الفهرس 
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Abstract
Fecal incontinence resembles a disastrous challenge for those who suffer from it. It frequently makes it more difficult for children to fit in with society, resulting in serious psychological consequences. More children than previously believed are affected by this problem, including those who were born with anorectal malformations, Hirschsprung’s disease, spinal cord disorders, or spinal injuries.
The World Health Organization defines QoL as “the individual’s perception of their position in life in the context of culture and value systems in which they live, and in relation to their goals, expectations, standards and concerns”.
The aim of this study is to evaluate the effectiveness of bowel management program (BMP) for patients that have true FI consecutive to operated anorectal malformations, operated Hirschsprung’s disease and sacrococcygeal teratoma and to evaluate the impact of implementation of the BMP on the quality of life of children in zagazig university hospital.
This study revealed the following results:
There was no statistically significant difference between the two groups regarding age and sex (p-value=0.7 & 0.2 respectively) matched groups. where the average ages of the studied groups were (8.1±1.5) and (7.9±1.1) ranging from 5 to 12 years. Regarding sex, male to female ratio was 4:1. Majority of parents were poorly educated in both groups. Anorectal malformation was the commonest cause of fecal incontinence among both the hypo and hyper motile colon groups followed by operated Hirschsprung’s ‘disease then associated tethered cord. There was a highly statistically significant association between the parent education and the easy follow-up visits where all children of the highly educated parents had easy follow-up visits. There was a statistically significant difference in the saline amount between the children with different age groups in both hypo and hyper-motile groups where the children with age ≥ 8years needed increased amount of saline than children with age ranged from 5 to 8 years. There was a statistically significant positive correlation (increase aged was accompanied by increased the amount of saline and glycerin) between the children age and the amount of saline and glycerin. Three cases (37.5%) received 2 pills, two cases (25.0%) received 2 pills, two cases didn’t receive constipating drugs and one case (12.5%) received three pills. There was a highly statistically significant increase (improvement) in all quality-of-life score items as provided by children and parents before and after 3 months of Bowel Management Program among the hypo and hyper motile colon groups (p-value<0.001). There wasn’t a statistically significant improvement in total score for the quality-of-life before and after 3 months of Bowel Management Program between both groups, but the improvement was much more among the hypo- than the hyper-motile colon group from the children and the parents’ aspects of view.