Abnormal controls of bowel functions are associated with myelomeningocele involving spinal segments S2-S4. Many individuals with myelomeningocele, therefore, do not have the sensation and control needed to have a normal bowel movement. The result is bowel incontinence, often with related problems of constipation and impaction. Fecal incontinence can become a serious barrier in attending school, obtaining employment, or sustaining an intimate relationship (Blum, 1991).

Individualized programs are necessary for proper bowel management, given the different manifestations of defecation dysfunction seen in patients with myelomeningocele. Consistency of the routine is extremely important for avoidance of accidents. Behavior modification and biofeedback techniques have increased success in achieving bowel continence in some children with myelomeningocele.