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Originally, this technique was described for urinary incontinence, but was first used for FI in 1993, [6] especially passive soiling due to IAS dysfunction. The procedure can be carried out under local anesthetic on an out patient basis, or with caudal epidural anesthesia, [7] or with intravenous sedation, or under general anesthesia. [8]
The Malone antegrade continence enema (MACE), used to treat fecal incontinence, is like the Mitrofanoff procedure as it uses the Mitrofanoff principle and, thus, can be considered an analogous procedure. [8] As fecal and urinary incontinence frequently co-exist, a MACE is often created at the same time as a continent catheterizable urinary ...
Unlike other surgeries for anal incontinence, a preliminary colostomy is not necessary for Warren operation. The surgery is planned in such a way that it takes place 2–3 days after the cessation of menstrual flow, such that there is ample time for the surgical wound to heal until the next menses.
MACE, Malone procedure, ACE procedure, continent appendicostomy, Malone antegrade colonic enema [ edit on Wikidata ] A Malone antegrade continence enema (MACE), also known as an appendicostomy or Malone procedure, is a surgical procedure used to create a continent pathway proximal to the anus that facilitates fecal evacuation using enemas .
A urethral bulking injection is one type of treatment for incontinence in women. Urethral bulking injections are considered by a clinician when the woman has urinary sphincter dysfunction, urethral hypermobility, persistent stress urinary incontinence after a urethral sling or urethropexy, or stress urinary incontinence in women who cannot undergo surgery due to other illnesses or conditions.
persistent stress urinary incontinence; infection of the device leading to removal; recurrent incontinence from either device failure or atrophy of the urethral tissues (in which case further surgery can remove the old device and replace it with a new one). The overall reported complication rate in males is 37%. [38]
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