A systematic approach to bowel continence for children with spina bifida.

One of the most difficult problems facing professionals working with children having a neurogenic bowel is incontinence, for it is one of the greatest obstacles to socialization and independence. This program which developed continence protocols based upon age and stool consistency, trained nurses in spina bifida clinics in the USA. Many nurses using the protocols among spina bifida children are enabling them to achieve bowel continence.