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Gracilis muscle transposition in the treatment of fecal incontinence

Long-term follow-up and evaluation of anal pressure recordings

  • Published:
Diseases of the Colon & Rectum

Abstract

The results after gracilis muscle transposition were studied in ten patients with a follow-up of six months to 17 years. Nine patients were continent for formed feces and the condition of one patient worsened after operation. Anorectal manometry was performed in eight of the ten patients. Evaluation of pressure recordings showed a normal image, both at rest and at maximal squeeze, in five patients. Low-pressure recordings at rest and at maximal squeeze were seen in two continent patients, in whom the tissue scarring resulted in narrowing of the anal canal. One patient with low-pressure recordings was completely incontinent. An attempt was made to explain the continence and low-pressure recordings. The results suggest gracilis muscle transposition to be a method of choice in patients with total incontinence who have no functional anal sphincter.

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Authors and Affiliations

  1. Department of Surgery, Academic Medical Center, G4/108, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

    P. Leguit Jr M.D., Ph.D. (Surgeon), J. G. van Baal M.D. (Surgeon) & W. H. Brummelkamp M.D., Ph.D., Hon F.R.C.S. (Professor of Surgery and Chairman, Department of Surgery)

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  1. P. Leguit Jr M.D., Ph.D.
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  2. J. G. van Baal M.D.
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  3. W. H. Brummelkamp M.D., Ph.D., Hon F.R.C.S.
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Leguit, P., van Baal, J.G. & Brummelkamp, W.H. Gracilis muscle transposition in the treatment of fecal incontinence. Dis Colon Rectum 28, 1–4 (1985). https://doi.org/10.1007/BF02553893

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  • DOI: https://doi.org/10.1007/BF02553893

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