title: Altemeier operation associated with dynamic graciloplasty: a case report.
abstract: BACKGROUND
  More than 80% of patients with full-thickness rectal prolapse have co-existing fecal incontinence. Choosing the ideal surgical strategy is always a difficult task. We combined an Altemeier rectosigmoid resection with anal dynamic graciloplasty to provide a functional neosphincter. We found no published reports describing this surgical association.
  
  
  METHODS
  We report the case of a 72-year-old Caucasian woman with full-thickness rectal prolapse associated with fecal incontinence from severe neuromuscular damage.
  
  
  CONCLUSIONS
  Combined dynamic graciloplasty and an Altemeier operation could be a valid therapeutic option in patients with severe rectal prolapse with fecal incontinence from severe neurogenic damage.
authors.affiliation: Department of Surgical Sciences, Division of General Surgery L, "Sapienza" University of Rome, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Mongardini
authors.forename: Roberto Paolo
authors.initials: RP
authors.lastname: Iachetta
authors.forename: Alessandra
authors.initials: A
authors.lastname: Cola
authors.forename: Eleonora Degli
authors.initials: ED
authors.lastname: Effetti
authors.forename: Filippo
authors.initials: F
authors.lastname: Custureri