Abstract
Background: Transanal irrigation is a well-established minimally invasive therapy that addresses symptoms of both constipation and incontinence. The therapy has been extended from just neurogenic bowel dysfunction patients to those with disorders of brain–gut interaction and postsurgical conditions. Aim: To summarized the literature on transanal irrigation and update the contraindication profile. Materials and Methods: We undertook a literature review of transanal irrigation complications and outcomes. Results: Initiation of therapy as part of a bowel care regime is becoming more common outside specialist centers. In addition, the concept of both high- and low-volume irrigation schedules has entered the treatment paradigm, and it is clear that there is a differing safety profile. We present an update from the previous long list of contraindications. Discussion: We describe how optimizing long-term adherence depends on these factors in addition to a structured follow-up programme. Conclusion: Transanal irrigation is an increasingly used therapy, with a good safety profile, further improved by the advent of low-volume irrigation options. Key to safe and effective usage of transanal irrigation is careful patient selection allied to tailored initial training of the patient.
| Originalsprog | Engelsk |
|---|---|
| Artikelnummer | e15011 |
| Tidsskrift | Neurogastroenterology and Motility |
| Vol/bind | 37 |
| Nummer | 5 |
| ISSN | 1350-1925 |
| DOI | |
| Status | Udgivet - maj 2025 |