M - BOWEL
Malone antegrade continence enema (MACE) procedures can be used for individuals with SCI with severe neurogenic bowel dysfunction for whom other treatment modalities have failed. (PVA-NBD 2020, p.454; Level B)
The MACE procedure can be a choice for individuals with neurogenic bowel dysfunction who prefer the option after thorough education regarding risks, benefits, and complications and after shared decision making with their providers. (PVA-NBD 2020, p.454; Level B)
Colostomy is recommended for individuals with severe neurogenic bowel dysfunction for whom other treatment modalities have failed or who have had significant complications. (PVA-NBD 2020, p.454; Level B)
Colostomy can be a choice for individuals with neurogenic bowel dysfunction who prefer the option after thorough education regarding risks, benefits, and complications and after shared decision making with their providers. (PVA-NBD 2020, p.454; Level B)