Bowel management with Peristeen rectal irrigation

A bowel management method for persons with spinal cord injuries

User with Peristeen. Illustration: Lars 'Geson' Anderson
User with Peristeen. Illustration: Lars 'Geson' Anderson

Description
Peristeen anal irrigation from Coloplast helps people with spinal cord injuries to empty their bowels. It consists of a control unit with pump, water bag, and a rectal catheter.
The water bag is designed to stand on the floor and can easily be moved thanks to the large handle. The rectal catheter is smooth, small and discreet which makes insertion into the rectum very easy. When the catheter is inserted into the intestine, a small balloon fills with air to keep the catheter in place in the intestine during intestinal cleansing.

Technique:
The user transfers to the toilet, the wheelchair stands in front of the toilet, one leg is extended straight on the wheelchair cushion, the other has the foot on the foot bar. The user fills the peristeen bag with water at body temperature from the shower which is next to the toilet and places the bag on the floor. She connects the tubes and places the control unit on the wheelchair. She opens the package with the rectal catheter a little bit and connects the catheter to the tube (Picture 3). She soaks the catheter with water from the shower. The catheter becomes extremely slippery and she is careful not to hold it at the top. Then she feeds the tube, so that some of the tube is close to the anal opening. To insert the catheter she supports herself with one hand on the toilet arm support, with the other she holds the catheter at the same time that she feels where to place it. She pumps up the catheter balloon and then pumps in the water and removes the catheter.

Users comments
The user has considerable problems with her stomach. Microlax does not work at all, Peristeen does not perform miracles, but works better for her. At first she was afraid that water would come out even after bathroom visits, but this has never happened. She feels secure with Peristeen; she feels it is not as complicated to use as it first seems to be. In addition it feels healthier to use water than microlax. The only part that can be difficult is if she happens to grasp the catheter itself and gets lubricant on her hand. It is also important that the catheter comes directly from below, which makes it easier to insert.

Made by
Coloplast, www.coloplast.co.uk (last checked May 2017)

Paid for by
County Council

This tip is from 2007

User inserts catheter. Illustration: Lars 'Geson' Andersson
User inserts catheter. Illustration: Lars 'Geson' Andersson
User connects catheter and tube
User connects catheter and tube

Tipsare: Anonym 10

The person is single and lives in a house. She is working part time. Since 1984 she has a high paraplegia (TH 5-6). She has a cleaning lady once a week; no assistance.