Overview
Unstimlated gluteus maximus sphincteroplasty for treatment of bowle incontinence
Description
Surgery to treat patient with bowel incontinence by using unstimulated gluteus maximus muslce in creating neosphincter by dicussating lower third of muscle with neovascular bundle and suturing on contralateral side ischial tuberosity
Eligibility
Inclusion Criteria:
- patients with severe fecal incontinence refractory to medical treatment
- loss of native anal sphincter confirmed by MRI
- patients deemed suitable for unstimulated gluteus maximus sphincteroplasty
Exclusion Criteria:
- amyotrophic lateral sclerosis
- severe scarring of bilateral gluteus maximus
- pelvic fracture with injury of internal illiac vessels