Transanal irrigation devices: an overview

Abstract

Transanal irrigation (TAI) is a safe and effective treatment but should not be carried out before less invasive treatment options have been trialled. A thorough assessment of the patient and consideration of their preferences and tolerance should determine TAI suitability and system choice. The range of available TAI) equipment can be overwhelming. Therefore, to aid health professionals, this article presents a summary of the latest available TAI devices on the market, as well as guidance on how to select a suitable device. TAI devices can be categorised into low- or high-volume; cones, catheters or balloon inflating devices; manual, electric pump or gravity-fed systems; and bed systems. Determining whether a low or high volume of water is required is a good starting point for device selection. Nurses should be aware of available devices and select one most suitable for a patient, as well as adequately train them in its usage and provide followup support. Nurses should communicate the potential improvement to quality of life TAI can offer and encourage adherence to avoid premature discontinuation.