title: [Timing of myokinetic sphincter replacement surgery in fecal and urinary incontinence].
abstract: In 71 children on whom surgery to improve continence was performed mainly because of severe anorectal atresia, an investigation was carried out to find out whether there was a relationship between the patients' age at the time of operation and post-surgical continence. It was found that both after transplantation of the gracilis muscle according to Pickrell and after free muscle transplantation, the results obtained improved the more, the older the children at the time of surgery, and the more active their participation had been in postoperative intensive stool training. However, the authors' hope has so far not materialised that stool training would become redundant by free muscular transplantation, due to the reflectory introduction of freely transplanted musculature into the continence mechanism and the resulting spontaneous innervation and activation of the muscle. This would have facilitated early performance of an operation to improve continence.
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005242:Fecal Incontinence / Q000601:surgery*; D006801:Humans; D009130:Muscle, Smooth / Q000637:transplantation; D009132:Muscles / Q000637:transplantation; D014549:Urinary Incontinence / Q000601:surgery*
vernacular_title: Zeitpunkt der myokinetischen Sphinkterersatzplastiken bei Incontinentia ani und vesicae.