Efficacy of TAI with Navina Smart

Emmanuel et al, PLoS One 2021. The use of transanal irrigation (TAI) with Navina™ Smart, is an effective and well tolerated treatment for bowel dysfunction.

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Topics: Bowel management, Transanal irrigation (TAI), Spinal Cord Injury (SCI), Neurogenic bowel, Bowel dysfunction, Fecal incontinence, constipation

More of your questions answered – Lets Talk Society Webinar

On May 20th, the second in a series of three ACCT live webinars took place. Let's Talk Society featured invited speakers Professor Anne Cameron, Dr Ilan Koppen and MS Specialist Nurse Roberta Motta and looked at bladder and bowel dysfunction from a societal perspective. 

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Does Transanal irrigation effect gut microbiota?

Transanal irrigation's influence on gut microbiota could have a positive effect on the immune system and contribute to reduced UTIs.

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Topics: Urinary Tract Infection (UTI), Bladder and bowel interaction, Neurogenic bladder, Spina Bifida, Neurogenic bowel

Myths and Misconceptions about Chronic Idiopathic Constipation

Chronic idiopathic constipation, or functional constipation, is a frequent reason for seeking healthcare and referral of specialty care – despite new knowledge there is still confusion and many misconceptions regarding the condition, outcome and treatment.

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Topics: Bowel management, Bowel dysfunction, irritable bowel syndrome

What Healthcare Professionals should know about Autonomic Dysreflexia

Autonomic dysreflexia (AD) is a condition that may affect as many as 90% of spinal cord injured patients with injuries at or above the 6th thoracic vertebrae. This review aims to increase the knowledge and understanding of AD to ease management of the condition.


In this review, the author describes the prevalence, cause, symptoms, assessment and management of autonomic dysreflexia (AD). A spinal cord injury at or above the 6th thoracic vertebrae may cause AD in up to 90% of the cases. AD is an episodic uncontrolled elevation of systolic blood pressure of more than 20 mmHg that is caused by a noxious stimulus below the level of injury. A noxious stimulus can be a distended bladder or constipation and it is therefore important to have a good bladder and bowel management in place.

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Topics: Neurogenic bowel, Spinal Cord Injury