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Consensus on Safe Initiation and Monitoring of Transanal Irrigation to Optimize Adherence With Therapy
Anton Emmanuel1, Klaus Krogh2, Brigitte Perrouin-Verbe3,4
1University College Hospital London, London, UK.
Neurogastroenterology and Motility
|January 23, 2025
Summary
Transanal irrigation (TI) is a minimally invasive therapy for constipation and incontinence. Updated guidelines emphasize careful patient selection and training for safe and effective use, especially with new low-volume options.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Neurogastroenterology
Background:
- Transanal irrigation (TI) is a minimally invasive therapy for constipation and incontinence.
- TI is increasingly used for neurogenic bowel dysfunction, brain-gut interactions, and postsurgical conditions.
Purpose of the Study:
- To review the literature on transanal irrigation (TI).
- To update the contraindication profile for transanal irrigation.
Main Methods:
- Literature review of transanal irrigation complications and outcomes.
Main Results:
- Transanal irrigation is becoming more common outside specialist centers.
- Both high- and low-volume irrigation schedules are used, with differing safety profiles.
- An updated contraindication profile is presented.
Conclusions:
- Optimizing long-term adherence depends on patient selection, training, and structured follow-up.
- Transanal irrigation has a good safety profile, enhanced by low-volume options.
- Careful patient selection and tailored initial training are key for safe and effective TI.
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