ArticleWorld journal of gastroenterology2017
Predictive factors for compliance with transanal irrigation for the treatment of defecation disorders.
Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Italian Unitary Society of Colon-Proctology (SIUCP: Società Italiana Unitaria di Colonproctologia) guidelines for the management of obstructed and ineffective defecation syndrome.Annals of coloproctology · 2026Guideline
- Transanal irrigation: Bridging the gap in treatment for chronic constipation and/or faecal incontinence-A systematic review and management guidance.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Pooled it
- Consensus-driven protocol for transanal irrigation in patients with low anterior resection syndrome and functional constipation.Techniques in coloproctology · 2024Guideline
- Trial
- Short versus mid-long-term outcome of transanal irrigation in children with spina bifida and anorectal malformations.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018Trial
- Clinical, social, and motility factors influencing transanal irrigation response in pediatric patients.Journal of pediatric gastroenterology and nutrition · 2026Article
- Transanal irrigation in clinical practice: a scoping review.International journal of colorectal disease · 2026Article
- Management of bowel dysfunction after pelvic surgery for endometriosis.International journal of colorectal disease · 2026Review
- Long-term outcomes of transanal irrigation in patients with low anterior resection syndrome: what happens after more than five years?International journal of colorectal disease · 2025Article
- The Functional Implications of Transanal Irrigation: Insights from Pathophysiology and Clinical Studies of Neurogenic Bowel Dysfunction.Journal of clinical medicine · 2024Review
- Clinical Management of Low Anterior Resection Syndrome: Review of the Current Diagnosis and Treatment.Cancers · 2023Review
- Article
- Transanal irrigation in functional bowel disorders and LARS: short-term results from an Italian national study.Techniques in coloproctology · 2023Observational
- Adherence to transanal irrigation in older adults: first-year assessment.Techniques in coloproctology · 2021Article
- Transanal Irrigation for Neurogenic Bowel Disease, Low Anterior Resection Syndrome, Faecal Incontinence and Chronic Constipation: A Systematic Review.Journal of clinical medicine · 2021Review
- Management guidelines for low anterior resection syndrome - the MANUEL project.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021Article
- Use of a new transanal irrigation device for bowel disorder management by patients familiar with the irrigation technique: a prospective, interventional, multicenter pilot study.Techniques in coloproctology · 2020Article
- Slow Transit Constipation: Pathophysiological Perspectives and Management Updates.Journal of digestive diseasesReview
- Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review.Jornal de pediatriaArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo investigate compliance with transanal irrigation (TAI) one year after a training session and to identify predictive factors for compliance.
methodsThe compliance of one hundred eight patients [87 women and 21 men; median age 55 years (range 18-83)] suffering from constipation or fecal incontinence (FI) was retrospectively assessed. The patients were trained in TAI over a four-year period at a single institution. They were classified as adopters if they continued using TAI for at least one year after beginning the treatment or as non-adopters if they stopped. Predictive factors of compliance with TAI were based on pretreatment assessments and training progress. The outcomes of the entire cohort of patients who had been recruited for the TAI treatment were expressed in terms of intention-to-treat.
resultsForty-six of the 108 (43%) trained patients continued to use TAI one year after their training session. The patients with FI had the best results, with 54.5% remaining compliant with TAI. Only one-third of the patients who complained of slow transit constipation or obstructed defecation syndrome continued TAI. There was an overall discontinuation rate of 57%. The most common reason for discontinuing TAI was the lack of efficacy (41%). However, 36% of the patients who discontinued TAI gave reasons independent of the efficacy of the treatment such as technical problems (catheter expulsion, rectal balloon bursting, instilled water leakage or retention, pain during irrigation, anal bleeding, anal fissure) while 23% said that there were too many constraints. Of the patients who reported discontinuing TAI, the only predictive factor was the progress of the training (OR = 4.9, 1.3-18.9,
conclusionThe progress of the training session was the only factor that predicted patient compliance with TAI.
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