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.