Role of (Saline- Glycerin) Rectal Enema in Treatment of Fecal Incontinence in Children

InclusioChildren ≥3 and ≤16 years with Fecal incontinence (≥1 episode/week) due to corrected anorectal malformation (ARM), Hirschsprung disease after pull-through, perineal trauma, spinal anomalies/neurogenic bowel, or functional constipation with overflow incontinence. Ability to participate in a structured bowel-management regimen at home. Caregiver availability for training and daily administration. n Criteria: \- Age \<3 years. symptomatic anal stricture, or other anatomic issues requiring surgical correction before bowel management. Current enterocolitis, Active proctitis, painful fissure with bleeding, or severe perianal dermatitis precluding safe catheterization. Chronic kidney disease, unstable cardiac disease, or known electrolyte imbalance. Hypersensitivity/intolerance to glycerin; prior severe reaction to enemas. Stoma in situ or ACE dependence (separate pathway). Exclusion Criteria: \-