Peristeen Bowel Irrigation System in Cauda Equina

Launched by UNIVERSITY OF MANITOBA · Feb 1, 2013

Keywords

ClinConnect Summary

People with spinal cord injury (SCI) often have severe problems with management of bowel function, including incontinence, impaction, lengthy bowel routines and extremely slow transit times.The anal irrigation system is a recently available system to help patients with bowel dysfunction empty their bowels by using pulse water irrigation. The system consists of a rectal balloon catheter, manual pump and water container.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Male or female \>18 years or older
• * Cauda equina spinal injury at least 12 months previously, with lower motor neuron bowel dysfunction and at least one of the following symptoms:
• • Spending 30 minutes or more attempting to defecate each day or every second day
• • Episodes of fecal incontinence once or more per month
• • Abdominal discomfort before or during defecation
• Exclusion Criteria:
• • Coexisting major unresolved physical problems due to the injury
• • Performance of transanal irrigation on a regular basis
• • Evidence of bowel obstruction or active inflammatory bowel disease
• • History of cerebral palsy, stroke, multiple sclerosis or diabetic polyneuropathy
• • Previous colorectal or perineal surgery(excluding minor surgery such as hemorrhoidectomy)
• • Pregnancy or lactation
• • Immunosuppression
• • Prior implant for sacral nerve stimulation