Treatment of Fecal Incontinence and Chronic Constipation With Low-volume Irrigation
Constipation, Fecal Incontinence
About this trial
This is an interventional treatment trial for Constipation
Eligibility Criteria
Inclusion Criteria: Patients with FI, CC or co-existing FI and CC of heterogenous origin. Positive Rome IV criteria for constipation and/or positive Rome IV criteria for fecal incontinence. Patients with Bristol stool type 1-5 as their primary stool consistency. 18 years. Ability to understand written and spoken Danish (due to questionnaire validity). Exclusion Criteria: Prior use of transanal irrigation or mini enema. Patients with chronic diarrhea (Bristol stool type 6-7). Patients with neurogenic bowel dysfunction. Participation in research conflicting with the current study. Diseases treated with rectal or anal surgery (except minor rectal or anal surgery). Physical disability that affects the ability to use QuforaÒ IrriSedo MiniGo. Major psychiatric diagnoses. Patients with constipation with a chronic opioid use or other medications inducing constipation. Pregnancy or plans to become pregnant.
Sites / Locations
Arms of the Study
Arm 1
Experimental
Low-volume irrigation
The patients will be instructed to irrigate once daily at a fixed time for 6 weeks. The patients will be instructed to use the irrigation 30 min after breakfast, capitalizing on the gastrocolic response; however, should this not fit in with the individual's lifestyle, then an alternative time of the day may be used. Preferably shortly after a large meal. The patients should fill the pump with 180 milliliters (a full pump) and irrigate with a volume of 160 milliliters of water.