Neurogenic continence. Part 3: Bowel management strategies

Neurogenic bowel dysfunction has a significant impact on quality of life of individuals with chronic neurological injuries and diseases, and management of this problem presents many challenges for both patients and healthcare professionals. These challenges include the limited evidence available to assist with the development of a satisfactory bowel management programme for individuals, and the small range of available options where conservative approaches are unsuccessful. This is the third article in a series of three on neurogenic bladder and bowel dysfunction. The prevalence and pathophysiology of these conditions, along with psychosocial impact they have on patients' quality of life, were discussed in part one, and part two discussed management options in neurogenic bladder. This article examines conservative care in neurogenic bowel management, the other options and the evidence to support them in this client group.