontinence, i.e. in the mean dry interval, between the two groups (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Administering bowel management considerably increased the mean dry interval, thus greatly alleviating the symptoms of urinary incontinence. For this reason, bowel management should form an integral part of the treatment of patients with spina bifida and\n                      <jats:styled-content style=\"fixed-case\">OAB<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">DSD<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.14414","type":"journal-article","created":{"date-parts":[[2018,5,26]],"date-time":"2018-05-26T09:55:19Z","timestamp":1527328519000},"page":"118-123","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Impact of bowel management in alleviating symptoms of urinary incontinence in patients with spina bifida associated with overactive bladder and detrusor sphincter 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