MTP6.11 Group-based educational sessions on trans-anal irrigation: patient experience at a tertiary pelvic floor unit

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Abstract Aims Trans-anal irrigation (TAI) is safe and effective in managing symptoms of anal incontinence and chronic constipation. Adequate knowledge, training and patient support are important for compliance, however drop out rates are high. We carried out group-based educational sessions (GBE) to support patients with practical aspects of TAI. Methods One hour long sex segregated GBE sessions were carried out twice a year including talks delivered by a bowel specialist nurse and a dietician. This was followed by patient discussion and showcasing of irrigation devices by medical representatives. An anonymous feedback questionnaire was completed by patients. Results Between 2017 and 2024, 75 patients attended aged between 24 and 92 (median 62 years). The majority were female (83%); 77% were white. The most common reason for attending was constipation (68%), followed by anal incontinence (25%). 44 (59%) went on to trial a new product (29 immediately, 15 after nurse follow-up). The feedback questionnaire was completed by 41 patients. Of these, 36 rated the session as useful or very useful; 31 felt better able to manage their symptoms following the session; and all 41 patients would recommend the session to family and friends. 37 patients felt it was useful and empowering to attend with others experiencing the same symptoms. Conclusions GBE on TAI provides practical support, knowledge and a safe forum for patients living with bowel dysfunction. They lead to a high uptake of trialling new products and patient feedback is positive.

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