Bowel dysfunction following spinal cord injury.

STUDY DESIGN

Review.

OBJECTIVES

To outline the present knowledge of bowel dysfunction following spinal injury, and look at future directions of management and research.

SETTING

Spinal Unit and Colorectal Unit, Christchurch, New Zealand.

METHODOLOGY

Review.

RESULTS

The underlying physiology of colorectal motility and defecation is reviewed, and consequences of spinal cord injury on defecation are reported. A discussion of present management techniques is undertaken and new directions in management and research are suggested.

CONCLUSION

There is need for more intervention in regard to bowel function that could improve quality of life, but there is also a need for more research in this area.