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Bowel Continence Across the Lifespan in People With Spina Bifida

RecruitingObservational study

Comparing Antegrade Versus Retrograde Enemas To Improve Bowel Continence Across the Lifespan in People With Spina Bifida

Who can join

Ages 5 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* Minimum age 5 years old
* Myelomeningocele diagnosis
* Starting a retrograde or antegrade enema program (or switching from one enema program to the other)
* English or Spanish speaking/literate

Exclusion Criteria:

\- Other types of spinal dysraphism (e.g., lipomyelomeningocele, fatty filum)

About the study

The goal of this observational study is to learn how different enema programs affect bowel control in children and adults with spina bifida. An enema program involves putting liquid into the large intestine (colon) to help someone poop. The main questions it aims to answer are:

1. How well do different enema programs prevent bowel accidents? 2. How do these enema programs affect independence, bowel symptoms, and quality of life?

Researchers will compare two types of enema programs to see which works better and is easier for participants to manage.

Participants starting a new enema program will answer online survey questions at 3 different timepoints over the course of 1 year.

What is being tested

Sponsor: David Chu · Participants: 943 · Started: Apr 1, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07390318

Locations in the U.S.

AlabamaChildren's of Alabama, Birmingham
University of Alabama at Birmingham, Birmingham
ArizonaPhoenix Children's Hospital, Phoenix
CaliforniaChildren's Hospital of Los Angeles, Los Angeles
University of California San Francisco, San Francisco
ColoradoChildren's Hospital of Colorado, Denver
District of ColumbiaChildren's National Hospital, Washington D.C.
IllinoisAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago
Northwestern University, Chicago
IndianaRiley Children's Hospital, Indianapolis
MassachusettsBoston Children's Hospital, Boston
MichiganUniversity of Michigan, Ann Arbor
North CarolinaDuke University Medical Center, Durham
OhioCincinnati Children's Hospital Medical Center, Cincinnati
Cleveland Clinic, Cleveland
Nationwide Children's Hospital, Columbus
PennsylvaniaChildren's Hospital of Philadelphia, Philadelphia
University of Pittsburgh Medical Center, Pittsburgh
TennesseeMonroe Carell Jr. Children's Hospital at Vanderbilt, Nashville
TexasScottish Rite for Children, Dallas
Texas Children's Hospital, Houston
UtahPrimary Children's Hospital, Salt Lake City (Not yet recruiting)
WashingtonSeattle Children's Hospital, Seattle
University of Washington, Seattle

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.