Transanal Irrigation

Transanal Irrigation (TAI) is a conservative management technique used to empty the bowels in a predictable and controlled way. It involves introducing lukewarm water into the colon via the rectum using a specially designed system. The water stimulates the colon to contract and push out stool. It can help manage both constipation and fecal incontinence.

Who is it for?

TAI can help people with:

• Bowel dysfunction related to Spinal Cord Injury, Multiple Sclerosis, or Spina Bifida.
• Chronic constipation that doesn’t respond well to laxatives.
• Fecal incontinence.
• Post-surgical bowel issues.

How does it work?

A system (like Peristeen® or Navina®) includes a pump, water reservoir, and a rectal catheter.

1. You introduce the lubricated catheter into your rectum.
2. You slowly pump a prescribed amount of lukewarm water into your bowel.
3. The water stimulates bowel activity.
4. After a short period (5-15 minutes), you evacuate the water and stool into the toilet.
5. The process provides bowel clearance for 24-48 hours.

What are the benefits?

• Promotes independence and control over bowel function.
• Reduces episodes of constipation and incontinence.
• Can improve quality of life.

Are there any risks?

When taught by a nurse and performed correctly, TAI is very safe. Minor risks include mild discomfort or minor rectal bleeding. A very rare risk is bowel perforation, which is avoided by using correct technique and the safety mechanisms of the device.