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

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Transanal irrigation (TAI) effectively manages chronic bowel dysfunction like constipation and incontinence. New guidance empowers healthcare professionals to confidently implement TAI, improving patient access to this vital treatment.

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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.