Does Transanal irrigation effect gut microbiota?

April 13, 2021

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

Highlights from ACCT Webinar on TAI

February 16, 2021

On Tuesday, February 9th the ACCT Webinar: Transanal irrigation (TAI) – a solution for constipation and fecal incontinence took place. During one hour we heard Professors Jan Tack and Anton Emmanuel together with Clinical Nurse Lead Bev Collins discuss how Transanal Irrigation (TAI) could be a possible management option for a wider group of patients and how to improve adherence to the therapy. Here are some highlights from the event. 

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Topics: Bowel management, Neurogenic bowel, ACCT, Transanal Irrigation

Life controlled by bladder and bowel

December 22, 2020

Bladder and bowel symptoms are known to reduce quality of life and are rated a severe life problem in persons with SCI. This study was undertaken to identify women’s experiences living with spinal cord injury and neurogenic bladder and bowel.

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Topics: Bladder and bowel interaction, Neurogenic bladder, Neurogenic bowel, Women's health, quality of life

Life enhancing bladder and bowel interventions starts with the patient

December 15, 2020

Neurogenic bladder and bowel dysfunction has a significant impact on quality of life and well-being. To increase quality of life, treatments should be based on patient reported outcomes. Read more about this and other conclusions in a literature review by Patel et al.


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Topics: Bladder and bowel interaction, Neurogenic bladder, Neurogenic bowel, quality of life

What Healthcare Professionals should know about Autonomic Dysreflexia

December 8, 2020

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