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Thread: Peristeen Anal Irrigation System

  1. #1
    Senior Member forestranger52's Avatar
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    Peristeen Anal Irrigation System

    Would anyone know if the VA has approved the Peristeen system? I believe that I remember our SCI Hall of famer Ms. Dunn, mentioning something regarding the catheter's failure, holding up it's approval. Considerable time has passed since then and it would be wonderful for a number of us and the entire VA system if injured folks could use it.
    Last edited by forestranger52; 12-03-2014 at 07:03 PM.
    C 5/6 Comp.
    No Tri's or hand function.

    Far better it is to try mighty things, to win glorious triumphs, even though checkered by failure. Than to take rank with those poor spirits who neither enjoy much or suffer much, because they live in the grey twilight that knows neither victory or defeat.

    Teddy Roosevelt

  2. #2
    Quote Originally Posted by forestranger52 View Post
    Would anyone know if the VA has approved the Peristeen system? I believe that I remember our SCI Hall of famer Ms. Dunn, mentioning something regarding the catheter's failure, holding up it's approval. Considerable time has passed since then and it would be wonderful for a number of us and the entire VA system if injured folks could use it.
    I would suggest contacting Kade Agan 612 337 7864 at Coloplast. (Kade is pronounced the same as Katie.)

  3. #3
    No. I just had a meeting with our rep, and it still not VA approved, but it is finally Medicare approved, so you could ask you VA provider to prescribe product through you Medicare & then request the training through Fee-Basis. Coloplast will only supply after you have been trained by one of their certified RNs. They are busy training outpatient & inpatient RNs at larger non-VA rehab centers now.

    (KLD)

  4. #4
    Why is all the training required for what's basically an enema? I've been using this for a few months and it's a pretty simple concept - up your butt, pump balloon 3 times, pump in water, remove balloon, poop.

  5. #5
    I've actually been more afraid of using some of the items Stephen has talked about in the past that I purchased from Optimal Health Network. The peristeen can be a bit finicky sometimes and I'm getting closer and closer to trying those options out.

  6. #6
    I returned to using the Peristeen more than a year ago after a friend tried and failed to get results with it. He had leftover (unused) supplies and gave them to me. I'm now getting them through my insurance.

    I didn't go through the training program, after all I've been using the product everyday for a long time and had my doc write this on Coloplast's order form. There are potential risks using the Peristeen for someone with SCI, but they're common to using any type of enema. I would think the primary health concern is triggering autonomic dysreflexia if the bowel is over-filled, and users susceptible to AD likely have different thresholds for when that might kick in.

  7. #7
    Steve, that's good to know. I've been purchasing them myself for the past few months. The insurance route sounds like something I should look into. Since you've tried both, do you find the Peristeen easier to use than the OHN options? The only real complaint I have with the Peristeen is that they seem to be overly cautious with back pressure and sometimes I have trouble getting the thing to do anything but whistle at me. I know it's due to some kind of blockage (gas, mild constipation) but sometimes I wish it had a bit more push.

    Where do you get your Peristeen supplies from that will accept your insurance?

  8. #8
    Quote Originally Posted by Davey View Post
    Steve, that's good to know. I've been purchasing them myself for the past few months. The insurance route sounds like something I should look into. Since you've tried both, do you find the Peristeen easier to use than the OHN options? The only real complaint I have with the Peristeen is that they seem to be overly cautious with back pressure and sometimes I have trouble getting the thing to do anything but whistle at me. I know it's due to some kind of blockage (gas, mild constipation) but sometimes I wish it had a bit more push.

    Where do you get your Peristeen supplies from that will accept your insurance?
    The biggest selling feature of the Peristeen vs. the OHN supplies is the rectal cuff catheter. Being able to eliminate (or at least greatly reduce) having the water leak out as you're filling up is a big plus. (OHN does offer an rectal cuff catheter, but I never tried it.) Other than that, once your bowel is filled with water it doesn't make a difference how you filled it, Peristeen or regular enema.

    I experience the same high-pitched whistling sound from the bag lid when I'm filling. It takes about a minute or two to fill the bowel (1 liter) -- approx. 100 pumps -- so the whistling doesn't bother me too much.

    Other notes: I keep the bag in the sink next to the toilet rather than on the floor. Once my bowel is filled, I will wait a few minutes for things to get started on their own, but I do a lot of dig stim and abdominal massage to expedite things. After I fill my bowel, I will flush the toilet to rinse off the catheter and then I place it temporarily in the trash can. I wash it afterward. I find that I can get many days' worth (sometimes close to 2 weeks) of service from one catheter, which is the most expensive part of the system.

    I ordered my Peristeen through McKesson Patient Care Solutions (formerly National Rehab). To determine whether your insurance will cover the Peristeen, contact:

    Gloria Longona
    Verification Department
    Gloria.Longona@ Mckesson.Com
    800- 216-5500 ext:68167

  9. #9
    Thanks! Great info.

    I re-use my catheters too. Each one lasts me about a month before it pops (has only happened twice) or I decide it's time for a new one. Speaking of the OHN rectal cuff catheter, I purchased one of those things and there's no way I would have ever used it. It almost looks like there's a balloon that is attached to the catheter with dental floss that's been glued together. While I was un-packaging it, it actually cut my finger - ouch!

    I'll give Gloria a call...

  10. #10
    Senior Member forestranger52's Avatar
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    Any update regarding the VA and Peristeen? I need to try and start using the one I purchased a couple of years ago but I need a new bag and some catheters. Where are folks buying the replacement bags and such.

    I noticed that they have a new style catheter which is much more expensive. Do these fit the same as the blue ones?
    C 5/6 Comp.
    No Tri's or hand function.

    Far better it is to try mighty things, to win glorious triumphs, even though checkered by failure. Than to take rank with those poor spirits who neither enjoy much or suffer much, because they live in the grey twilight that knows neither victory or defeat.

    Teddy Roosevelt

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