Peristeen Plus makes a difference for adults and children with neurogenic bowel dysfunction. It offers predictable bowel management, and proven clinical improvement in constipation, fecal incontinence and quality of life.1,2,3,4
Peristeen Plus Transanal Irrigation System was built on the legacy of Peristeen, clinically equivalent with the same efficacy and safety profile as Peristeen. Peristeen Plus is usually prescribed as a second-line treatment when more conservative methods have failed.5 If you are considering Peristeen Plus, you must be evaluated by your healthcare provider. Please see below for a list of indications, contraindications and precautions. Call Coloplast® Care at 1-855-605-7594 if you need assistance identifying a trained Peristeen Plus facility in your area.
Once prescribed, talk to your healthcare provider about enrolling in the Coloplast Care patient support program. Our team of dedicated bowel Coloplast Care Advisors can work with you and your healthcare provider to help identify a supplier that work with your health insurance plan. Your Care Advisor will reach out to confirm the supplier's contact information and walk you through the next steps. You may also call us at 1-855-605-7594 or e-mail peristeen@coloplast.com.
Your supplier will work directly with your clinician on any necessary documentation required by your healthcare plan. Please note coverage and reimbursement levels may vary - check with your insurance plan to see if Peristeen Plus is covered under your plan's policy.* To learn more about reimbursement for Peristeen Plus, please visit this page.
When you are approved for Peristeen Plus, remember to work with your healthcare provider on scheduling time for your first product training. Your first irrigation must be supervised by a qualified healthcare provider.
After your first supervised irrigation, our Coloplast Care Advisors will be reaching out to answer any additional questions you may have. Our Advisors are in contact with you throughout your first year to make sure you are off to a good start with Peristeen Plus.
Information from Coloplast® Care is for educational purposes only. It is not intended to substitute for professional medical advice and should not be interpreted to contain treatment recommendations. You should rely on the healthcare professional who knows your individual history for personal medical advice and diagnosis. Prior to use refer to product labeling for complete product instructions for use, contraindications, warnings and precautions.
Indication: The Peristeen® Plus Transanal Irrigation System is intended to instill water into the colon through a rectal catheter, which incorporates an inflatable balloon, inserted into the rectum to promote evacuation of the contents of the lower colon. The Peristeen Plus Transanal Irrigation System is indicated for use by children (2 years - <12 years old), adolescent (12 years - < 18 years old), transitional adolescent (18 - <21 years old) and adult patients with neurogenic bowel dysfunction who suffer from fecal incontinence, chronic constipation, and/or time-consuming bowel management procedures.
Contraindications: Peristeen Plus Transanal Irrigation must not be used in the following situations: known anal or colorectal stenosis, colorectal cancer (active/recurrent), radiotherapy to the pelvis, and recent abdomino-perineal surgery, active inflammatory bowel disease, acute diverticulitis, severe diverticulitis, previous diverticulitis and diverticular abscess, chronic symptomatic diverticular disease, within 3 months of abdominal, anal or colorectal surgery, within 4 weeks of endoscopic polypectomy, recent colonic biopsy, recent endoscopic mucosal resection (EMR) and recent endoscopic sub-mucosal dissection (ESD), severe autonomic dysreflexia, ischemic colitis, during Spinal Cord Shock Phase, complex diverticular disease, in patients who are pregnant and have not used the system before*. Since the list is not exhaustive, the healthcare professional should always consider individual patient factors as well. *If the patient is pregnant and has never used transanal irrigation before, they should not start the irrigation procedure during pregnancy.
Warnings: Peristeen Plus Transanal irrigation procedure should always be carried out with caution. Bowel perforation is an extremely rare, but serious and potentially lethal, complication to transanal irrigation and will require immediate admission to a hospital, often requiring surgery. See the device manual for complete user instructions, contraindications, warnings, precautions, and potential complications/adverse events. For further information, call Coloplast Corp at 1-855-605-7594 or consult the company website at www.coloplast.us. Caution: Federal law restricts this device to sale by or on the order of a physician.
References:
1. Christensen P, Olsen N, Krogh K, Bacher T, Laurberg S. Scintigraphic assessment of retrograde colonic washout in faecal incontinence and constipation. Dis Colon Rectum 2003;46(1):68-76.
2. Christensen P, et al. A randomized, controlled trial of transanal irrigation versus conservative bowel management in spinal cord-injured patients. Gastroenterology 2006;131:738-747.
3. Christensen P, Krogh K, Buntzen S, Payandeh F, Laurberg S. Long-term outcome and safety of transanal irrigation for constipation and faecal incontinence. Dis Colon Rectum 2008;52:286-292.
4. Mosiello G., Marshall D., Rolle U., Crétolle C., Santacruz B.G., Frischer J. and Benninga M. Consensus Review of Best Practice of Transanal Irrigation in Children. JPGN; Volume 64, Number 3, March 2017
5. Emmanuel et al. Consensus review of best practice of transanal irrigation in adults. Spinal Cord. 2013;51,732-738
