The previously reported Malone antegrade continence enema (MACE) was used in 21 children for intractable fecal incontinence or constipation, Twelve are completely clean, and three are much improved (71% success rate). However, only four of the 21 have not had some type of complication, either minor or major, Five of the 21 now have a colostomy, and one has abandoned the procedure. Copyright (C) 1995 by W.B. Saunders Company