I use warm water enemas daily, approved by GI Bo Shen and my CRS. For those with difficult to empty pouches (for any number of reasons), Shen recommends regular “irrigation”, which can be more involved than enemas (large, long tube with holes at the top to drain the pouch). This would never work for me as output is too thick and seems like a pain. I use an enema most mornings and sometimes after work. My CRS has patients that use enemas to empty every time. They haven’t expressed any concern and I can’t think of any risks to the pouch (unless you fill the enema from your leach field :-)
