J Spinal Cord Med, 2008 · DOI: · Published: January 1, 2008
This study investigates the effectiveness of transanal irrigation in managing bowel dysfunction for individuals with spinal cord injuries. The primary goal was to compare bowel function symptoms before and after a 10-week treatment period using transanal irrigation. The study also aimed to identify factors that might predict the success of transanal irrigation treatment. Sixty-two patients from five specialized European centers participated, and their bowel function was assessed using standard scoring systems at the beginning and end of the 10-week treatment.
Transanal irrigation can be considered as a viable option for managing neurogenic bowel dysfunction in SCI patients to improve their bowel function and quality of life.
Given the lack of clear predictive factors, a trial-and-error approach is reasonable when introducing transanal irrigation, with close monitoring and adjustments as needed.
Specialized nursing support and patient education are critical for the successful implementation and long-term use of transanal irrigation, particularly for patients with practical challenges such as catheter expulsion or leakage.