A simplified guide to best practice in transanal irrigation: rationale, development and implementation.

Bowel dysfunction is widespread, and disorders including constipation and faecal incontinence can have profound impacts on physical health and psychosocial wellbeing, with a consequent financial burden on the wider healthcare system. Transanal irrigation (TAI) is a safe and effective treatment for chronic bowel dysfunction, but access to appropriate care is often delayed due to stigma, unclear treatment pathways or knowledge gaps among healthcare professionals (HCPs). An expert working group developed new guidance to empower HCPs with increased clinical confidence in appropriately implementing TAI, as well as simplify the journey to TAI with a clear, structured and easy-to-navigate approach to support consistent clinical decision-making. The TAI Guide is a visually impactful two-page resource that can used as a standalone tool or embedded into existing pathways, as well as used as a benchmark to support professional education.