Performance and safety of a new low-volume transanal irrigation system

Background: Transanal irrigation (TAI) is considered a minimally invasive treatment option that may be suitable for individuals struggling with faecal incontinence or constipation, where conservative measures have been insufficient to manage their symptoms. Aim: To provide patient-reported evaluations of performance and safety of a new low-volume TAI system (Peristeen® Light, Coloplast A/S). Methods: Patients who had been using the new low volume TAI system for at least 6 weeks were eligible to provide evaluations of the device via a retrospective survey. A total of 75 patients from the UK, Germany, the Netherlands and Sweden provided such evaluations. Findings: Two-third of the patients reported that the device helped them manage their bowel issues to a high or a very high degree and found that use of the device gave them control of their bowels. Most patients stated that the device was discreet, simple to use, quick to prepare for use and 95% would recommend it to others. Few side-effects were reported by the patients, however no new issues resulting in harm were identified, and the complications reported herein by the patients were within the range of events reported for other TAI systems. Conclusion: Use of the new low-volume TAI system was well-tolerated with only few side-effects reported, it performed well in managing faecal incontinence and constipation, and 95% of patients would recommend the device to others.