Effectiveness of transanal irrigation for fecal incontinence in a patient with spinal cord impairment:A case report

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  • Fujishiro Naomi
    Department of Nursing, Fujita Health University Hospital
  • Maeda Kotaro
    International Medical Center, Fujita Health University Hospital Department of Surgery, Syonan Keiiku Hospital

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  • 脊髄障害による便失禁に対して経肛門的洗腸療法が有効であった1例

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Abstract

<p>Background: Fecal incontinence (FI) can impair quality of life (QOL). A case of a patient with neurogenic bowel dysfunction whose FI was effectively managed by transanal irrigation (TAI), which also improved his QOL, is reported.</p><p>Case: A man in his 50s developed urinary incontinence and FI due to cauda equina syndrome after surgery for lumbar spondylolisthesis. TAI was started to treat FI after pharmacotherapy failed. A visual analogue scale (VAS, 0:worst - 10:best) was used to evaluate his satisfaction regarding bowel symptoms and management. His FI improved dramatically with TAI, and his VAS score also increased markedly, from 2.3 to 10 after TAI. His frequency of visiting the toilet due to anxiety about FI, as well as the time spent worrying about FI, also decreased markedly. He looked gloomy before TAI, but he became bright and cheerful in his appearance after TAI, being able to live without FI. He learned to talk positively about TAI, saying “I feel like coming home early to perform TAI on the day for it,” and “My urination has also become better thanks to TAI”.</p><p>Conclusion: TAI improved FI and QOL in a patient with neurogenic bowel dysfunction due to cauda equina syndrome.</p>

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