A simplified guide to best practice in transanal irrigation: rationale, development and implementation

Area of Science:

• Gastroenterology and Colorectal Surgery
• Patient Care and Management

Background:

• Bowel dysfunction, including constipation and fecal incontinence, significantly impacts patient well-being and healthcare costs.
• Current access to transanal irrigation (TAI) is often hindered by stigma, unclear pathways, and knowledge gaps among healthcare professionals (HCPs).

Purpose of the Study:

• To develop new guidance for healthcare professionals (HCPs) to confidently implement transanal irrigation (TAI).
• To simplify the patient journey to TAI through a structured, easy-to-navigate approach.
• To provide a resource for consistent clinical decision-making and professional education.

Main Methods:

• An expert working group convened to develop evidence-based guidance for TAI implementation.
• The guidance was structured into a visually impactful, two-page resource.
• The resource is designed for standalone use or integration into existing clinical pathways.

Main Results:

• The developed TAI Guide empowers HCPs with increased clinical confidence.
• The guide offers a clear, structured approach to support consistent decision-making.
• The resource serves as a benchmark for professional education and training.

Conclusions:

• The TAI Guide enhances HCP confidence and competence in managing chronic bowel dysfunction.
• This resource aims to improve patient access to timely and effective transanal irrigation.
• Consistent implementation of TAI, supported by this guidance, can improve patient outcomes and reduce healthcare burdens.