Manual stimulation of the anus used to facilitate a bowel movement. Typically used in patients with spinal cord injuries or other neurogenic abnormalities affecting the bowels. Methods vary, but the duration is usually from one to three minutes with a waiting period of five to twenty minutes between stimulations. A suppository or mini-enema is sometimes used in conjuction with the stimulation.
After initial stool flow, stimulation is usually repeated until the colon has emptied completely. Typically it takes 30 to 60 minutes for a patient to completely empty out, although some patients may require as long as 2 hours.