Sarah, 28, was born with Spina bifida. “Peristeen has given me control of something I have never had control of. I know how long the procedure takes for me now so I pass the time by watching a TV show on my phone.”*
There is a better way to go
Are you suffering from fecal incontinence or chronic constipation due to neurogenic bowel dysfunction (NBD)? Meet Peristeen Plus Transanal Irrigation (TAI) System - a treatment option that can help reduce fecal incontinence and constipation, and improve your symptom-related quality of life.1,2
Transanal irrigation with Peristeen Plus is an easy procedure designed to instill water into the colon through a rectal catheter with an inflatable balloon to empty the contents of the lower colon. This effective method of bowel management gives confidence and control through effective and predictable prevention of fecal incontinence and constipation.3
Peristeen Plus and transanal irrigation: what you need to know
Transanal irrigation using Peristeen Plus is designed to empty your bowels effectively. The Peristeen Plus procedure can be administered on your own or with assistance, and it enables you to decide when and where you want to empty your bowels.
Peristeen Plus is the world’s most clinically documented TAI device. Transanal irrigation with Peristeen Plus is an effective alternative to other methods such as enemas, laxatives, suppositories, manual evacuation and digital stimulation. Transanal irrigation helps to:
- reduce constipation
- reduce incontinence
- reduce time spent on bowel management
The procedure is performed by introducing lukewarm water between 93-104°F into the rectum using a rectal catheter while sitting on the toilet. Your healthcare provider will prescribe the volume of water needed to achieve a full irrigation. As water is introduced into your colon through a rectal catheter with an inflatable balloon, this promotes evacuation of the contents of the lower colon. Water and stool are then emptied into the toilet. If carried out daily or every other day as prescribed by your clinician, the technique may help you stay continent for up to 48 hours.
For illustrative purposes only. May not be indicative of clinical performance. Performance and experience may vary. Before use of the product, please review the 'Instructions for Use' for indications, contraindications, warnings and precautions for the catheter.
Key benefits of using Peristeen Plus
Your bowels need to get used to Peristeen® Plus, and your first few irrigations might vary considerably. To make Peristeen Plus work for you, take time to learn the basics with your clinical team and get familiar with setting up and using the product in your bathroom. It may take time to settle into a good routine that works for you and your body. Optimal results will only be achieved when using Peristeen Plus on a regular basis. As compared with conservative bowel management, Peristeen Plus significantly:
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Reduces symptoms of constipation or fecal incontinence for up to two days3
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Improves quality of life1,4
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Reduces daily time spent on bowel management1,5
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Establishes a predictable pattern for emptying your bowel
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Offers freedom to decide where and when to irrigate for more predictable bowel control
1. Christensen P, Bazzocchi G, Coggrave M, et al. A randomized, controlled trial of transanal irrigation versus conservative bowel management in
spinal cord-injured patients. Gastroenterology. 2006;131:738–747
2. Mosiello g. et al. Peristeen Transanal Irrigation in paediatric patients with anorectal malformations and spinal cord lesions: a multicentre Italian
study. Accepted Article at Colorectal Disease, doi: 101111/codi 13101
3. Christensen P, Olsen N, Krogh K, Bacher T, Laurberg S. Scintigraphic assessment of retrograde colonic washout in fecal incontinence and constipation. Dis Colon Rectum. 2003;46:68−76
4. Choi EK, Shin SH, Im YJ, et al. The effects of transanal irrigation as a stepwise bowel management program on the quality of life of children with spina bifida and their caregivers. Spinal Cord. 2013;51:384–388
5. López Pereira P, Salvador OP, Arcas JA, et al. Transanal irrigation for the treatment of neuropathic bowel dysfunction. J Pediatr Urol.
2009;6:134–138
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.
