Abstract
This chapter outlines the surgical alternatives in the management of the incontinent patient, detailing the results of stimulated and unstimulated graciloplasties and gluteus muscle transposition. Muscle transpositions have documented effectiveness as reconstructive procedures in the treatment of fecal incontinence. These procedures are technically challenging and carry a distinct probability of morbidity, although there is a significant body of literature that finds an equivalent quality of life for patients with a colostomy versus imperfect anorectal function after reconstructed sphincter preservation. The coloproctologist must incorporate the range of muscle transpositions in selected (often reoperated) cases as part of their surgical armamentarium.
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Etzioni, D.A., Stamos, M.J. (2013). Surgical Alternatives in Anal Sphincter Reconstruction. In: Zbar, A., Madoff, R., Wexner, S. (eds) Reconstructive Surgery of the Rectum, Anus and Perineum. Springer, London. https://doi.org/10.1007/978-1-84882-413-3_32
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DOI: https://doi.org/10.1007/978-1-84882-413-3_32
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