Low volume transanal irrigation (TAI) is a valuable technique for individuals dealing with bowel issues - you introduce water into the rectum using a rectal catheter whilst sitting on the toilet. After introducing the water into the rectum, water and stool are emptied into the toilet. If you are new to this method, the key to a successful irrigation lies in proper preparation and organisation.
Get your space organised before you begin
Before you begin your low-volume irrigation, make sure you have the things you need close to hand. This will make the process more manageable for you. Alongside your low-volume system, you may want:
- Some paper towels or wipes
- A plastic bag – to dispose of the catheter and any other hygiene products you have used
Gloves and hand sanitiser may also be used by some people. Some people like to use a scented bag to collect everything in afterwards. If you have irrigated in a public bathroom or somewhere else away from home, this may provide an extra level of discretion.
Positioning
Your posture can affect how easy it is to empty your bowels. A squatting position has been shown to help when passing stool: it allows for a clearer and straighter passage for stool to pass through1.
If you are irrigating at home, a footstool may help you get into the right position. If you are irrigating on the go, it can still be possible to squat.
Check out this article for details of how to squat correctly when irrigating:

Think about your environment
Privacy can be important when irrigating, especially if you are new to TAI. Performing the procedure when you know you are alone and will not be disturbed can help to give you the peace of mind you need.
To make yourself feel more at ease, consider having some background noise, like leaving the TV or radio on in another room. This can may help you feel less visible and more comfortable.
If you are irrigating whilst out, you may also choose to use a disabled toilet. Generally, these have more space and are a little more private. Not all disabilities are visible, and you are entitled to use a disabled toilet if you wish.
Irrigating away from home: embracing Peristeen® Light
Peristeen Light is designed to fit into your daily routine, whether you are at home or out and about. The key is keeping organised. Therefore, you may want to make it habit to carry a small bag with your essentials so you can perform your irrigation without concern when away from home.
Key takeaways: Hassle-free low-volume irrigations
- Gather the things you need before you start
- Carry the things you need when you go out so you can irrigate comfortably away from home
- Adopting a squatting position may aid your evacuation
- You are entitled to use a disabled toilet to irrigate in if you want extra privacy when out and about.
- Sakakinara R, Tsunoyama K, Hosoi H, et at. Influence of Body Position on Defecation in Humans. Lower Urinary Tract Symptoms. 2010;2:16–21.