[PDF] Statement on spinal cord injury bowel management

Royal College of Nursing - RCN
Multidisciplinary Association of Spinal Cord;Royal College of Nursing (RCN)
Publication date:
01 November 2018


Individuals with a Spinal Cord Injury (SCI) invariably have neurogenic bowel dysfunction which needs to be managed with an established and individualised bowel management programme. This will incorporate one or a combination of the following interventions on a daily or alternate day basis in conjunction with management of diet and fluids.

  • Digital Rectal Examination (DRE)
  • Digital Rectal Stimulation (DRS)
  • Digital Removal of Faeces (DRF) (previously referred to as Manual Evacuation)
  • Trans Anal Irrigation (TAI)
  • Oral and/or rectal medications