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Collaborative multi-institutional efforts are needed to overcome research barriers and provide innovative solutions. These guidelines present a standardized approach to management of bowel dysfunction in spina bifida. Bowel management in children and young adults with spina bifida is limited by variability in clinical practice and paucity of robust research in neurogenic bowel. Collaborative multi-institutional efforts are needed to overcome research barriers and provide innovative solutions. Skin-related issues have a significant impa
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