Management of the neurogenic bowel using durolax solution.

A simple and effective bowel care regime is described which has been in use in the Spinal Injuries Unit at Prince Henry Hospital, Sydney, for more than 10 years. Three times a week, Durolax solution (bisacodyl 10 mg in 5 ml of propylene glycol), usually 5 mL undiluted or diluted with 5 mL of tap water, is introduced into the rectum using a catheter and syringe. A faecal softener is given 24 hours before the Durolax solution. Evacuation usually results within 30 minutes, tending to occur sooner with continued use of the regime. The procedure is well tolerated and there have been no serious problems.