ArticleWorld journal of surgery
Follow-up of anal dynamic graciloplasty for fecal continence.
Article in World journal of surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 79 citations in OpenAlex.
- Low-field magnetic resonance imaging of the pelvis in patients with anal dynamic graciloplasty: initial experience.Magma (New York, N.Y.) · 1998Trial
- Replacement Adaptor 09106 for patients with a dynamic graciloplasty or patients with sacral neuromodulation and abdominal implantable pulse generators: a retrospective, single centre, Stage 2a/2b development IDEAL case series.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2023Article
- Multidisciplinary behavioural treatment of fecal incontinence and constipation after correction of anorectal malformation.World journal of pediatrics : WJP · 2008Article
- Investigation and treatment of faecal incontinence.Postgraduate medical journal · 2006Review
- Gracilis muscle transposition with electrical stimulation for sphincteric incontinence: a new approach.World journal of urology · 1997Review
- The electrically stimulated gracilis neosphincter incorporated as part of total anorectal reconstruction after abdominoperineal excision of the rectum.Annals of surgery · 1996Article
- Management of fourth degree obstetric perineal tear without colostomy using non - stimulated gracilis - our experience over eleven years.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of IndiaArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The feasibility of anal dynamic graciloplasty (transposition of the gracilis muscle and subsequent implantation of a stimulation device) to restore continence, was assessed in a case-control study of 26 patients with severe fecal incontinence. It was shown that anal dynamic graciloplasty is capable of achieving the sphincter tone of healthy persons, as stimulated graciloplasty increased anal pressure from 46 mmHg without stimulation to 65 mmHg with stimulation (mean increase 19 mmHg; 95% confidence interval 13, 25; n = 25; p < 0.01). Time to retain a 250-ml phosphate enema increased from 52 seconds before to 204 seconds after 8 weeks of electrical stimulation (mean increase 151 seconds; 95% confidence interval 61, 241; n = 25; p < 0.01). Complete fecal continence was achieved in 17 patients (65%); two of these patients developed a wound infection, but one of the two realized continence without stimulation and the other patient became continent after reimplantation. Three other patients improved after anal dynamic graciloplasty, but infection necessitated removal of the stimulation device. One patient developed a fistula. Failures were encountered in five patients. Although our long-term follow-up results suggest a learning curve, it is concluded that electrical stimulation improves the results of conventional graciloplasty and avoids construction of a colostomy.
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