In the UK the only brand of anal plug that is commercially available is the Peristeen anal plug. In these cases, the use of an anal plug device may be beneficial to some patients. Other patients may need assistance in managing their incontinence while undergoing treatment for their continence problem. Unfortunately for some patients, none of the options listed in Box 2 are suitable, or the patient may choose not to follow these options.
People with pelvic organ prolapse and/or rectal prolapse.People with severe cognitive impairment.People with neurological or spinal disease/injury (for example, spina bifida, stroke, multiple sclerosis, spinal cord injury).Women following childbirth (especially following third-degree and fourth-degree obstetric injury).People with loose stools or diarrhoea from any cause.Faecal incontinence risk groups (NICE, 2007) NICE has published guidelines on the management of faecal incontinence in adults, stating that: ‘People who report or are reported to have faecal incontinence should be offered care to be managed by healthcare professionals who have the relevant skills, training and experience and who work within an integrated continence service’ (NICE, 2007).
HOLLOW TUNNEL PLUG ENEMA PROFESSIONAL
There are numerous causes of anal incontinence and each case should be thoroughly assessed by a healthcare professional (Box 1). They describe difficulty coping in the workplace and having to leave work because of their bowel symptoms others describe difficulties with personal relationships. Sometimes patients do not actually have regular episodes of incontinence but the fear of incontinence without warning can have a serious impact on their quality of life. This is a regular occurrence for many people who experience anal incontinence. Imagine inventing stories to avoid social situations because of a fear of losing control of bowel function. I spent the whole day pretending to limp with my leg bandaged to fake the injury.’ ‘My incontinence was so bad then that I just knew I would embarrass myself – and him! – and have a bowel accident on the dance floor, so I pretended to have a sprained ankle so that I wouldn’t be able to dance. I knew that as soon as we had eaten and the dancing started that I would be expected to get up and dance with the best man. ‘I even remember pretending to have a sprained ankle at my sister-in-law’s wedding I was the matron of honour. A female patient in her 50s shared her experiences of having faecal incontinence as a result of a obstetric injury sustained at the delivery of her first son 24 years ago. Living with anal incontinence can have a significant impact on the lives of sufferers and their families. Julia Herbert discusses how anal plugs can be used to improve the quality of life for people with faecal incontinence. (2008) Use of anal plugs in faecal incontinence management. Author Julia Herbert, Grad Dip Phys, MCSP, is specialist continence physiotherapist, Bolton PCT and independent practitioner.Ībstract Herbert, J.
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