Response of the neurogenic bowel after spinal cord injury to pharmacological rectal stimulants
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: SCI individuals injured more than 1 year living in the community Reflex bowel function (upper motor neurone injury) Traumatic or non-traumatic spinal cord injury Asia Grade A to D 18 years or older Male or female Current requirement for rectal stimulation for bowel evacuation Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Pregnancy Current or past bowel disease Colostomy or history of other bowel surgery (not including fissurectomy or haemorrhoidectomy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The main objectives of the trial are to identify the impact that currently available rectal stimulants have on the duration of bowel management in SCI individuals with reflex residual bowel function, and to identify the side effects, if any, induced by these products in short term use (i.e. frequency of episodes of faecal incontinence, pain associated with bowel care and autonomic dysreflexia associated with bowel care) ;Secondary Objective: To determine whether individual rectal stimulants impact on the frequency of use of digital ano-rectal stimulation and manual evacuation of stool ;Primary end point(s): Total duration of bowel management not including ‘clean up’ time Time to flatus Time to first stool Frequency of use of digital ano-rectal stimulation Frequency of use of manual evacuation of stool | — |
Countries
United Kingdom