Neurogenic Bowel: Traditional Approaches and Clinical Pearls

To describe management options used for neurogenic bowel dysfunction (NBD) in patients with spinal cord injury (SCI). Approach to treatment for NBD in SCI is primarily derived from traditional approaches and historical guidelines. Large formal randomized control trials and recent high-quality studies on NBD management are sparse. Advances in SCI research are transitioning focus to emerging technologies as well as addressing quality of life (QOL). Recent literature suggests that ongoing challenges remain in NBD management as it pertains to QOL, social activities, and life participation. The current and traditional approaches to NBD have led to relative success in maintaining continence and minimizing associated complications in the SCI population. Management should remain rooted in identifying patient goals and working toward improving QOL. As newer practices emerge, providers should continue to critically review existing and novel recommendations for NBD management.