1.1 The case for adopting Peristeen Plus for transanal irrigation in people with bowel dysfunction is supported by the evidence. Peristeen Plus can reduce the severity of constipation and incontinence, improve quality of life and promote dignity and independence.
1.2 Peristeen Plus may not be suitable for all people with bowel dysfunction. It may take several weeks before a person is comfortable with using Peristeen Plus, and some people may choose to stop using it. Peristeen Plus is therefore most effective when it is offered with specialist training for users, carers and NHS staff, and structured patient support.
1.3 Cost modelling for Peristeen Plus is uncertain, but it is likely that Peristeen Plus provides additional clinical benefits without costing more than standard bowel care.