Electrically Stimulated Gracilis Neosphincter for End-stage Fecal Incontinence

Abstract

Gracilis neosphincter is associated with clinically significant and sustained symptom improvement in patients with end-stage fecal incontinence secondary to obstetric injury or anal surgery. These data support the continued use of this procedure in highly selected patients.

Critical appraisal of international guidelines for the management of fecal incontinence in adults: is it possible to define what to do in different clinical scenarios?

“…High morbidity rates and the introduction of SMN as much less invasive treatment reduced the use of SG. However, a subsequent single-centre study proposed its use as the final option before stoma in selected patients [56]. The procedure requires significant surgical skills and must be performed in centres with high volume of patients with FI.…”

Dynamic versus Adynamic Graciloplasty in Treatment of End-Stage Fecal Incontinence: Is the Implantation of the Pacemaker Really Necessary? 12-Month Follow-Up in a Clinical, Physiological, and Functional Study

“…To improve quality of life and avoid the end-stoma, this group requires the “last chance methods”: sphincter reconstruction by procedures involving transposition of autologous muscle or replacing anal sphincter with artificial prosthesis [ 2 ]. Regarding muscle transposition procedures, most commonly used procedures are the unstimulated graciloplasty (AGP) and dynamic (stimulated) graciloplasty (DGP), which were proven successful in highly selected patients [ 3 ].…”