Physicians from across the United States approve of the the PIE Device as a mechanism for consistent, reliable bowel treatment and management. Patients with congenital conditions, chronic constipation, fecal impaction, and neurogenic bowel who use the PIE Device often experience a significantly better quality of life and reduce the number hospital admissions. Oftentimes, the PIE Device will protect patients from receiving a colostomy, which has been shown in countless studies to increase risk of infection and hospitalization while lowering quality of life.