CT and anal endosonography in the evaluation of electrically stimulated neoanal sphincter: a preliminary report.
We report a preliminary experience concerning the postoperative assessment of three patients who underwent gracilis neosphincter operation for severe fecal incontinence and were studied by computed tomography and anal endosonography soon after gracilis transposition and later after 6-8 weeks of neuromuscular training. Morphologic assessment was correlated with physiologic testing (manometry). Continence was satisfactorily improved in all patients. Both imaging techniques demonstrated the anatomy of the transposed muscle. Computed tomography also assessed lead placement onto the gracilis nerve root and the completeness of muscle transposition around the anal canal. Anal endosonography provided a more accurate assessment of the relation between the neosphincter and residual external sphincter.
Marano
I
I
Department of Radiology, University of Naples "Federico II" School of Medicine, Via Pansini 5, I-80131 Naples, Italy.
Grassi
R
R
Donnianni
T
T
Gargano
V
V
Fanucci
A
A
Romano
G
G
Pellecchia
L
L
Rotondano
G
G
D000328:Adult; D001003:Anal Canal / Q000000981:diagnostic imaging* / Q000601:surgery; D002404:Catheterization / Q000295:instrumentation; D003672:Defecation; D004599:Electric Stimulation Therapy; D005242:Fecal Incontinence / Q000601:surgery*; D006801:Humans; D008297:Male; D008365:Manometry; D018657:Muscle Fibers, Slow-Twitch / Q000502:physiology; D009470:Muscle Spindles / Q000502:physiology; D018482:Muscle, Skeletal / Q000000981:diagnostic imaging / Q000294:innervation / Q000637:transplantation*; D011312:Pressure; D014057:Tomography, X-Ray Computed; D014160:Transducers, Pressure; D014463:Ultrasonography