Transanal irrigation in the treatment of functional bowel disorders: a district general hospital perspective

Abstract

Background: Transanal irrigation (TAI) is a long-term treatment for obstructive defaecation syndrome, slow transit constipation and faecal incontinence. Aim: This study aimed to assess the efficacy of TAI on treating these conditions. Method: Data were collected using two standard follow-up questionnaires. Pre- and post-treatment symptom perception scores were compared. A Wilcoxon matched-pairs signed rank test was performed. A p value of <0.05 was considered significant. Findings: Of 54 patients who were referred for TAI to a regional pelvic floor centre, 29 agreed to participate. All used one of the four Qufora IrriSedo TAI systems (MacGregor Healthcare). Symptom perception scores were reduced by 48.3% in patients with faecal incontinence (p<0.05) and 33.8% in those with constipation (p<0.0001). Symptom severity decreased, with reductions of 34.8% in St Mark's Faecal Incontinence score (p=0.0249) and 28.6% in Cleveland Clinic Constipation score (p=0.03). Conclusion: TAI was shown to be an effective treatment for functional bowel problems.