Is the time to complete bowel care quicker using transanal irrigation compared to standard bowel care in adults with Spinal Cord Disorders? A randomised controlled trial.

niversity of Sydney0 个研究点目标入组 24 人开始时间: 2021年4月14日最近更新: 2023年4月24日

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•People will be eligible for inclusion if they:
•* sustained a spinal cord injury more than 6 months prior or have Spina Bifida
•* have a Neurogenic Bowel Dysfunction Score greater than or equal to 3
•* are aged 18 years or over at the time of consent
•* are willing to participate in the trial
•* have been recommended to trial transanal irrigation by a clinician because they spend more than 30 mins on toileting AND ANY OF THE FOLLOWING:
•had more than 1 episode of faecal incontinence per month
•had a Bristol stool chart result of less than 3 or greater than 6 for more than 3 cycles of bowel care
•experienced abdominal symptoms such as bloating/cramping
•experienced inconsistency with defaecation
•experienced rectal symptoms (bleeding haemorrhoids, rectal prolapse, fissures etc)
•experienced autonomic dysreflexia in response to bowel care

•People will be excluded if:
•* they are unable to co-operate (e.g. a serious medical condition, cognitive impairment, drug dependency, psychiatric illness, and behavioural problem)
•* they are unable to speak sufficient English to provide informed consent
•* they are currently using bisacodyl suppositories or enemas as the primary method for managing bowel care routine.
•* transanal irrigation is contraindicated for use for any of the following reasons:
•anal / rectal stenosis
•active inflammatory bowel disease
•acute diverticulitis
•colorectal cancer
•within 3 months of rectal surgery
•within 4 weeks of endoscopic polypectomy
•ischaemic colitis
•* current or planned pregnancy
•* long term steroid therapy
•* radiotherapy to the pelvis
•* dense sigmoid disease
•* on anticoagulants (warfarin, apixaban, rivaroxaban, dabigatran)

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