Test your bowel symptoms

You can test your bowel symptoms by downloading our Neurogenic Bowel Dysfunction score test. We recommend that you print it, fill it out and take it to your health care provider th next time you have an appointment. It may provide a good indication of your bowel symptoms and start a conversation with your health care provider about your current bowel management routine.

Download the NBD score

Download the NBD guide

Bowel management with Peristeen®

Peristeen bowel management system is a transanal irrigation system for people who experience fecal incontinence and chronic constipation. Use the form below to request a Peristeen® information kit.

First Name:(*)

Last Name: (*)

Address (*)

City(*)

Province (*)

Postal Code (*)

Email:

Phone number:(*)

I am currently using a prescription medicine for bowel managementYes
No

I would like information regarding:Bowel symptoms
Neurogenic Bowel Dysfunction score
Bowel management solutions

Privacy statement

Coloplast respects the privacy of personal information and will protect the confidentiality of the input you provide. Please, read the privacy statement.*

Support Services declaration of consentBy providing your personal and sensitive data, you are consenting to Coloplast Canada that we may process and store your data for the purposes to provide tailored services and healthcare professional reviewed guidance on a regular basis; to fulfill and inform you of your request by phone, text, email, or mail. We will also process your data to improve our products and services and may refer you to healthcare professionals if needed. Information provided to us by you or a third party will be used to process orders and for general administrative record-keeping purposes. The information may also be used or shared with a third party if required by law to provide you with information related to Coloplast’s products, services and wellness education. We will also let you know about relevant Coloplast products and services via phone, text, email, or mail (marketing). We may share your data with our sub-vendors when necessary to fulfill the request and transfer data securely outside of Canada to support our business operations. You may withdraw consent at any time without ramifications by writing to privacyrequests@coloplast.com or calling us at 1(866)293-6349. For more information, please visit our privacy policy for consent.

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Important Safety Information: Peristeen® empties the bowel by introducing water into the bowel using a rectal catheter. The anal irrigation procedure should always be carried out with care. Bowel perforation is an extremely rare, but serious and potentially lethal complication to anal irrigation and will require immediate admission to hospital, often requiring surgery. The risk information provided here is not comprehensive. To learn more, talk to your healthcare provided to understand the risks and benefits to determine if Peristeen is right for you. This treatment is prescribed by your physician. Although many patients benefit from the use of this device, results may vary. For further questions, call Coloplast Corp. at 1-866-293-6349.

Headline

Test your bowel symptoms

Peristeen bowel management system is a transanal irrigation system for people who experience fecal incontinence and chronic constipation. Use the form below to request a Peristeen® information kit.

Privacy statement

Important Safety Information

Thank you for your order