Why is continence management so difficult in spina bifida?
Continence management requires routine and vigilance. Most people with spina bifida also have hydrocephalus which is associated with subtle and often elusive cognitive deficits, such as: poor time management, visuo-spatial dificulties, passivity, poor abstract reasoning and planning. Hence the task is more complex and time consuming. Health professionals must be aware of this and intervene appropriately, or progress will be slow. Go to Chapter 2 for more information.
