Products for faecal incontinence

Products for faecal incontinence can enable people with bowel leakage to lead a normal public life¹ ². Some products are intended to prevent bowel leakage (such as anal plugs and inserts), while others contain the leakage (such as pads and faecal collection devices).

Anal insert

Top Tips

I was able to purchase samples of anal plugs to try out on eBay.

356

I use regular diapers. But they are expensive. I have no rectum and I just had ileostomy reversal. So my tip is to use two paper tissues in my diaper so I save money and troubles. I don't need to carry diapers around. Just wipes and paper tissues!

I have been using some unbacked, maxi pads in my Depends. Its easier than trying to change an all-in-one, wrap-around product somewhere other than home!

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Evidence

Peden-McAlpine C, Bliss D, Hill J. The experience of community-living women managing fecal incontinence. Western Journal of Nursing Research 2008.
Bliss D, Lewis J, Hasselman K, Savik K, Lowry A, Whitebird R. Use and Evaluation of Disposable Absorbent Products for Managing Fecal Incontinence by Community-Living People. Journal of Wound, Ostomy and Continence Nursing 2011.
Mortensen N, Humphreys MS. The anal continence plug: a disposable device for patients with anorectal incontinence. Lancet 1991 Aug 3;338(8762):295-7.
Norton C, Kamm MA. Anal plug for faecal incontinence. Colorectal Dis 2001 Sep;3(5):323-7.
Deutekom M, Dobben AC. Plugs for containing faecal incontinence. Cochrane Database Syst Rev. 2015: CD005086
Bond C, Youngson G, MacPherson I, Garrett A, Bain N, Donald S, et al. Anal plugs for the management of fecal incontinence in children and adults: a randomized control trial. Journal of Clinical Gastroenterology 41(1):45-53, 2007 Jan.
Van Winckel M, Van Biervliet S, Van Laecke E, Hoebeke P. Is an anal plug useful in the treatment of fecal incontinence in children with spina bifida or anal atresia? Journal of Urology 176(1):342-4, 2006 Jul.
Pfrommer W, Holschneider AM, Loffler N, Schauff B, Ure BM. A new polyurethane anal plug in the treatment of incontinence after anal atresia repair. Eur J Pediatr Surg 2000 Jun;10(3):186-90.
Christiansen J, Roed-Petersen K. Clinical assessment of the anal continence plug. Dis Colon Rectum 1993 Aug;36(8):740-2.
Cazemier M, Felt-Bersma RJ, Mulder CJ. Anal plugs and retrograde colonic irrigation are helpful in fecal incontinence or constipation. World Journal of Gastroenterology 13(22):3101-5, 2007 Jun 14.
Chew MH, Quah HM, Ooi BS, Lim JF, Ho KS, Tang CL, et al. A prospective study assessing anal plug for containment of faecal soilage and incontinence. Colorectal Dis 2007.
Lukacz ES, Segall MM, Wexner SD. Evaluation of an Anal Insert Device for the conservative management of fecal incontinence. Dis Colon Rectum. 2015; 58 (9): 892-8
Richter HW, Matthews CA, Muir T, Takase-Sanchez MM, Hale DS, Van Drie, et al. A vaginal bowel-control system for the treatment of fecal incontinence. Obstet Gynecol. 2015; 125 (3): 540-7
Bliss DZ, Savik K. Use of an absorbent dressing specifically for fecal incontinence. Journal of Wound, Ostomy, & Continence Nursing 35(2):221-8, 2008 Mar;-Apr.
Fujii M, Sato TN, Ohrui T, Sato T, Sasaki H. Interanal stool bag for the bedridden elderly with pressure ulcer. Geriatrics & Gerontology International, 2004;4(2):120-2.
Kim J, Shim MC, Choi BY, Ahn SH, Jang SH, Shin HJ. Clinical application of continent anal plug in bedridden patients with intractable diarrhea. Dis Colon Rectum 2001 Aug;44(8):1162-7.
Grogan TA, Kramer DJ. The rectal trumpet: use of a nasopharyngeal airway to contain fecal incontinence in critically ill patients. J Wound Ostomy Continence Nurs 2002 Jul;29(4):193-201.
Padmanabhan A, Stern M, Wishin J, Mangino M, Richey K, DeSane M, et al. Clinical evaluation of a flexible fecal incontinence management system.see comment. American Journal of Critical Care 16(4):384-93, 2007 Jul.
Duso S. Product notebook: a new fecal containment device. A case study describing one use of the Bard FCD fecal containment device. Ostomy Wound Manage 1992 Jun;38(5):38-41.
Hanlon M, Cofone E. Patient with frequent liquid stools resulting in a chemical dermatitis and a perianal ulcer. J Wound Ostomy Continence Nurs 1996 May;23(3):174-7.
Ross V. The fecal containment device: one answer to a dreaded procedure. Ostomy Wound Manage 1993 Sep;39(7):42-4, 46.
Pittman j, Beeson T, Terry C, Kessler W, Kirk L. Methods of bowel management in critical care: a randomized controlled trial. JWOCN. 2012; 37 (5): 527-35
Freedman P. The rectal pouch: a safer alternative to rectal tubes. Am J Nurs 1991 May;91(5):105-6.
Bosley C. Three methods of stool management for patients with diarrhea. Ostomy Wound Manage 1994 Jan;40(1):52-7.
Beitz JM. Fecal incontinence in acutely and critically ill patients: options in management. Ostomy Wound Management 52(12):56-8, 60, 62-6, 2006 Dec.
Benoit RA, Jr., Watts C. The effect of a pressure ulcer prevention program and the bowel management system in reducing pressure ulcer prevalence in an ICU setting. Journal of Wound, Ostomy, & Continence Nursing 34(2):163-75; quiz 176-7, 2007 Mar;-Apr.
Keshava A, Renwick A, Stewart P, Pilley A. A nonsurgical means of fecal diversion: the Zassi Bowel Management System. Dis Colon Rectum 2007 Jul;50(7):1017-22.
Rainville N. Does a foley belong in the rectum? Am J Nurs 1987;87(2):175.
Page BP, Boyce SA, Deans C, Camilleri-Brennan J. Significant Rectal Bleeding as a Complication of a Fecal Collecting Device: Report of a Case. Diseases of the Colon & Rectum 2008.
Bright E, Fishwick G, Berry D, Thomas M. Indwelling bowel management system as a cause of life-threatening rectal bleeding. Case reports in gastroenterology 2008.
Safaz I, Kesikburun S, Omac OK, Tugcu I, Alaca R. Autonomic Dysreflexia as a Complication of a Fecal Management System in a Man With Tetraplegia . Journal of Spinal Cord Medicine 2010.
Buono K, Dave´-Heliker B. Mechanical inserts for the treatment of faecal incontinence: A systematic review. Arab J Urol. 2019;17(1):69-76.
Leo CA, Thomas GP, Hodgkinson JD, Segal JP, Maeda Y, Murphy J, et al. The Renew® anal insert for passive faecal incontinence: a retrospective audit of our use of a novel device. Colorectal Dis. 2019;21(6):684-8
Segal JP, Leo CA, Hodgkinson JD, Cavazzoni E, Bradshaw E, Lung PFC, et al. Acceptability, effectiveness and safety of a Renew anal insert in patients who have undergone restorative proctocolectomy with ileal pouch-anal anastomosis. Colorectal Dis. 2019;21(1):73-8.
Richter HE, Dunivan G, Brown HW, Andy U, Dyer KY, Rardin C, et al. A 12-Month Clinical Durability of Effectiveness and Safety Evaluation of a Vaginal Bowel Control System for the Nonsurgical Treatment of Fecal Incontinence. Female Pelvic Medicine and Reconstructive Surgery. 2019;25(2):113-9.
Garcia A, Fung S, Kennedy-Evans KL. A Pilot Clinical Study of a Safe and Efficient Stool Management System in Patients With Fecal Incontinence. Wounds. 2017;29(12):E132-E8
Singh S, Bhargava B, Vasantha P, Bhatia R, Sharma H, Pal S, et al. Clinical Evaluation of a Novel Intrarectal Device for Management of Fecal Incontinence in Bedridden Patients. J Wound Ostomy Continence Nurs. 2018;45(2):156-62

Products for faecal incontinence

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Continence Product Advisor

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