Reconstruction of rectal sphincter by transposition of gluteus muscle for fetal incontinence.
Many remedial operations have been described for fecal incontinence. We describe a bilateral gluteus muscle transposition to encircle the rectum with striated muscle. This procedure positions a voluntary muscle around the rectum to produce volitional rectal closure, the opposite direction pulling produces a kinking closure of the rectum, and the newly accentuated anorectal angle also facilitates continence. In 6 incontinent patients, 3 were normalized by this procedure, 1 was improved, and 2 had delayed improvement secondary to the development of a fecaloma. Gluteus muscle transposition may be a useful secondary procedure in that patient with muscle dysfunction deficiency fecal incontinence.
D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D002081:Buttocks; D002648:Child; D002675:Child, Preschool; D005242:Fecal Incontinence / Q000601:surgery*; D005260:Female; D006801:Humans; D008722:Methods; D009132:Muscles / Q000601:surgery*; D011183:Postoperative Complications