Transanal Irrigation for Neurogenic Bowel Dysfunction in Multiple Sclerosis: A Retrospective Study
Maëlys Teng1,2, Gabriel Miget1,2, Mirella Moutounaïck1,2
1GRC 01 GREEN (Groupe de RecherchE CliniquE en Neuro-Urologie), Sorbonne Université, Paris, France.
Journal of Neurogastroenterology and Motility
|April 1, 2022
Summary
Transanal irrigation (TAI) effectively treats neurogenic bowel dysfunction (NBD) in multiple sclerosis (MS) patients, particularly those with moderate NBD. TAI also improved urinary voiding symptoms, highlighting the link between bowel and bladder function in MS.
Area of Science:
- Neurology
- Gastroenterology
- Urology
Background:
- Neurogenic bowel dysfunction (NBD) affects 68% of multiple sclerosis (MS) patients.
- Transanal irrigation (TAI) is a key therapeutic option for managing NBD.
Purpose of the Study:
- To evaluate the efficacy of TAI in improving NBD in patients with multiple sclerosis.
- To assess the impact of TAI on urinary symptoms in MS patients.
Main Methods:
- Retrospective study including 28 MS patients undergoing TAI.
- Data collected included NBD scores, Urinary Symptom Profile (USP) scores, and demographic/clinical characteristics.
- Patients were categorized into four NBD severity groups: very minor, minor, moderate, and severe.
Main Results:
- TAI showed significant improvement in NBD scores, especially in patients with initially moderate NBD (75% improved).
- A statistically significant improvement in the USP voiding dysfunction score was observed (P=0.005).
- No significant improvement was noted in the overactive bladder USP sub-score.
Conclusions:
- TAI is an effective treatment for NBD in MS patients, particularly those with moderate NBD.
- TAI's positive effect on voiding dysfunction suggests a pelvic organ cross-talk, emphasizing the importance of treating bowel dysfunction in MS.
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