[Fecal incontinence: therapy of congenital sphincter dysplasia in adulthood--a case report].
The dynamic graciloplasty has gained acceptance in the therapy of intractable fecal incontinence. With a success-rate of 60 to 80%, the dynamic graciloplasty is a good alternative towards a permanent colostomy for individual cases. Furthermore, adults suffering from congenital anal atresia may be well treated by this therapy as described in this case. Following surgery, an accurate follow-up is inevitable in these patients, including training of neosphincter control. After 8 to 12 weeks the training-process of the neosphincter-control should be finished. At this point of time the patient will have obtained defecation-control and should be able to execute voluntary defecations.
Hetzer
F H
FH
Klinik für Viszeral- und Transplantationschirurgie, Universitätsspital Zürich.
Künzi
W
W
Demartines
N
N
Clavien
P A
PA
D000328:Adult; D001006:Anus, Imperforate / Q000175:diagnosis / Q000601:surgery*; D004599:Electric Stimulation Therapy; D005242:Fecal Incontinence / Q000151:congenital* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000637:transplantation; D011182:Postoperative Care; D012005:Rectal Prolapse / Q000151:congenital / Q000601:surgery