Abstract

Transanal irrigation (TAI) is a potential treatment option for patients with functional bowel symptoms who have not responded to conservative measures. This overview discusses the physiological mechanisms of TAI, indications, contraindications and the range of available devices. It emphasises the importance of patient assessment and education for successful implementation. Clinical experience and research indicate that TAI has a 50% success rate in managing constipation, comparable to pharmacological interventions. However, long-term adherence is a challenge, with less than 50% of patients continuing TAI after 1 year. Despite this, TAI offers a minimally invasive, self-administered approach that can significantly improve bowel evacuation and alleviate debilitating symptoms associated with functional bowel symptoms. Regular training sessions for practitioners are recommended to ensure up-to-date knowledge and best practice.

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