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Bowel Irrigation Systems Market

Market Study on Bowel Irrigation Systems: Balloon Catheter Devices Account for Highest Market Share

Bowel Irrigation Systems Market Segmented By Mini Devices, Cone Devices, Balloon Catheter Devices, Bed Systems Product For Children and Adults

Bowel Irrigation Systems Market Outlook (2022-2032)

Global revenue from the bowel irrigation systems market was US$ 322.9 Mn in 2021, with the global market estimated to move ahead at a value CAGR of 2.7% to reach a market valuation of US$ 432.5 Mn by the end of 2032.

As assessed by Persistence Market Research, the adult age group is expected to hold a market value of US$ 322.7 Mn by 2032. Overall, bowel irrigation system sales account for around 9.6% revenue share in the global ostomy care accessories market, which was valued at around US$ 3.3 Bn in 2021.

Attribute Key Insights

Bowel Irrigation Systems Market Size (2021)

US$ 322.9 Mn

Estimated Market Size (2022)

US$ 331.2 Mn

Projected Market Value (2032)

US$ 432.5 Mn

Global Market Growth Rate (2022-2032)

2.7% CAGR

Market Share of Top 5 Countries


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Sales Analysis of Bowel Irrigation Systems from 2017 to 2021 Vs Market Outlook for 2021 to 2032

The worldwide bowel irrigation systems market grew at 1.9% CAGR from 2017 to 2021. Factors such as increasing healthcare expenditure on chronic diseases and rising cases of rectal cancer among the geriatric population will fuel the consumption of bowel irrigation systems over the coming years.

Anal irrigation systems are beneficial for patients with neurological disorders, sensory impairments, and reduced tissue elasticity. These systems are the best alternative for the use of laxatives, suppositories, and mini enemas. Bowel irrigation systems offer several advantages such as improved quality of life and reduction in episodes of fecal incontinence, which make them the best choice for the treatment of various bowel management disorders.

  • Coloplast A/S, a Danish medical device manufacturer, launched Peristeen Plus. This is a transanal irrigation system that allows the emptying of faeces from the lower colon in a controlled manner.

The number of Neurogenic Bowel Dysfunction (NBD) cases is increasing. NBD is a type of faecal incontinence that results from ailments related to the Central Nervous System (CNS). Conditions such as spinal cord injury, multiple sclerosis, and Parkinson’s disease are known to cause NBD. Patients suffering from the above-mentioned conditions usually have no sensory or motor control over the muscles of the upper and lower gastrointestinal tract.

  • As per the World Health Organization (WHO), every year, around 250,000 to 500,000 people suffer from spinal cord injury. Most people with spinal cord injury are likely to suffer from bowel incontinence.

Rising adoption of bowel irrigation systems among patients suffering from colostomy-related issues will push sales in the market over the coming years. The global bowel irrigation systems market is thus likely to see positive growth at a CAGR of 2.7% and reach a global market size of US$ 432.5 Mn by 2032.


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How are Bowel Irrigation System Manufacturers Strategizing?

“Greater Preference for Odour-Proof Coatings & Robust Collection Bags”

The coming years are set to provide many lucrative opportunities for manufacturers of bowel irrigation systems around the world. Manufacturers have started understanding the importance of R&D investments in order to offer a diverse range of products.

  • MacGregor Healthcare Ltd offers the Quofora IrriSedo Bed system, which is a closed rectal irrigation system that distributes water into the rectum and collects the return water in a hygienic and odor-free collection bag.

Many companies are taking extensive measures to make their product offerings more versatile through innovations such as the provision of an irrigation connector to deliver medications, odor-proof coating of the system, and also the use of compounds such as activated carbon in collection bags.

“Rising Prevalence of Faecal Incontinence in Children”

Faecal incontinence is a common problem among children. It can be due to chronic constipation or some congenital conditions as well. Soiling/ encopresis is the process where the liquid stool seeps past the normal solid stool, out of the rectum. This usually happens due to fear of painful defecation among children.

Voluntary stool retention can lead to a dilation of the rectal wall and sigmoid colon, which leads to depletion in the reactivity of muscles as well as sensory nerves, further leading to constipation or faecal incontinence.

  • A study published in the Journal of Paediatric Urology studied the prevalence of faecal incontinence in school children from Denmark. Among the study population, 11.2% reported the presence of faecal incontinence.
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Can Demand for Bowel Irrigation Systems Be Affected in Any Way?

“Available Alternates in Non-penetrative Treatment”

When a patient with fecal incontinence visits a healthcare professional, bowel irrigation is not the first line of treatment preferred by clinicians. Instead, various other treatments or exercise forms such as Kegel exercises, pelvic floor strengthening exercises, conscious bowel training, pharmaceutical drugs (laxatives, anti-diarrhoeal drugs), and the use of bulking agents such as muscular thickening agents, especially for the rectal area, are more frequently adopted.

This is a major restraining factor for this market as the adoption of bowel irrigation products will get hampered due to higher use and popularity of other treatment options.

Typically, laxatives are more preferred for bowel management, since they offer a more gradual improvement of constipation symptoms. Doctors usually recommend it since they are the first line of defense before any other medication or irrigation system is used.

“Faecal Incontinence and Societal Stigma”

Taboo surrounding faecal incontinence still persists in many nations worldwide. People with bowel issues already experience a sense of deviation or differentness from the ideal norm; hence, many are reluctant to approach a healthcare professional since this can accentuate their sense of insecurity and also aggravate the symptoms of the underlying condition.

The stigma associated with bowel management issues is very much considerable, which makes many affected patients unwilling to admit that they have faecal incontinence, and reluctance from the physicians can also be seen when it comes to inquiring about it. Faecal incontinence will affect what the person wears and what kind of activities they engage in. Difficulty in defecation affects the overall quality of life of the patient, and this could lead them to isolate themselves from recreational and social activities.

Further, this can affect the forms and lines of treatment provided to the patient. Ultimately, this will lead to less adoption of bowel irrigation devices, restraining market growth to some extent.

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Country-wise Insights

Why is the U.S. Bowel Irrigation Systems Market Expanding?

“Rising Incidence of Inflammatory Bowel Disease in the Country”

The U.S. accounted for around 88.3% share in the North America bowel irrigation systems market in 2021 and is expected to showcase a similar growth trend over the forecast period as well.

  • According to the National Census Bureau U.S., the geriatric population that is the 65+ age group is projected to increase over the coming years and account for more than 16.7% of the total population by 2025.
  • According to CDC, an estimated 1.3% of adults (3 million) in the U.S. had Inflammatory Bowel Disease (IBD).

The market in the U.S. is expected to register attractive growth owing to the increasing aged population and surge in awareness about bowel irrigation equipment.

Will Germany Be a Lucrative Market for Bowel Irrigation System Providers?

“Rising Prevalence of Bowel Dysfunction, Especially in Women”

Germany held around 23.4% share of the Europe bowel irrigation systems market in 2021, owing to enhanced digitization of healthcare processes and a rise in the incidence of bowel dysfunction in the country.

  • According to a study published in the United European Gastroenterology Journal, there is a 5% prevalence rate of chronic constipation in Germany. Their study has reported that constipation is more frequent in women than in men, and this is attributed to increasing age-related bowel dysfunction, hormonal changes, pregnancy, and poor hygiene conditions.

Various epidemiological studies state that there is a high adoption rate of bowel irrigation systems since there is a high prevalence of constipation, faecal incontinence, and neurogenic bowel dysfunction in Germany.

How is China Emerging as a Prominent Market for Bowel Irrigation Systems?

“Inflammatory Bowel Disease Incidence Correlated With Population Density”

China held the largest market share of 44.9% of the East Asia bowel irrigation systems market in 2021 due to the rising incidence of inflammatory bowel disease owing to differences in the living conditions and dietary habits of the population.

In the last few decades, many research groups in China have conducted prospective cohort studies which demonstrated that dietary habits play an important role in the development of colorectal cancer and inflammatory bowel disease. China is the world’s largest meat consumer and accounts for nearly one-third of total meat consumption.

  • According to a study published in the Chinese Journal of Cancer Research, China’s socioeconomic development led to nearly 3X increase from 2000 to 2018 with an average annual growth rate of 6.1%. Meat consumption per capita increased by 1.5X from 24.8kg to 61.8kg at a CAGR of 4%.

As such, demand for bowel irrigation systems in China is bound to showcase an upward trend over the coming years.

Category-wise Insights

Which Bowel Irrigation Product Type Accounts for High Sales?

“Ever-rising Demand for Balloon Catheter Devices across Regions”

By product, balloon catheter devices held 59.3% market share in 2021.

The reason for this is their great importance in aiding patients’ ease as the catheter is easily retained in the rectum while water is being instilled. This is the best option for patients who require a large amount of water for bowel irrigation.

Therefore, bowel irrigation system usage is higher through balloon catheters as compared to other products, and is expected to drive its demand in the future, globally.

Which Age Group Sees Higher Usage of Bowel Irrigation Systems?

“Bowel Irrigation Devices Most Commonly Used By Adults”

Adult patients accounted for the highest share of 75.4% of revenue in the bowel irrigation systems market in 2021. Prevalence of faecal incontinence and bowel dysfunction disorders is higher in the elderly population as compared to those below 18 years of age.

As such, bowel irrigation systems are more widely used by adults because they are more prone to neurological disorders that lead to faecal incontinence.

Competitive Landscape

Consolidation activities such as product launches, acquisitions, collaborations, and partnerships are actively looked upon in this market. Such consolidations will help market players expand their product portfolios and market penetration, thereby increasing their revenue share in the market.

  • In April 2022, Becton Dickinson and Company announced the completion of its spinoff with Embecta Corporation. BD now handles the diabetes care business of the company.
  • In 2021, Renew Medical Pvt Ltd completed the acquisition of Aquaflush Medical Limited with the aim of becoming a global leader in bowel management.
  • In March 2021, Hollister Inc. was awarded a contract for ostomy care products by Vizient Inc.

Bowel Irrigation Systems Industry Report Scope

Attribute Details

Forecast Period


Historical Data Available for


Market Analysis

USD Million for Value

Key Countries Covered

  • U.S.
  • Germany
  • U.K.
  • China
  • Japan
  • India
  • Australia
  • France
  • Canada
  • Italy
  • Spain
  • GCC Countries
  • South Africa
  • Indonesia
  • Brazil
  • South Korea
  • Thailand
  • Mexico
  • Malaysia
  • New Zealand
  • Argentina

Key Market Segments Covered

  • Product
  • Age Group
  • End User
  • Region

Key Companies Profiled

  • Coloplast
  • Becton, Dickinson and Company
  • ConvaTec Group plc
  • Qufora A/S
  • Runfold Plastics Ltd
  • Renew Medical Inc (Aquaflush Medical Limited)
  • Consure Medical
  • ProSys International Ltd
  • B Braun Melsungen AG
  • Plasti-Med
  • Wellspect HealthCare (Dentsply Sirona)
  • Hollister Incorporated

Report Coverage

  • Market Forecast
  • Competition Intelligence
  • DROT Analysis
  • Market Dynamics and Challenges
  • Strategic Growth Initiatives

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Key Segments Covered in Bowel Irrigation Systems Industry Research

Bowel Irrigation Systems Market by Product:

  • Mini Devices
  • Cone Devices
  • Balloon Catheter Devices
  • Bed Systems

Bowel Irrigation Systems Market by Age Group:

  • Bowel Irrigation Systems for Children
  • Bowel Irrigation Systems for Adults

Bowel Irrigation Systems Market by End User:

  • Hospitals
  • Ambulatory Surgical Centers
  • Clinics
  • Homecare Settings
  • Rehabilitation Centers

Bowel Irrigation Systems Market by Region:

  • North America Bowel Irrigation Systems Market
  • Latin America Bowel Irrigation Systems Market
  • Europe Bowel Irrigation Systems Market
  • South Asia Bowel Irrigation Systems Market
  • East Asia Bowel Irrigation Systems Market
  • Oceania Bowel Irrigation Systems Market
  • Middle East & Africa Bowel Irrigation Systems Market

- Companies Covered in This Report -

  • Coloplast
  • Becton, Dickinson and Company
  • ConvaTec Group plc
  • Qufora A/S
  • Runfold Plastics Ltd
  • Renew Medical Inc (Aquaflush Medical Limited)
  • Consure Medical
  • ProSys International Ltd
  • B Braun Melsungen AG
  • Plasti-Med
  • Wellspect HealthCare (Dentsply Sirona)
  • Hollister Incorporated

- Frequently Asked Questions -

The global bowel irrigation systems market is valued at US$ 322.9 Mn.

Sales of bowel irrigation systems are set to witness a CAGR of 2.7% and be valued at US$ 432.5 Mn by 2032.

Demand for bowel irrigation systems increased at 1.9% CAGR from 2017 to 2021.

The U.S., China, Germany, U.K., and Japan drive the most demand for bowel irrigation products and currently hold 49.3% market share.

The U.S. accounted for around 88.3% share of the North American regional market in 2021.

Coloplast, Becton, Dickinson and Company, and ConvaTec Group plc are the top three manufacturers of bowel irrigation systems.

China held a share of 44.9% in the East Asia bowel irrigation systems market in 2021, while Japan accounted for 39.8% market share.

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