Altemeier operation associated with dynamic graciloplasty: a case report.
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.
Mongardini
Massimo
M
Department of Surgical Sciences, Division of General Surgery L, "Sapienza" University of Rome, Italy.
Iachetta
Roberto Paolo
RP
Cola
Alessandra
A
Effetti
Eleonora Degli
ED
Custureri
Filippo
F