Objective To summarize the best evidence for bowel management in patients with spinal cord injury and neurogenic bowel dysfunction, and to provide reference for improving bowel function in these patients.MethodsRelevant evidence on bowel management in patients with spinal cord injury and neurogenic bowel dysfunction was retrieved from domestic and international evidence based resources and databases. Methodological quality of the included literature was assessed and evidence was extracted. ResultsOf 17 publications met the inclusion criteria, 7 were guidelines, 5 were expert consensus statements, 3 were systematic reviews, and 2 were randomized controlled trials. Twenty six pieces of evidence were identified and classified into 7 aspects:bowel function assessment methods, assessment scales, health education, dietary intervention, medication intervention, behavioral intervention, and surgical intervention. ConclusionThe best evidence for bowel management in patients with spinal cord injury and neurogenic bowel dysfunction can provide a basis for healthcare professionals to assess bowel function and implement intervention measures. In clinical practice, the evidence should be selected based on actual clinical situation and patient needs.