Peristeen Bowel Irrigation System in Cauda Equina

Inclusion Criteria: * Male or female \>18 years or older * Cauda equina spinal injury at least 12 months previously, with lower motor neuron bowel dysfunction and at least one of the following symptoms: * Spending 30 minutes or more attempting to defecate each day or every second day * Episodes of fecal incontinence once or more per month * Abdominal discomfort before or during defecation Exclusion Criteria: * Coexisting major unresolved physical problems due to the injury * Performance of transanal irrigation on a regular basis * Evidence of bowel obstruction or active inflammatory bowel disease * History of cerebral palsy, stroke, multiple sclerosis or diabetic polyneuropathy * Previous colorectal or perineal surgery(excluding minor surgery such as hemorrhoidectomy) * Pregnancy or lactation * Immunosuppression * Prior implant for sacral nerve stimulation