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TH
CONGRESS OF THE ESPU
14:00–14:10
S3-2 (LO)
TRANSANAL IRRIGATION FOR CHILDREN
WITH NEUROPATHIC OR NON NEUROPATHIC
CONSTIPATION – A RETROSPECTIVE REVIEW
Jo SEARLES
1
, Govind MURTHI
2
, Richard LINDLEY
2
, Sarah BOULBY
2
and Prasad GODBOLE
2
1) Sheffield Childrens Hospital, Urology, Sheffield, UNITED KINGDOM - 2) Sheffield Childrens Hospital, Urology
and Continence, Sheffield, UNITED KINGDOM
PURPOSE
To review the outcomes of TAI over a 7 year period for children with intractable constipation of
neuropathic or non neuropathic origin.
MATERIAL AND METHODS
111 Children (1:1 male/female) with intractable constipation as defined by Rome III criteria and
soiling as per ICCS guidelines who underwent TAI were included in the study. All had been unsuc-
cessfully treated with oral medication and with rectal medications where appropriate in line with
NICE and Trust guidelines. Patients with bowel obstruction or inflammatory bowel disease and
recent perineal surgery and those under 3 years were excluded. Outcome measures were resolu-
tion of symptoms and cost effectiveness of the various systems used.
RESULTS
The median age at commencement and follow up in the TAI group was 8.5 years and 2.4 years.
The main indication was functional constipation in 61%; neuropathic bladder in 21% and ano rectal
malformations in 11% respectively.
67.5% were completely clean; 8% had less than 4 accidents per month; 6% had more than 4 ac-
cidents per month; 1.5% were ineffective and 16% discontinued TAI. 9 of these were converted to
ACE. There were no serious adverse events with TAI.
CONCLUSIONS
TAI is safe and effective for wide range conditions and ages. It has minimal complications with
no serious adverse events. The procedure is easy to do and generally well tolerated and should
be considered as an alternative to surgical intervention as a first line intervention in intractable
constipation in children.